Outreach Core

外展核心摘要 与非拉美裔美国人相比，拉美裔/拉丁裔患晚期癌症的风险更高，而确诊后的存活率更低 拉丁裔白人。减少拉美裔/拉丁裔之间的癌症差异需要传播循证证据 癌症预防和控制战略，并开发支持新战略的证据。我们假设 减少拉美裔/拉美裔癌症负担的一个有效且具有文化敏感性的方法是 LINK国家癌症研究所(NCI)-指定的癌症中心和服务不足的机构 拥有联邦合格卫生中心(FQHC)的人口。因此，我们建议建立三方伙伴关系。 在加州大学圣地亚哥分校(UCSD)摩尔斯癌症中心、圣地亚哥州立大学(SDSU)、 和圣地亚哥家庭健康中心(FHCSD)，这是一家FQHC，每年为旧金山超过13万人提供服务 迭戈县。我们建议增加对乳房、子宫颈和结直肠的筛查和诊断随访 通过以下目标，在主要是西班牙裔/拉丁裔社区中传播癌症。首先，我们将链接一个社区 卫生工作者(推动者)领导的癌症筛查干预与患者导航，以提高筛查率。 Promotora癌症筛查干预基于一项随机对照试验的结果，旨在 提高去教堂做礼拜的拉丁裔人的癌症筛查率，并将通过包括广泛的 为拉美裔/拉美裔社区以及拉美裔/拉美裔男子提供外展服务的社区组织 努力。二是优化对乳腺、宫颈、结直肠异常的完整诊断评估 通过实施循证最佳做法进行癌症筛查测试。具体地说，在伙伴关系中 借助FHCSD，我们将使用患者导航策略来构建现有的病例管理 基础设施，以促进对异常检测结果的完整诊断评估。第三，我们建议 通过认证的社区健康教育者传播癌症预防和控制的最佳实践 (CHE)。健康教育中心将与19间家庭健康护理署诊所的病人和医护人员联络，使用不同的 传播战略，以预防和控制癌症。我们使用的是连续统一体中的质量 癌症关怀框架，以指导我们的干预和评估外联核心活动。这个框架 有效地解决了癌症筛查和诊断解决所需步骤的复杂性 癌症相关的异常。为了确保成功，我们组建了一个多学科团队，其中包括医生- 科学家、行为科学家、医疗保健提供者和公共卫生倡导者 发展以社区和诊所为基础的多层次干预措施，促进癌症预防和 西班牙裔/拉丁裔社区的控制权。

OUTREACH CORE ABSTRACT Hispanics/Latinos are at higher risk for late stage cancer, and worse survival after diagnosis, compared to non- Latino whites. Reducing cancer disparities among Hispanics/Latinos requires dissemination of evidence-based strategies for cancer prevention and control and developing evidence to support novel strategies. We postulate that one effective and culturally sensitive approach for reducing cancer burden among Hispanics/Latinos is to link National Cancer Institute (NCI)-designated Cancer Centers and institutions serving underserved populations with Federally Qualified Health Centers (FQHCs). Accordingly, we propose a trilateral partnership among University of California San Diego (UCSD) Moores Cancer Center, San Diego State University (SDSU), and Family Health Centers of San Diego (FHCSD), a FQHC serving over 130,000 individuals annually in San Diego County. We propose to increase screening and diagnostic follow up for breast, cervical, and colorectal cancer among primarily Hispanic/Latino communities through the following aims. First, we will link a community health worker (promotor)-led cancer screening intervention with patient navigation to improve screening rates. The promotora cancer screening intervention builds on findings from a randomized controlled trial aimed to increase cancer screening rates in churchgoing Latinas, and will be extended by including a wide range of community organizations serving Hispanic/Latino communities, as well as Hispanic/Latino men, in outreach efforts. Second, we will optimize complete diagnostic evaluation of abnormal breast, cervical, and colorectal cancer screening tests through implementation of evidence-based best practices. Specifically, in partnership with FHCSD, we will use patient navigation strategies to build upon an existing case management infrastructure to promote complete diagnostic evaluation of abnormal test results. Third, we propose to disseminate best practices for cancer prevention and control through a certified Community Health Educator (CHE). The CHE will interface with patients and healthcare providers in the 19 FHCSD clinics using various dissemination strategies to for cancer prevention and control. We are using the Quality in the Continuum of Cancer Care framework to guide our intervention and evaluation Outreach Core activities. This framework effectively addresses the complexity of steps required for cancer screening and diagnostic resolution of a cancer-related abnormality. To ensure success, we assembled a multidisciplinary team including physician- scientists, behavioral scientists, healthcare providers, and public health advocates with expertise in the development of multi-level community and clinic-based interventions that promote cancer prevention and control in Hispanic/Latino communities.