The Implementation Science Center for Cancer Control Equity

摘要--总体 在数十年的研究开发和测试癌症控制干预措施后，我们有证据表明 需要预防一半以上的癌症。这些策略对癌症结局的影响是 对于普通人口和低收入和代表性不足的群体来说都具有重要意义 不成比例的可预防癌症负担，但循证干预并未 在人口群体中统一使用。执行证据基础方面的差距可以看到近几年 所有已知的癌症预防和早期发现策略。结果，我们招致了基本上可以避免的癌症 减少发病率和死亡率，容忍可预防的不平等现象。 癌症控制公平实施科学中心(ISCCCE)将为 马萨诸塞州社区卫生中与癌症预防和控制相关的实施科学(IS) 中心(社区卫生中心)及其当地社区。我们的主题是通过整合健康来改善社区健康 循证癌症控制的公平和实施科学，反映了我们在以下方面的临界专业知识 癌症差异、IS和基于社区的癌症预防和控制研究。我们的“重大挑战” 是解决循证干预措施实施不公和规模有限的问题，方法是 和测试旨在缩小卫生不平等的实施战略，并通过推进 仔细考虑CHC的低资源、复杂性质，在那里适应和经济高效的解决方案 最需要的。我们进行的实施研究将解决CHC临床实践中的不平等问题，如 以及与社区资源和资产挂钩的预防干预措施。我们的i-Lab由31个 社区卫生中心群众性联盟的成员，并使用共同的电子健康记录供应商的社区健康中心- 中立的人口管理系统，在疾病控制和预防中心内部和之间具有广泛的报告能力， 将使我们能够研究全州不同地理环境下的实施结果，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 除了干预，我们的试点人员还将研究如何扩大CHC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 美国直接与其他Moonshot IS倡议和国家社区卫生领导，并扩大 合作和协同的机会，建设是在我们自己的机构和整个国家的能力。

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.