The Implementation Science Center for Cancer Control Equity

摘要-总体 经过几十年的研究开发和测试癌症控制干预措施，我们有证据表明， 来预防一半以上的癌症。这些策略对癌症结果的影响是 这对一般人口和低收入和代表性不足的群体都很重要， 不成比例的可预防癌症负担，但循证干预措施并没有 在人群中统一使用。证据基础实施方面的差距可以看出， 所有已知的癌症预防和早期检测策略。结果，我们患上了大量本可避免的癌症 并容忍可预防的不公平现象。 癌症控制公平实施科学中心（ISCCCE）将创建一个生态系统， 马萨诸塞州社区卫生癌症预防与控制实施科学 中心（CHC）及其当地社区。我们的主题，通过整合健康改善社区健康 公平和实施科学的循证癌症控制，反映了我们的专业知识的临界质量， 癌症差异、信息系统和社区癌症预防和控制研究。我们的“大挑战” 解决循证干预措施实施不公平和规模有限的问题， 和测试旨在缩小卫生不平等现象的执行战略， 仔细考虑社区卫生服务的低资源和复杂性，其中适应和具有成本效益的解决方案 最需要的。我们进行的实施研究将解决CHC临床实践中的不公平问题， 以及与社区资源和资产相联系的预防干预措施。我们的I-Lab由31个 社区卫生中心是社区卫生中心大众联盟的成员，并使用共同的电子健康记录供应商- 一个中立的人口管理系统，在社区卫生中心内部和之间具有广泛的报告能力， 将使我们能够研究实施结果在不同的地理环境在整个国家使用共同的 措施鉴于实现社区卫生公平需要临床、社区和政策层面的 我们的试点项目还将研究如何扩大社区卫生中心癌症的影响和可持续性 通过社区和政策环境中的有效伙伴关系开展预防工作。我们的网络单元连接 我们直接与其他Moonshot IS倡议和国家社区卫生领导，并扩大 合作和协同作用的机会，在我们自己的机构和全国范围内建立信息系统能力。

Abstract - Overall After decades of research developing and testing interventions for cancer control, we have the evidence needed to prevent more than half of all cancers. The impact of these strategies on cancer outcomes is significant for both the general population and low income and under-represented groups that bear a disproportionate share of preventable cancer burden, but evidence-based interventions have not been uniformly used across population groups. Gaps in implementation of the evidence base can be seen for nearly all known cancer prevention and early detection strategies. As a result, we incur substantial avoidable cancer morbidity and mortality and tolerate preventable inequities. The Implementation Science Center for Cancer Control Equity (ISCCCE) will create an ecosystem for robust implementation science (IS) related to cancer prevention and control in Massachusetts community health centers (CHCs) and their local communities. Our theme, improving community health by integrating health equity and implementation science for evidence-based cancer control, reflects our critical mass of expertise in cancer disparities, IS, and community-based cancer prevention and control research. Our “grand challenge” is to address the inequitable implementation and limited scale of evidence-based interventions by developing and testing implementation strategies aimed at narrowing health inequities and by advancing methods that carefully consider the low-resource, complex nature of CHCs where adaptation and cost-effective solutions are needed most. The implementation studies we conduct will address inequities within CHC clinical practice as well as prevention interventions that link to community resources and assets. Our I-Lab is comprised of 31 CHCs who are members of the Mass League of Community Health Centers and use a common EHR vendor- neutral population management system that has extensive reporting capability within and across CHCs, which will allow us to study implementation outcomes in different geographic settings across the state using common measures. Given that achieving equity in community health requires clinical, community, and policy-level interventions, our pilots will also examine how to expand the impact and sustainability of CHCs’ cancer prevention efforts through effective partnerships in community and policy settings. Our Network Unit connects us directly with other Moonshot IS initiatives and national community health leadership, and expands opportunities for collaboration and synergy, building IS capacity in our own institutions and across the nation.