iDAPT Health Equity Supplement: An environmental scan of outer and inner context and social determinants of health among ISC3 Centers

项目摘要 健康的社会决定因素(SDOH)对塑造健康和癌症中的健康不平等具有关键意义 发病率、发病率和死亡率。癌症控制实施科学中心(ISC3)是独一无二的 定位于评估驱动这些差异的SDOH，并最终确定实施战略以 减少它们。SDOH塑造了影响社区的外部环境(即更广泛的社会政治环境)， 卫生系统及其居民。内部环境(即医疗保健系统)具有独特的定位，可识别 并解决SDOH问题，以改善患者护理和癌症预后。这项管理的目的 补充是通过使用环境扫描和交叉实施科学来促进健康公平 站点协作。具体地说，我们将(1)与所有ISC3中心合作，对外部进行环境扫描 背景公共数据元素，以更好地理解推动癌症相关的社会政治背景 差异；以及(2)跨两个中心(维克森林iDAPT ISC3和宾夕法尼亚大学ISC3)协作以衡量内部 癌症护理提供环境中的SDOHs。本行政副刊的结果将有助于 改善SDOH的测量和缓解以改善癌症的多地点试验性实施研究 护理结果和健康公平。

Project Abstract Social determinants of health (SDOH) have critical implications for shaping health and health inequities in cancer incidence, morbidity and mortality. The Implementation Science Centers in Cancer Control (ISC3) are uniquely positioned to evaluate the SDOH that drive these disparities and ultimately identify implementation strategies to reduce them. SDOH shape the Outer Context (i.e., broader sociopolitical environment) that affect communities, health systems, and its residents. The Inner Context (i.e., healthcare systems) is uniquely positioned to identify and address SDOH to improve patient care and cancer outcomes. The purpose of this Administrative Supplement is to advance health equity through implementation science using environmental scans and cross- site collaboration. Specifically, we will (1) partner with all ISC3 centers to conduct an environmental scan of Outer Context common data elements to better understand the sociopolitical context that drives cancer-related disparities; and (2) collaborate across two Centers (Wake Forest iDAPT ISC3 and UPenn ISC3) to measure Inner Context SDOHs within cancer care delivery settings. Results from this administrative supplement will facilitate multi-site pilot implementation studies that improve the measurement and mitigation of SDOH to improve cancer care outcomes and health equity.