PULSE - BRIDGE-C2: DeveloPing a Pragmatic GUide to ImpLementing Social RiSk AssistancE

PULSE - BRIDGE-C2：制定实施社会风险援助的实用指南

• 批准号: 10724461
• 负责人: Nathalie Huguet
• 金额: $ 12.5万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10724461
• 关键词: Address; Administrative Supplement; Adopted; Adoption; Appointment; Caring; Clinic; Clinical; Collaborations; Colonoscopy; Communication; Communities; Community Health; Community Health Networks; Databases; Decision Making; Documentation; Electronic Health Record; Ensure; Evaluation; Face; Federally Qualified Health Center; Funding; Guidelines; Informatics; Intervention; Intervention Studies; Laboratories; Learning; Medicaid; Methods; Modeling; Neighborhood Health Center; Patients; Persons; Phase; Physiologic pulse; Population; Positioning Attribute; Preparation; Prevention; Primary Care; Process; Recommendation; Reporting; Research; Resources; Risk; Role; Rural; Screening for cancer; Series; Services; Site; Social Work; Social Workers; Testing; Transportation; Universities; Variant; Washington; Work; cancer prevention; design; evidence base; guidebooks; health disparity; health inequalities; implementation barriers; implementation strategy; improved; member; patient screening; pilot test; preventive intervention; primary care clinic; primary care practice; rapid test; referral services; response; rural area; screening; social; social health determinants; social interventions; socioeconomics; tool; waiver

PROJECT SUMMARY This supplement is a collaborative effort across four ISC3 Centers: BRIDGE-C2, Harvard ISCCCE, University of Washington OPTICC, and Washington University-ISC3. The BRIDGE-C2 Center Implementation Laboratory is a network of community health centers (CHCs), which face particularly difficult implementation challenges as they primarily serve socioeconomically vulnerable patients with high rates of social needs (adverse social determinants of health). Addressing social needs through `Assistance' interventions can be critical to ensuring patients' ability to access evidence-based cancer screening and prevention interventions. Well-documented challenges in addressing social needs include determining how best to maintain up-to-date information about available service agencies to which persons with social needs may be referred, and developing and adopting optimal workflows for doing so. Methods for doing so range from having a clinic social worker maintain a hard- copy binder of resources, to using social service resource locators (informatics platforms integrated into the electronic health record) to identify available resources and enable bidirectional communication with local organizations about patients' receipt of services (also called community resource referral platforms). Building on findings from the Phase I supplement, we propose to: (1) develop a pragmatic, applied guidebook (the Guide) for clinics seeking to implement or expand efforts to address patient-reported social risks using Assistance strategies; (2) use rapid-cycle testing to identify best practices for implementing the Guide; and (3) iterate and disseminate the refined Guide.

项目摘要 这份补充材料是四个ISC 3中心的合作成果：BRIDGE-C2、哈佛ISCCCE、大学 和华盛顿大学-ISC 3。BRIDGE-C2中心实施实验室 是一个社区卫生中心（CHC）网络，面临着特别困难的实施挑战， 他们主要服务于社会经济上脆弱的患者，他们有很高的社会需求（不良的社会需求）。 健康的决定因素）。通过“援助”干预措施满足社会需求对于确保 患者获得循证癌症筛查和预防干预措施的能力。证据充分 解决社会需求的挑战包括确定如何最好地保持最新的信息， 有社会需要的人可以求助的现有服务机构， 最佳的工作流程来做到这一点。这样做的方法包括让诊所的社会工作者保持一个硬- 复制资源绑定器，使用社会服务资源定位器（集成到 电子健康记录），以识别可用资源，并实现与本地 社区资源转介平台（community resource referral platforms）。建筑 根据第一阶段补充资料的研究结果，我们建议：（1）编制一本实用的应用指南（ 指南），供寻求实施或扩大努力以解决患者报告的社会风险的诊所使用 援助战略;（2）使用快速周期测试来确定实施《指南》的最佳做法;以及（3） 出版和传播修订后的《指南》。

项目成果

Uptake of a Cervical Cancer Clinical Decision Support Tool: A Mixed-Methods Study.

• DOI: 10.1055/s-0043-1769913
• 发表时间: 2023-05
• 期刊: APPLIED CLINICAL INFORMATICS
• 影响因子: 2.9
• 作者: Huguet, Nathalie;Ezekiel-Herrera, David;Gunn, Rose;Pierce, Alison;O'Malley, Jean;Jones, Matthew;Marino, Miguel;Gold, Rachel
• 通讯作者: Gold, Rachel

An Exploratory Study of Primary Care Clinicians' Perspectives on 2021 New and Updated Cancer Screening Guidelines.

• DOI: 10.1177/21501319231164910
• 发表时间: 2023-01
• 期刊: JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
• 影响因子: 3.6
• 作者: Angier, Heather;Bonuck, Kathryn J.;McCrimmon, Sara;Wiser, Amy L.;Huguet, Nathalie;Carney, Patricia A.
• 通讯作者: Carney, Patricia A.

Delivery of Cervical and Colorectal Cancer Screenings During the Pandemic in Community Health Centers: Practice Changes and Recovery Strategies.

• DOI: 10.1097/mlr.0000000000001879
• 发表时间: 2023-08-01
• 期刊: MEDICAL CARE
• 影响因子: 3
• 作者: Huguet, Nathalie;Danna, Maria;Baron, Andrea;Hall, Jennifer;Hodes, Tahlia;O'Malley, Jean;Holderness, Heather;Marino, Miguel;DeVoe, Jennifer E.;Cohen, Deborah J.
• 通讯作者: Cohen, Deborah J.

A Scoping Literature Review on Evidence-Based Strategies to Increase Cervical Cancer Screening.

• DOI: 10.1177/21501319231220994
• 发表时间: 2023-01
• 期刊: JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
• 影响因子: 3.6
• 作者: Bonuck, Kathryn J.;Angier, Heather;McCrimmon, Sara;Holderness, Heather;Erroba, Jeremy;Huguet, Nathalie;DeVoe, Jennifer E.;Carney, Patricia A.
• 通讯作者: Carney, Patricia A.

A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN.

• DOI: 10.3122/jabfm.2020.05.200053
• 发表时间: 2020-09
• 期刊: Journal of the American Board of Family Medicine : JABFM
• 作者: DeVoe JE;Likumahuwa-Ackman SM;Angier HE;Huguet N;Cohen DJ;Flocke SA;Marino M;Gold R
• 通讯作者: Gold R