MOONSHOT - TOPIC 423 - AN INTEGRATED MULTI-LEVEL DECISION SUPPORT PLATFORM TO ADDRESS PATIENT-CENTERED AND EVIDENCE-BASED SOCIAL DETERMINANTS OF HEALT

大量证据表明，在医疗保健中解决健康的社会决定因素（SDH） 系统推进癌症治疗依从性和结果。可避免的癌症死亡继续发生 因为社会经济群体和种族之间的SDH挑战尚未解决。将SDH沿着与 电子医疗系统内置的操作CDS系统中的临床信息 记录（EHR）是解决癌症差异的重要方法。我们建议开发一个软件 旨在：（1）缩小电子SDH筛查、CDS和临床工作流程的差距（2）开发以患者为中心的 （3）将拟议的工具纳入现有的 （4）建立一个框架，以持续评估和改进拟议的 溶液 我们的三管齐下的方法结合了软件工程，肿瘤学和社会流行病学的专业知识。 我们的解决方案将通过收集及时和相关的SDH信息来增强现有的肿瘤学实践， 患者，以及基于证据的临床行动，解决患者的心理社会需求， 在改善癌症治疗效果方面。它将简化患者的沟通和决策支持， 护理团队和社区组织致力于解决患者的需求，可能导致 减少差异和癌症诊断对患者和社会的负担。

A strong body of evidence demonstrates that addressing Social Determinants of Health (SDH) within healthcare systems advances cancer treatment adherence and outcomes. Preventable cancer deaths continue to occur because of un-addressed SDH challenges across socioeconomic groups and races. Integrating SDH along with clinical information within operational CDS systems built into Electronic Health Records (EHRs) is an essential approach for addressing cancer disparities. We propose developing a software aimed at: (1) Closing the gaps in electronic SDH screening, CDS, and clinical workflows (2) Developing a patientcentered and evidence-based SDH screening and CDS tool (3) Integrating the proposed tool within existing oncology workflows (4) Establishing a framework for continuous assessment and improvement of the proposed solution. Our three-pronged approach combines expertise from software engineering, oncology, and social epidemiology. Our solution will enhance the existing oncology practice by collecting timely and relevant SDH information from patients, together with evidence-based clinical actions addressing psychosocial needs of the patients, resulting in improved cancer treatment outcomes. It will streamline communication and decision support for the patient’s care team and community-based organizations dedicated to addressing patient’s needs, potentially leading to reduce disparities and the burden of a cancer diagnosis on the patient and society.