Parkland-UT Southwestern PROSPR Center Colon Cancer Screening in a Safety net

帕克兰-犹他州西南 PROSPR 中心结肠癌筛查安全网

• 批准号: 8791367
• 负责人: Celette Sugg SKINNER
• 金额: $ 64.93万
• 依托单位: UT SOUTHWESTERN MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-23 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8791367
• 关键词: Address; Adult; African American; Cancer Control; Caring; Cervical; Cervical Cancer Screening; Clinic; Clinical; Colon; Colon Carcinoma; Communities; Computerized Medical Record; Data; Diagnostic; Disadvantaged; Documentation; Dysplasia; Early Diagnosis; Effectiveness; Eligibility Determination; Evaluation; Goals; Guidelines; Gynecology; Health; Health Policy; Health system; Heterogeneity; Hispanics; Hospitals; Human Papilloma Virus Vaccination; Incidence; Insurance; Intervention; Investigation; Knowledge; Leadership; Life; Low Prevalence; Low income; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Medicaid; Methods; Minority; Modeling; Neighborhoods; Not Hispanic or Latino; Paper; Patients; Policies; Population; Population Heterogeneity; Positioning Attribute; Primary Health Care; Process; Process Measure; Provider; Research; Research Personnel; Risk Assessment; Science; Screening for cancer; Site; System; Technology; Testing; Texas; Underserved Population; Uninsured; Woman; Women' s Health; anticancer research; base; cancer care; cancer health disparity; cervical cancer prevention; charity care; cohort; compare effectiveness; experience; health disparity; improved; innovation; medical specialties; member; mortality; oncology; patient population; population based; population health; public health relevance; safety net; screening; skills; statistical center; vaccine evaluation; working group

DESCRIPTION (provided by applicant): The overall goal of the expanded Parkland-UT Southwestern PROSPR Center is to optimize cervical and colon cancer screening in our integrated safety-net system. The population we contribute is the most diverse and disadvantaged in the PROSPR network, representing patients infrequently included in large scale research networks. Parkland's cervical cancer screen-eligible population of more than 78,000 adult women is 6 1% Hispanic, 24% African American, and 8% Non-Hispanic White. All are low-income and few have private insurance leading them to rely on public insurance or charity care. Thus, our patients represent the "traditionally underserved" groups experiencing cervical cancer disparities - higher incidence and mortality, and lower screening and HPV vaccination. Parkland delivers the full cervical cancer screening process (risk assessment, early detection, diagnostic evaluation, and treatment) through an integrated system of 11 neighborhood-based primary care clinics, 11 women's health centers, and specialty clinics (dysplasia, gynecology and oncology). All clinics share a comprehensive electronic medical record (EMR) through which eligibility for a test, test ordering, results, referrals, and treatmentis ascertainable electronically. Our Center will expand by adding a Cervical Screening Process Documentation Unit (SPDU) and a Cervical Research Core. The Cervical SPDU will: 1) harness Parkland's EMR to collect accurate data on the cervical cancer screening process at multiple levels including the patient, provider, clinic, system, and health policy, and 2) securely transfer de-identified data to the Statistical Coordinating Center, investigators in the Cervical Research Core will provide intellectual leadership to the PROSPR network by prioritizing, conceptualizing, and conducting collaborative projects that capitalize on the heterogeneity of the network with respect to patient population, health system, and context. Data contributed by the Parkland-UT Southwestern PROSPR Center to the Network will enable analyses that examine how recent changes in guidelines and newly available screening and vaccine technologies impact long-standing disparities in cervical cancer. This research will improve both the science and delivery of effective cervical cancer screening.

描述（由申请人提供）：扩大的帕克兰-UT西南PROSPR中心的总体目标是在我们的综合安全网系统中优化宫颈癌和结肠癌筛查。我们贡献的人群是PROSPR网络中最多元化和最弱势的人群，代表了大型研究网络中不常包含的患者。帕克兰的宫颈癌筛查合格人群超过78，000名成年女性，其中61%为西班牙裔，24%为非洲裔美国人，8%为非西班牙裔白色。他们都是低收入者，很少有私人保险，这导致他们依赖公共保险或慈善机构的照顾。因此，我们的患者代表了“传统上服务不足”的群体，他们经历了宫颈癌的差异-更高的发病率和死亡率，以及更低的筛查和HPV疫苗接种。帕克兰通过一个由11个社区初级保健诊所、11个妇女健康中心和专科诊所（发育异常、妇科和肿瘤科）组成的综合系统，提供完整的宫颈癌筛查过程（风险评估、早期发现、诊断评估和治疗）。所有诊所共享一个全面的电子病历（EMR），通过该病历，可以以电子方式确定测试、测试顺序、结果、转诊和治疗的资格。我们的中心将通过增加子宫颈筛查过程文档单元（SPDU）和子宫颈研究核心来扩展。宫颈SPDU将：1）利用帕克兰的EMR在多个层面收集宫颈癌筛查过程的准确数据，包括患者、提供者、诊所、系统和卫生政策，以及2）安全地传输 去识别数据的统计协调中心，研究者在 宫颈研究中心将通过优先化、概念化和实施合作项目，为PROSPR网络提供智力领导，这些项目将利用网络在患者群体、卫生系统和环境方面的异质性。帕克兰-UT西南PROSPR中心向该网络提供的数据将有助于分析最近指南的变化以及新的筛查和疫苗技术如何影响宫颈癌的长期差异。这项研究将改善有效的宫颈癌筛查的科学和提供。