Community Outreach and Engagement

项目摘要/摘要 西德尼·基梅尔综合癌症中心(SKCCC)将马里兰州定义为其集水区 区域。年，在SKCCC新诊断的6722例癌症病例中，马里兰人占4625例(69%) 2020年。马里兰州在种族、民族和社会经济方面相当多样化，有大量的城市、农村和 郊区社区。在50个州中，马里兰州的家庭收入中位数最高，是 大学毕业生比例最高。该州也有相当大的贫困，这导致了癌症的差异。 马里兰州卫生部将该州划分为五个地区。社区外展和参与 (COE)工作人员维护一个按地区划分的癌症人口统计、健康行为和护理可获得性数据库。 该州某些地区的癌症死亡率低于全国平均水平。某些地区有 死亡率远远高于全国平均水平。欧洲合作组织SKCCC办公室的流行病学家致力于定义 在需要的领域，采取能够缩小差距的干预措施。SKCCC招募了医学博士奥蒂斯·布劳利， 作为彭博社特聘教授兼COE副主任。他与社区和工作人员一起工作， 制定COE战略计划，建立COE办公室，重组以增加社区投入和方向， 并在外展和癌症控制方面发起了高影响力的标志性倡议。基础设施的建设是为了方便 在癌症中心内的沟通以及与社区的沟通和参与 发球。该基础设施旨在鼓励与社区的双向交流。这个 SKCCC COE的理念是服务社区，做好听众，了解社区。那里 在该州的特定地区是否有三个社区咨询小组(CAG)提供意见和帮助 开展癌症控制活动(两个十岁以上)。COE召集了一个由17名成员组成的 代表州的社区咨询委员会(CAB)。每个CAG在驾驶室都有代表。出租车 确定SKCCC的优先事项，并为SKCCC领导层提供战略方向。每个研究计划还 任命一名成员为COE联络人，按5%的时间承诺提供资金。这些联络人会见了民航组和 CAB定期讨论SKCCC的研究，并了解社区的需求和关注。这一过程催化了 与社区相关的研究。COE工作人员、社区联系和SKCCC领导层与 SKCCC的研究人员将确保社区的需求牢记在心。COE员工与SKCCC进行一对一的咨询 调查人员还定期参加在该中心举行的领导会议。目前， SKCCC外部资助的研究组合中有62%与集水区相关，解决了当地的 流行的癌症和/或不同的人群。COE每年还作为种子管理大约200万美元 为促进与集水区有关的研究提供资金。这是在驾驶室监督下完成的。与以下人员讨论 CAGS/CAB成员和SKCCC成员促成了几项促进健康的高影响力干预措施 教育、HPV疫苗接种和结肠癌筛查。

PROJECT SUMMARY/ABSTRACT The Sidney Kimmel Comprehensive Cancer Center (SKCCC) defines the state of Maryland as its catchment area. Marylanders accounted for 4,625 out of 6,722 (69%) of the SKCCC's newly diagnosed cancer cases in 2020. Maryland is quite diverse racially, ethnically and socioeconomically, with substantial urban, rural and suburban communities. Of the 50 states, Maryland has the highest median family income and has among the highest proportion of college graduates. The state also has substantial poverty that fosters cancer disparities. The Maryland Department of Health divides the state into five regions. Community Outreach and Engagement (COE) staff maintain a database of cancer demographics, health behaviors and availability of care by region. Certain areas of the state have cancer death rates that are lower than the national average. Certain areas have death rates far higher than the national average. Epidemiologists in the SKCCC Office of COE work to define the areas of need and apply the interventions that can reduce disparities. The SKCCC recruited Otis Brawley, M.D., as a Bloomberg Distinguished Professor and Associate Director for COE. He worked with community and staff to author a COE strategic plan, to build the Office of COE, restructured to increase community input and direction, and launched high-impact signature initiatives in outreach and cancer control. Infrastructure was built to facilitate communication within the Cancer Center and communication to and involvement of the community the SKCCC serves. The infrastructure is designed to encourage bidirectional communication with the community. The SKCCC COE's philosophy is to serve the community, be good listeners and understand the community. There are three Community Advisory Groups (CAGs) in specific regions of the state that provide input and help implement cancer control activities (two are more than ten years old). COE has convened a 17-member Community Advisory Board (CAB) representing the state. Each CAG has representation in the CAB. The CAB confirmed SKCCC priorities and provides strategic direction to SKCCC leadership. Each Research Program also appoints a member as COE Liaison, funded at 5% time commitment. These Liaisons meet with the CAGs and CAB regularly to discuss SKCCC research and learn of community needs and concerns. This process catalyzes research pertinent to the community. COE staff, the Community Liaisons and SKCCC leadership work with SKCCC researchers to assure community need is kept in mind. COE staff consult one on one with SKCCC investigators on a regular basis and routinely participate in leadership meetings held in the Center. Currently, 62% of the SKCCC's extramurally funded research portfolio is catchment area relevant, addressing a locally prevalent cancer and/or a disparate population. COE also administers approximately $2 million per year as seed funding to stimulate research pertinent to the catchment area. This is done with CAB oversight. Discussion with CAGs/CAB Members and SKCCC Members has led to several high-impact interventions to foster health education, HPV vaccination and colon cancer screening.