Diversity Supplement to the Implementation Science Center for Cancer Control Equity

癌症控制公平实施科学中心的多样性补充

• 批准号: 10379656
• 负责人: Karen M. Emmons
• 金额: $ 20.52万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10379656
• 关键词: Address; Behavioral; Biological; Cancer Burden; Cancer Center; Cancer Control; Cancer Control Research; Cancer Intervention; Cancer Prevention Intervention; Clinical; Collaborations; Communities; Community Health; Complex; Data; Data Collection; Data Reporting; Development; Early Diagnosis; Ecosystem; Education; Ensure; Environment; Ethnic Origin; Evidence based intervention; Future; General Population; Geography; Goals; Health Status; Healthcare; Income; Incubators; Institution; Intervention; Laboratories; Leadership; Link; Low income; Malignant Neoplasms; Massachusetts; Measures; Methodology; Methods; Morbidity - disease rate; Nature; Neighborhood Health Center; Outcome; Participant; Pilot Projects; Policies; Population; Population Group; Prevention strategy; Preventive care; Primary Health Care; Race; Reporting; Research; Research Methodology; Resources; System; Testing; Underrepresented Populations; Ursidae Family; Vendor; base; cancer health disparity; cancer prevention; care delivery; clinical practice; cost effective; cost effectiveness; data management; data visualization; design; ethnic diversity; evidence base; health disparity; health equity; health inequalities; implementation outcomes; implementation research; implementation science; implementation strategy; implementation study; improved; innovation; member; mortality; point of care; pressure; prevent; preventive intervention; racial and ethnic; scale up; screening; social; synergism

Abstract - Overall After decades of research developing and testing interventions for cancer control, we have the evidence needed to prevent more than half of all cancers. The impact of these strategies on cancer outcomes is significant for both the general population and low income and under-represented groups that bear a disproportionate share of preventable cancer burden, but evidence-based interventions have not been uniformly used across population groups. Gaps in implementation of the evidence base can be seen for nearly all known cancer prevention and early detection strategies. As a result, we incur substantial avoidable cancer morbidity and mortality and tolerate preventable inequities. The Implementation Science Center for Cancer Control Equity (ISCCCE) will create an ecosystem for robust implementation science (IS) related to cancer prevention and control in Massachusetts community health centers (CHCs) and their local communities. Our theme, improving community health by integrating health equity and implementation science for evidence-based cancer control, reflects our critical mass of expertise in cancer disparities, IS, and community-based cancer prevention and control research. Our “grand challenge” is to address the inequitable implementation and limited scale of evidence-based interventions by developing and testing implementation strategies aimed at narrowing health inequities and by advancing methods that carefully consider the low-resource, complex nature of CHCs where adaptation and cost-effective solutions are needed most. The implementation studies we conduct will address inequities within CHC clinical practice as well as prevention interventions that link to community resources and assets. Our I-Lab is comprised of 31 CHCs who are members of the Mass League of Community Health Centers and use a common EHR vendor- neutral population management system that has extensive reporting capability within and across CHCs, which will allow us to study implementation outcomes in different geographic settings across the state using common measures. Given that achieving equity in community health requires clinical, community, and policy-level interventions, our pilots will also examine how to expand the impact and sustainability of CHCs’ cancer prevention efforts through effective partnerships in community and policy settings. Our Network Unit connects us directly with other Moonshot IS initiatives and national community health leadership, and expands opportunities for collaboration and synergy, building IS capacity in our own institutions and across the nation.

摘要 - 总体 经过几十年的研究开发和测试癌症控制干预措施，我们有证据 需要预防一半以上的癌症。这些策略对癌症结果的影响是 对于普通民众以及低收入和代表性不足的群体来说意义重大 可预防的癌症负担所占比例不成比例，但基于证据的干预措施尚未得到落实 跨人群统一使用。证据基础实施方面的差距近乎可见 所有已知的癌症预防和早期检测策略。结果，我们患上了大量本来可以避免的癌症 发病率和死亡率并容忍可预防的不平等。 癌症控制公平实施科学中心（ISCCCE）将创建一个强大的生态系统 马萨诸塞州社区卫生中与癌症预防和控制相关的实施科学（IS） 中心 (CHC) 及其当地社区。我们的主题是通过整合健康来改善社区健康 基于证据的癌症控制的公平性和实施科学反映了我们在以下领域的关键专业知识： 癌症差异、IS 和基于社区的癌症预防和控制研究。我们的“伟大挑战” 是通过制定循证干预措施来解决实施不公平和规模有限的问题 测试旨在缩小健康不平等的实施战略，并通过推进方法 仔细考虑社区卫生中心资源匮乏、复杂的性质，需要适应和具有成本效益的解决方案 最需要的。我们进行的实施研究将解决 CHC 临床实践中的不平等问题： 以及与社区资源和资产相关的预防干预措施。我们的 I-Lab 由 31 作为社区健康中心群众联盟成员并使用通用 EHR 供应商的 CHC- 中立的人口管理系统，在社区卫生中心内部和之间具有广泛的报告能力， 将使我们能够使用共同的方法研究全州不同地理环境的实施结果 措施。鉴于实现社区卫生公平需要临床、社区和政策层面 干预措施中，我们的试点项目还将研究如何扩大 CHC 癌症的影响和可持续性 通过社区和政策环境中的有效伙伴关系开展预防工作。我们的网络单元连接 我们直接与其他登月 IS 计划和国家社区卫生领导力合作，并扩大 合作和协同的机会，在我们自己的机构和全国范围内建设信息系统能力。