Community Outreach & Engagement

项目摘要：社区外展和参与(COE) 弗雷德·哈奇/华盛顿大学癌症联盟的集水区包括13个县 华盛顿州西部(华盛顿州)这一地区有503万人，其中32.3%是少数民族。 财团领导层将集水区定义为包括美国癌症协会看到的绝大多数癌症事件 财团，83%的财团案件来自这一领域。 由该联盟于2017年成立的社区外联和参与办公室(OCOE)是从 健康差距研究中心由弗雷德·哈奇于2010年创立，并得到了 2015-2019年癌症中心支持赠款(CCSG)。自2017年以来，Ocoe财团领导了一项需求 评估过程，以确定集水区的癌症负担，并全面确定和 指导努力解决癌症负担和不平等问题。发病率和死亡率排名前五位的癌症地点 包括肺癌、乳腺癌、前列腺癌、结直肠癌和血液系统恶性肿瘤。癌症中最大的不平等 发病率和死亡率在美国印第安人和阿拉斯加原住民(AIAN)和非西班牙裔黑人中 (NHB)。距离联盟地点最远的农村县的癌症发病率和死亡率也最高。 我们的目标是实现所有个人的健康平等，无论其种族/民族、社会经济地位、 地理位置，或任何其他潜在的限制因素。因此，奥委会的具体目标是： 1.确定并持续监测集水区的癌症负担 2.使用公平、双向的方法实施外展和深入教育和方案，以 减少集水区的癌症负担 3.推动与集水区相关的研究，以减轻癌症负担，包括研究 在集水区社区和联盟之间 4.在集水区以外的高需求地区继续和扩大癌症研究 为了实现这些目标，奥委会使需求评估成为一个持续的过程，并召集了一次 社区行动联盟，由代表所有13个集水区县的利益攸关方组成，以进行审查 并指导我们对该地区的动态需求做出反应。与集水区的社区合作， OCoE支持扩展的外展和研究基础设施，其中包括扩展患者 航海和社区健康教育者，以促进集水区人口以及 一项新的以集水区为重点的试点赠款计划，所有这些计划都额外强调了那些 癌症不平等程度最高(即AIAN、NHB和农村人口)。

PROJECT SUMMARY: COMMUNITY OUTREACH & ENGAGEMENT (COE) The catchment area of the Fred Hutch/University of Washington Cancer Consortium includes 13 counties in western Washington (WA). This area has 5.03 million individuals of whom 32.3% are racial/ethnic minorities. Consortium leadership defined the catchment area to include the vast majority of incident cancers seen by the Consortium, with 83% of Consortium cases arising from this area. The Office of Community Outreach & Engagement (OCOE), established in 2017 by the Consortium, grew from the Health Disparities Research Center which was founded by Fred Hutch in 2010 and gained funding from the 2015-2019 Cancer Center Support Grant (CCSG). Since 2017, the Consortium OCOE led a needs assessment process to define the cancer burden in the catchment area and comprehensively identify and guide efforts to address the cancer burden and inequities. The top five cancer sites for incidence and mortality include lung, breast, prostate, colorectal, and hematologic malignancies. The largest inequities for cancer incidence and mortality were among American Indian and Alaskan Natives (AIAN) and non-Hispanic blacks (NHB). Rural counties furthest from the Consortium sites also had the highest cancer incidence and mortality. Our goal is to attain health equity for all individuals, regardless of their race/ethnicity, socioeconomic status, geographic residence, or any other potentially limiting factor. Therefore, the specific aims of the OCOE are to: 1. Define and continuously monitor the cancer burden in the catchment area 2. Use an equitable, bidirectional approach to implement outreach and inreach education and programs to reduce the cancer burden in the catchment area 3. Promote research relevant to the catchment area to reduce the burden of cancer, including research between catchment communities and the Consortium 4. Continue and expand cancer research in high need areas beyond the catchment area To achieve these aims, the OCOE has made the needs assessment a continuous process and convened a Community Action Coalition, consisting of stakeholders representing all 13 catchment area counties, to review and guide our response to the dynamic needs of the area. Working with communities in the catchment area, the OCOE supports an expanded outreach and research infrastructure, which includes expansion of patient navigation and community health educators to promote engagement of catchment area populations as well as a new catchment-focused pilot grants program, all of which include an additional emphasis on those with the highest cancer inequities (i.e., AIAN, NHB, and rural populations).