Community Outreach, Engagement, and Equity

西蒙斯综合癌症中心(SCCC)为达拉斯-沃斯堡的成人和儿童人口提供服务 (DFW)大都会统计区--德克萨斯州北部一个由13个县组成的地区，人口750万。SCCC涵盖 巨大的地理面积(约9,300平方英尺这主要是城市人口，1324个人口普查区域中只有50个是农村地区。 DFW是一个少数民族占多数的人口(29%西班牙裔，43%非西班牙裔[NH]白人，17%NH黑人，7%NH 亚洲人)。SCCC的社区外联、参与和公平办公室(COEE)于10月成立 2018在副主任Jasmin Tiro的领导下，博士，公共卫生硕士。Tiro协调和培养 促进双向交流和促进癌症的跨学科研究和推广倡议 在SCCC的集水区的股权。根据对其集水区癌症负担的审查，SCCC优先考虑和 促进了专注于肺癌、肝细胞癌、结直肠癌和肾癌的研究，因为这些癌症都有 患病率最高，发病率不断上升，和/或有记录的结局差异。SCCC集水区 该地区也是美国未参保率最高的地区之一(21%对10%)；因此，COEE建立了他们的 围绕为基于证据的筛查和患者导航提供访问和导航的外展计划 诊断服务(乳腺癌、宫颈癌、结直肠癌和肺癌)和癌症预防行为(HPV 疫苗接种、戒烟和丙型肝炎筛查/治疗)。通过与 利益相关者通过社区咨询委员会和患者/家庭咨询委员会收集意见 来自患者、护理人员、安全网医疗系统、社区组织和公共卫生机构 关于研究的需求和优先事项，并与SCCC研究计划和当地合作伙伴合作设计 社区倡议。SCCC的COEE具体目标是：(1)评估集水区的癌症负担，以 优先开展研究和推广，重点关注癌症健康差异，(2)促进新的、集聚领域- 通过内部和外部利益相关者参与进行相关研究，(3)实施指导的外展计划 通过利益相关者的意见并与癌症预防和控制指南保持一致，以及(4)监测 研究和推广计划。此外，德克萨斯州协同癌症预防与研究所 (CPRIT)资助的社区合作伙伴关系扩大了COEE的影响范围，超出了SCCC的13个县 集水区。展望未来，COEE领导了以下方面的战略规划：(1)加强乳房研究计划 和前列腺癌，(2)通过Parkland Health，一个安全网系统，提高少数人对临床试验的收益 以及(3)扩大重新设计的烟草咨询和肺部筛查计划的覆盖范围。穿过 作为一种系统的方法和明确的评估模式，SCCC将确保研究发现解决 集水需求，旨在由社区提供者和 卫生保健系统，从而对SCCC集水区和其他地区产生可持续的积极影响。

Simmons Comprehensive Cancer Center (SCCC) serves adult and pediatric populations in the Dallas-Fort Worth (DFW) Metropolitan Statistical Area—a 13-county region of 7.5M individuals in North Texas. SCCC covers a large geographic area (~9,300 sq. miles) that is mainly urban, with only 50 of 1,324 census tracts being rural. DFW is a majority-minority population (29% Hispanic, 43% Non-Hispanic [NH] White, 17% NH Black, 7% NH Asian). SCCC’s Office of Community Outreach, Engagement, and Equity (COEE) was established in October 2018 under the leadership of Associate Director Jasmin Tiro, PhD, MPH. Tiro coordinates and cultivates transdisciplinary research and outreach initiatives that facilitate bidirectional communication and promote cancer equity in SCCC’s catchment. Based on review of its catchment area cancer burden, SCCC has prioritized and facilitated research focused on lung, hepatocellular, colorectal, and kidney cancers, as these either have the highest prevalence, increasing incidence, and/or documented disparities in outcomes. The SCCC catchment area also has one of the highest uninsured rates (21% vs. 10%) in the U.S.; thus, the COEE has built their outreach programs around providing access to and patient navigation for evidence-based screening and diagnostic services (breast, cervical, colorectal, and lung cancers) and cancer prevention behaviors (HPV vaccination, tobacco cessation, and hepatitis C screening/treatment). Through bidirectional engagement with stakeholders via a Community Advisory Board and a Patient/Family Advisory Council, the COEE gathers input from patients, caregivers, safety-net healthcare systems, community organizations, and public health agencies on needs and priorities for research and works with SCCC research programs and local partners to design community initiatives. SCCC’s COEE Specific Aims are to: (1) assess cancer burden in the catchment area to prioritize research and outreach with a focus on cancer health disparities, (2) foster novel, catchment area- relevant research via internal and external stakeholder engagement, (3) implement outreach programs guided by stakeholder input and aligned with guidelines for cancer prevention and control, and (4) monitor impact of research and outreach programs. In addition, synergistic Cancer Prevention & Research Institute of Texas (CPRIT)-funded community partnerships have enhanced COEE’s reach beyond the SCCC’s 13-county catchment. Moving forward, COEE has led strategic planning around: (1) enhancing research initiatives in breast and prostate cancer, (2) improving minority accrual to clinical trials via Parkland Health, a safety-net system partner, and (3) expanding the reach of a redesigned tobacco counseling and lung screening program. Through a systematic approach and clear evaluation model, SCCC will ensure that research discoveries address catchment needs and are designed for implementation and dissemination by community providers and healthcare systems, thus creating sustainable positive impact on the SCCC catchment area and beyond.