The Implementation Science Center for Cancer Control Equity

癌症控制公平实施科学中心

• 批准号: 10252861
• 负责人: Karen M. Emmons
• 金额: $ 136.8万
• 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/10252861
• 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 经过数十年的研究开发和测试癌症控制的干预措施，我们有证据 需要预防全部癌症的一半以上。这些策略对癌症结局的影响是 对普通人群和低收入和代表性不足的群体都有意义 可预防癌症的份额不成比例，但循证干预措施尚未 在人群群体中均匀使用。几乎可以看到实施证据基础的差距 所有已知的癌症预防和早期检测策略。结果，我们遇到了可避免的癌症 发病率，死亡率和容忍可预防的不平等。 癌症控制权平等的实施科学中心（ISCCCE）将为强大的生态系统创建一个生态系统 马萨诸塞州社区健康的实施科学（IS）与预防和控制有关 中心（CHC）及其当地社区。我们的主题，通过整合健康来改善社区健康 用于基于证据的癌症控制的公平和实施科学，反映了我们的关键专业知识 癌症差异，IS和基于社区的癌症预防和控制研究。我们的“大挑战” 是通过开发来解决不平等的实施和有限的基于证据的干预措施 以及测试实施策略，旨在缩小健康不平等的不平等和推进方法 仔细考虑适应性和成本效益的CHC的低资源，复杂性 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现象 以及连接到社区资源和资产的预防干预措施。我们的I-LAB完成了31 是社区卫生中心大众联盟并使用常见的EHR供应商的CHC- 中立的人口管理系统，具有广泛的CHC内和跨CHC的报告能力， 我们将允许我们使用共同 措施。鉴于在社区健康中实现公平需要临床，社区和政策级别 干预措施，我们的移液器还将研究如何扩大CHC癌症的影响和可持续性 通过在社区和政策环境中的有效合作伙伴关系进行预防努力。我们的网络单元连接 我们直接与其他月球的美国是倡议和国家社区卫生领导力，并扩大 合作和协同作用的机会，建筑是我们自己机构和全国各地的能力。