SMART Cancer Care Teams: Enhancing EHR Communication to Improve Interprofessional Teamwork - Diversity Supplement

智能癌症护理团队：加强 EHR 沟通以改善专业间团队合作 - 多样性补充

• 批准号: 10816261
• 负责人: Kwan-Liu Ma
• 金额: $ 17.7万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10816261
• 关键词: Address; Affordable Care Act; Asbestos; Award; Breast; California; Cancer Burden; Cancer Patient; Caring; Characteristics; Colorectal; Communication; Communities; Community Health; Complex; Databases; Development; Diagnosis; Disparity; Economics; Emergency department visit; Environmental Risk Factor; Focus Groups; Foundations; Goals; Health; Health Insurance; Health Services Accessibility; Hispanic; Homelessness; Hospitalization; Housing; Income; Individual; Insurance Coverage; Intervention; Interview; Malignant Neoplasms; Maps; Measures; Mentors; Mentorship; Methodology; Neighborhoods; Non-Small-Cell Lung Carcinoma; Outcome; Parents; Patient Care; Patient-Focused Outcomes; Patients; Perception; Play; Preventive care; Qualitative Methods; Questionnaires; Radon; Research; Research Personnel; Research Project Grants; Role; SEER Program; Scientific Advances and Accomplishments; Screening for cancer; Socioeconomic Status; Strategic Planning; Structure; Training; Travel; United States; United States National Institutes of Health; World Health Organization; barrier to care; built environment; cancer care; cancer risk; cancer survival; cancer therapy; cancer type; care outcomes; career development; data registry; design; disparity gap; education access; environmental tobacco smoke; ethnic disparity; experience; health care availability; health data; health disparity; health inequalities; housing instability; improved; minority health; minority health disparity; neighborhood disadvantage; neoplasm registry; parent grant; poor health outcome; racial disparity; skills; social; social culture; social factors; social health determinants; socioeconomic disadvantage

ABSTRACT While access to cancer treatment and care has increased since the implementation of the Affordable Care Act (ACA) in 2010, the benefits are not experienced proportionately across all groups in the United States. One of the major factors contributing to persistent disparities is the complexity and expansiveness of social determinants of health (SDOH), of which access to care is only one component. A recent emphasis in SDOH research has been on the role that neighborhood characteristics or community health play in health disparities and inequities in cancer care. We propose to examine the relationship between SDOH, specifically community health, and cancer health outcomes and access to care. As it relates to the parent award, leveraging SDOH data and incorporating their potential impact on cancer care team communication networks will elicit a more comprehensive and in-depth examination of a key SDOH domain with team structures and patient outcomes. This Diversity Supplement proposal centers on patient-level factors that impact cancer care, with these aims: Aim 1. Determine the geospatial distribution of cancer patients and the association of their SDOH, specifically community health, with unplanned hospitalizations and potentially preventable emergency department (ED) visits. Aim 2. Elicit cancer patient perceptions of access to and burden of cancer care treatment through an expansion of the qualitative interviews in the parent grant. We will map community health indicators and analyze their association with cancer health outcomes for patients from UC Davis with stage II or II breast, colorectal, and non-small cell lung cancer. As an expansion of the interviews and focus groups in the parent award, we will conduct in-depth interviews with patients to ascertain their perceived barriers to care. This supplement addresses a key priority of the NIH specifically aimed at measuring health disparities. The research proposed here addresses Goal 2 of the NIH Minority Health and Health Disparities Strategic Plan, which is to advance scientific understanding of the causes of health disparities. The mentoring and training that Dr. Garcia would receive as part of this supplement would enable her to develop skills in geospatial mapping and qualitative methodologies, with results from this study serving as preliminary results for an early-stage investigator proposal.

摘要 虽然自《平价医疗法案》实施以来，癌症治疗和护理的可及性有所增加， (ACA)在2010年，美国的所有群体并没有成比例地享受到这些好处。之一 造成持续不平等的主要因素是社会决定因素的复杂性和广泛性 卫生部（SDOH），其中获得护理只是一个组成部分。最近SDOH研究的重点是 我一直在研究邻里特征或社区健康在健康差异和不公平中所起的作用 在癌症治疗中。 我们建议研究SDOH，特别是社区健康和癌症健康之间的关系 结果和获得护理的机会。由于它与父母奖有关，利用SDOH数据并将其 对癌症护理团队沟通网络的潜在影响将引发更全面和深入的 检查关键的SDOH领域与团队结构和患者结果。多样性补充 该提案集中在影响癌症护理的患者层面因素，其目标是： 目标1.确定癌症患者的地理空间分布及其SDOH的关联， 特别是社区卫生，计划外的住院治疗和潜在的可预防的紧急情况 部门（艾德）探访。 目标2.通过一项调查，引导癌症患者对癌症护理治疗的可及性和负担的看法， 扩大父母补助金中的定性访谈。 我们将绘制社区健康指标，并分析它们与患者癌症健康结果的关系。 患有II期或II期乳腺癌、结直肠癌和非小细胞肺癌。作为一个扩展的 在家长奖中，我们会与病人进行深入访谈， 他们感知到的护理障碍。 这份补充材料涉及国家卫生研究院的一个关键优先事项，特别是旨在衡量健康差距。的 这里提出的研究解决了NIH少数民族健康和健康差异战略计划的目标2， 这是为了促进对健康差异原因的科学理解。指导和培训， 博士加西亚将获得作为这一补充的一部分，将使她能够发展地理空间测绘技能 和定性方法，本研究的结果作为早期阶段的初步结果 调查员建议。