implementation

大量证据证明，在整个非洲， 生活过程在美国，特别是根据种族/民族和社会经济地位。主 SPHERE（斯坦福大学种族和民族精准健康公平）实施核心的目标是 促进有效传播和采用精确的保健方法， 地方、区域、州和国家各级。精准健康包括疾病预防和治疗， 在整个生命过程中保持健康和健康，这是积极主动的，预测性的，有效的，高效的， 公平。精准健康在彻底改变健康差异研究和干预方面具有巨大潜力 通过更好地理解生物、行为、环境和 造成健康不平等和影响人口健康的社会因素。考虑 执行核心将使用一个社会生态框架，将健康和 健康是生物、行为、环境和社会因素的产物。另夕h 实施核心将使患者、社区组织和卫生部门的关键利益相关者参与进来， 在执行工作的所有阶段，根据《消除对妇女一切形式歧视公约》的原则 以社区为基础的参与性研究和患者参与。 在与联盟伙伴的密切合作下，制定、实施和 作为这一核心的一部分，评估将建立在各个研究项目的结果基础上，以促进 在地方、区域和国家各级传播和实施， 差距。为支持拟议的项目，执行核心的目标是：1）制定和 评估SPHERE参与精准健康研究和提供精准医疗服务的道德准则 美国印第安人，拉丁美洲人和亚洲人的健康方法; 2）建立“精确健康创新” 斯坦福大学初级保健实验室”，可以快速测试精确的健康实施策略， 在种族/少数民族和低收入患者中进行改进。3)系统地评估 使用RE-AIM的混合方法传播和实施精确的卫生干预措施 （范围，有效性，采用，实施和维护）模式在美洲印第安人，拉丁美洲人， 和亚洲人;和4）开发，实施和评估提供者的精确健康培训课程， 在社区环境中为少数种族/族裔和低收入患者提供服务。通过发展道德 原则、支持实施和传播的证据以及能力建设资源， 活动，实施核心将有效地将SPHERE研究的结果转化为社区- 在地方、区域和可能的国家一级影响健康差距的战略。

Abundant evidence documents persistent and pervasive health and health care disparities across the lifecourse in the United States, especially according to race/ethnicity and socioeconomic status. The primary objective of the SPHERE (Stanford Precision Health Equity in Race and Ethnicity) Implementation Core is to promote effective dissemination and adoption of precision health approaches to decrease health disparities at the local, regional, state, and national levels. Precision health includes disease prevention and treatment for maintenance of health and wellness across the lifecourse that is proactive, predictive, effective, efficient, and equitable. Precision health holds great potential for revolutionizing health disparities research and interventions through a better understanding of the complex interplay between biological, behavioral, environmental, and social factors that contribute to health inequalities and influence population health. Taking into consideration root causes, the implementation Core will use a socio-ecological framework that conceptualizes health and wellness as a product of biological, behavioral, environmental, and social factors. Additionally, the Implementation Core will engage patients, community organizations, and key stakeholders from health disparities community in all phases of the Implementation Core activities in accordance with principles of community-based participatory research and patient engagement. In close collaboration with consortium partners, the strategies that are developed, implemented, and evaluated as part of this core will build upon findings from the individual research projects to promote dissemination and implementation at the local, regional, and national levels to directly reduce health disparities. In support of the proposed projects, the Implementation Core's objectives are to: 1) Develop and evaluate the SPHERE ethical guidelines for participation in precision health research and delivery of precision health approaches among American Indians, Latinos, and Asians; 2) Establish a “Precision Health Innovation Lab” in Stanford Primary Care where precision health implementation strategies can be rapidly tested and refined among racial/ethnic minority and low-income patients. 3) Systematically assess the potential for dissemination and implementation of precision health interventions with mixed methods using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) model among American Indians, Latinos, and Asians; and 4) Develop, implement, and evaluate a precision health-training curriculum for providers that serve racial/ethnic minority and low-income patients in community settings. Through the development of ethical principles, evidence to support implementation and dissemination, and capacity building resources and activities, the Implementation Core will effectively translate findings from the SPHERE studies into community- based strategies to impact health disparities at the local, regional, and, potentially, national levels.