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

摘要 虽然自《平价医疗法》实施以来，获得癌症治疗和护理的机会有所增加 (ACA)2010年，美国所有群体的收益并不是按比例获得的。其中之一 造成持续差距的主要因素是社会决定因素的复杂性和扩张性。 保健(SDOH)，而获得保健只是其中的一个组成部分。SDOH研究最近的一个重点是 一直关注社区特征或社区卫生在健康差距和不平等中所起的作用 在癌症护理方面。 我们建议研究SDOH，特别是社区健康与癌症健康的关系。 结果和获得护理的机会。由于它与父级奖项有关，因此利用SDOH数据并结合其 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 检查具有团队结构和患者结果的关键SDOH域。这份多元化副刊 提案的核心是影响癌症护理的患者层面的因素，目标如下： 目的1.确定癌症患者的地理空间分布及其与SDOH的关联， 特别是社区卫生，有计划外的住院和潜在的可预防的紧急情况 部门(ED)访问。 目的2.通过调查了解癌症患者对癌症护理治疗的可获得性和负担 扩大家长助学金中的定性访谈。 我们将绘制社区健康指标图，并分析它们与癌症患者健康结局的关系 来自加州大学戴维斯分校的II或II期乳腺癌、结直肠癌和非小细胞肺癌。作为对 在家长奖和焦点小组访谈中，我们将对患者进行深入访谈，以确定 他们感知到的护理障碍。 这一补充说明了美国国立卫生研究院特别旨在衡量健康差距的一个关键优先事项。这个 这里提出的研究涉及美国国立卫生研究院少数民族健康和健康差距战略计划的目标2， 这是为了促进对健康差距原因的科学理解。指导和培训 加西亚博士将获得作为本补充材料的一部分，这将使她能够发展地理空间制图的技能 和定性方法，这项研究的结果作为早期阶段的初步结果 调查员提案。

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.