Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Administrative Supplement

本增刊将探讨新冠肺炎大流行如何影响在社区卫生中心(CHC)接受护理的患者中的癌症筛查和预防(即癌症预防护理)，方法是利用实施和传播中的建设研究，以缩小差距并实现癌症控制(剑桥-C2)中心实施实验室基础设施的公平性。在当前的大流行期间，儿童保健中心适应并改变了它们提供护理的方式。例如，我们的实验室CHC显示，从2020年3月到4月，面对面的办公室来访减少了80%，在这种情况下，通常提供癌症预防护理。这份补充资料将使我们的团队能够收集所需的数据，以便为我们的桥-C2中心家长赠款的研究提供信息，并使其与在新冠肺炎大流行期间提供医疗保健的新现实保持一致。我们将跟踪和了解CHCs为改变医疗保健提供流程和优先事项而制定的实施战略，特别是癌症预防护理，并与包括癌症控制计划实施科学中心(ISC3)和全美CHCs在内的各种利益相关者分享这些关键经验教训。有了这个补充，我们将扩展我们的父母补助金的工作，以回答以下问题：(1)新冠肺炎对癌症预防护理的提供产生了什么影响；(2)州内和州之间在应对新冠肺炎疫情爆发和州/县行动方面的差异有哪些；(3)社区卫生中心使用了哪些流程来调整现有的或采用新的战略，并实施运营变化，以使护理与新冠肺炎背景下的癌症预防护理指南保持一致；以及，(4)这些发现如何为桥-C2中心未来的工作提供信息？一旦得到回答，更多的问题将变得明显，导致更大规模的调查和更多的赠款资金请求。布里奇-C2中心及其国家实施实验室为190多万受健康差距影响的患者提供不同地理位置的CHC，具有独特的优势，可以扩展其母公司的赠款，以快速回答这些重要问题。本补编的目的是：目标1：确定和监测“新冠肺炎”大流行对为期12个月的癌症预防护理提供和接受的影响；目标2：确定初级卫生保健机构采用的程序、为实施癌症预防护理并使其适应新的COVID19大流行背景而获得的外部支助和援助，以及为使护理与癌症预防指南相适应而采取的业务变革；以及目标3：向各种相关利益攸关方迅速传播研究结果。这项补充工作将：(1)通过了解当地适应如何在危机中迅速实施或取消实施，推动实施科学；(2)指导癌症预防建议，确定提供癌症预防护理的新的或适应的方式；以及(3)快速提取关键实施结果，并将其广泛传播到NCI实验室和中心、CHC和其他初级保健机构。

This supplement will explore how the COVID-19 pandemic is impacting cancer screening and prevention (i.e., cancer preventive care) among patients receiving care in community health centers (CHCs) by leveraging the The Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2 ) Center Implementation Laboratory infrastructure. CHCs adapted and changed the way they deliver care during the current pandemic. For example, our Laboratory CHCs showed an 80% decline of in-person office visits, March to April 2020, in which cancer preventive care is typically delivered. This supplement will allow our team to collect the data needed to inform and align the research of our BRIDGE-C2 Center Parent Grant with the new realities of providing healthcare during the COVID-19 pandemic. We will track and understand the implementation strategies made by CHCs to change healthcare delivery processes and priorities, especially cancer preventive care, and share these critical lessons with a variety of stakeholders including the Implementation Science Centers in Cancer Control Program (ISC3 ) and CHCs across the US. With this supplement we will extend the work of our Parent Grant to answer the following questions: (1) What impact has COVID-19 had on the delivery of cancer preventive care; (2) What are the within and across state variations in CHC response to local levels of the COVID-19 outbreak and state / county actions; (3) What processes did CHCs use to adapt existing or adopt new strategies and implement operational changes to realign care with cancer preventive care guidelines in the COVID-19 context; and, (4) How do these findings inform BRIDGE-C2 Center’s future work? Once answered, more questions will become apparent leading to larger scale investigations and additional requests for grant funding. The BRIDGE-C2 Center with its national Implementation Laboratory of geographically diverse CHCs caring for over 1.9 million patients impacted by health disparities is uniquely positioned to extend its Parent Grant to quickly answer these important questions. The Aims of this supplement are: Aim 1: Identify and monitor the impact of the COVID-19 pandemic on delivery and receipt of cancer preventive care over a 12-month period; Aim 2: Identify the processes CHCs used, the external support and assistance they received to implement and adapt cancer preventive care to the COVID19 pandemic context, and operational changes employed to realign care with cancer prevention guidelines; and, Aim 3: Rapidly disseminate findings to a variety of relevant stakeholders. This supplemental work will: (1) advance implementation science by understanding how local adaptations were rapidly implemented or deimplemented in a crisis; (2) guide cancer prevention recommendations on identifying new or adapted ways to deliver cancer preventive care; and (3) rapidly distill and widely disseminate critical implementation findings to NCI laboratories and centers, CHCs and other primary care settings.