CONNECTOME-Community Engagement CORE

该中心多层次、多层次改善慢性病预后的社区核心 统一新干预措施和卫生公平培训的代际方法(社区 中心)将所有项目、试点和核心连接到我们服务的不同社区，大约2/3 非白人，1/3在外国出生，1/5生活在联邦贫困线以下。作为网络的中心枢纽 在整个纽约市地区，我们已经恰当地将核心命名为Connectome。的目标 社区参与-建立信任、促进双向沟通、创建公平的制度和 促进和维持经济、身体、心理和社会健康的政策--为 社区。虽然对社区参与的承诺反映在许多主要的联邦政府 倡议，我们尚未充分发挥其在解决多种慢性健康问题方面的潜力 美国人口日益多样化。没有充分发挥潜力的主要原因是 许多研究、护理和社区推广仍然集中在单一的慢性疾病上，而且往往是在以后 一生中的各个阶段，而且往往只在一个学术机构工作。我们很高兴这个RFA特别是 旨在服务于患有多种慢性病的社区，并理所当然地挑战我们拥有 更全面的方法，超越学术界限，跨越孤立的医疗领域 解决上游影响的模型。这一机制将为可持续发展提供资源。 改善整个纽约市地区社区健康的干预措施。社区中心与CUIMC合作， WCMC、Hunter/CUNY和Pagny(见整体)。全面解决纽约市存在的健康差距 在本区域，我们必须解决健康的社会决定因素(SDOH)和塑造健康的更广泛的社会背景 和疾病。社区中心寻求在个人、人际/社区和 社会层面。社区核心(Connectome)通过以下方式支持这些努力：1)协同和 为纽约市越来越多的利益相关者(安全网提供商组织、 社区成员、社区组织、基金会、非营利组织、CTSA和研究人员)使用 采取联合办法改善对多种慢性病的管理，特别是心血管疾病和癌症；2) 作为协调中心，组织和培育富有成效的双向关系 社区联络组成员、核心主管、项目中的调查人员以及内部和跨区域的试点 我们的社区和利益相关者团体，以及3)传播社区产生的信息 计划通过Connectome连接到不同的受众，包括我们的当地社区、公众和社区 纽约的大学、宗教和社区组织以及地区和国家政策领导人 实施有意义的改变。与这些目标相结合的是新的参与方法，其中包括社区 微项目和愿景到声音-社区中心的项目到政策部分。

The Community Core for the Center to Improve Chronic disease Outcomes through Multi-level and Multi- generational approaches Unifying Novel Interventions and Training for health EquitY (COMMUNITY Center) connects all of the projects, pilots, and cores to the diverse communities we serve approximately 2/3 non-white, 1/3 foreign-born, and 1/5 living below the Federal poverty line. As the central hub of the networks throughout the New York City region, we have aptly named the core, the CONNECTOME. The goals of community engagement—to build trust, foster bi-directional communication, create equitable systems and policies that promote and sustain economic, physical, mental and social health—define health equity for communities. While the commitment to community engagement is reflected in a number of major federal initiatives, we have yet to realize its full potential in addressing multiple chronic health conditions in an increasingly diverse United States population. Key reasons for the lack of realization of the full potential is that much research, care, and community outreach still remain focused on single chronic disease and often at later stages of the lifespan and frequently only at one academic institution. We are thrilled that this RFA is specifically designed to serve communities who suffer from multiple chronic diseases and rightly challenge us to have a more integrated approach reaching beyond the boundaries of academe and integrating across the siloed medical model to address upstream effects. This mechanism will provide the resources to develop sustainable interventions to improve community health across the NYC Region. The COMMUNITY Center partners CUIMC, WCMC, Hunter/CUNY and PAGNY (see Overall). To fully tackle the health disparities that exist in the NYC region, we must address the social determinants of health (SDOH) and broader social contexts that shape health and disease. The COMMUNITY Center seeks to tackle the SDOH at the individual, interpersonal/community and societal levels. The COMMUNITY Core (CONNECTOME) supports these efforts by: 1) Synergizing and empowering a growing number New York City-based stakeholders (safety-net provider organizations, community members, community-based organizations, foundations, non-profits, CTSA’s and researchers) using a coalition approach to improving management of multiple chronic diseases, specifically CVD and cancer; 2) Serving as a focal point for organizing and nurturing productive bi-directional relationships between the COMMUNITY connectome members, core directors, investigators in the projects and pilots within and across our communities and stakeholder groups, and 3) Disseminating the information generated by the COMMUNITY program through the connectome to diverse audiences including our local communities, public and community colleges, and faith and community-based organization in New York and regional and national policy leaders to enact meaningful change. Integral to these aims are novel methods for engagement which includes community micro-projects and a Vision to Voice—Project to Policy component of the COMMUNITY Center.