Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Administrative Supplement

在实施和传播方面开展研究，以缩小差距并实现癌症控制的公平性 (BRIDGE-C2) 行政补充文件

• 批准号: 10412709
• 负责人: Jennifer E DeVoe
• 金额: $ 6.39万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10412709
• 关键词: Accounting; Administrative Supplement; Adoption; Adverse effects; Age; Area; Award; Behavioral; Cancer Control; Caring; Clinic; Collaborations; Collection; Common Data Element; Communities; Community Health Networks; Data; Development; Dissemination and Implementation; Early Diagnosis; Economics; Electronic Health Record; Evidence based intervention; Face; Funding; Geographic Locations; Health; Health Insurance; Health Sciences; Health Services Accessibility; Healthcare; Infrastructure; Institutes; Insurance; Intervention; Laboratories; Learning; Low income; Malignant Neoplasms; Measures; Medicaid eligibility; Methods; Neighborhood Health Center; Neighborhoods; Oregon; Outcome; Patients; Phase; Pilot Projects; Police; Population; Positioning Attribute; Prevention; Primary Health Care; Publications; Research; Research Personnel; Scanning; Screening for cancer; Site; Social Conditions; Update; Vulnerable Populations; Work; base; cancer prevention; cancer therapy; data cleaning; data repository; diabetes control; evidence base; experience; food environment; health disparity; health inequalities; hypertension control; implementation barriers; implementation science; implementation strategy; improved; innovation; interest; multidisciplinary; parent grant; practice-based research network; preventive intervention; primary care setting; repository; rural area; safety net; social; social health determinants; training opportunity

PROJECT SUMMARY This supplement is a collaborative effort across all seven ISC3 Centers in which we will conduct an environmental scan of social determinants of health (SDH), “the conditions in which people are born, grow, live, work, and age,” within site-specific geographic areas. The Centers will select a set of outer context common data elements (OC-CDE) and build a repository with these data. Measures of interest to include in the OC-CDE repository represent seven domains to capture the following environments: food, physical, economic, social, health care, cancer behavioral and screening, and cancer-related polices. As we plan and implement interventions for the prevention, early detection, and treatment of cancer, we must take the outer context into account. Indeed, SDH are key influencers of health inequality and contribute to health disparities between populations and communities. The BRIDGE-C2 Center Implementation Laboratory is a network of community health centers (CHCs). CHCs face some of the most difficult implementation challenges, as they primarily serve patients with low-income, without health insurance, and living in rural areas. As the BRIDGE-C2 Center targets implementation strategies aimed at improving the adoption of evidence-based cancer screening and prevention interventions, it is clear that we cannot ignore the outer context that the CHCs deliver care in as well as the contextual conditions that patients' experience. As such, collecting outer context measures is essential to provide a robust and complete environmental scan of the clinics. In addition, the BRIDGE-C2 Center is uniquely positioned to assess the independent or combined effect of SDH at the clinic- versus the patient-level. Therefore, the BRIDGE-C2 Center has two main aims for this supplement, first to contribute to the collection of outer context measures and conduct an environmental scan of SDH within the BRIDGE-C2 Center Implementation Laboratory of CHCs in OR, WA, and CA; and second to assess the independent or combined effect of contextual SDH at the clinic- and patient-level on adoption of evidence-based cancer screening and prevention. This will be the first study to assess the impact of practice outer context on cancer screening and prevention interventions while accounting for the patient-level SDH. Findings from this study will provide valuable learnings for all ISC3 Centers and inform cross-Center collaboration in Phase II of the supplement.

项目摘要 这种补充是所有七个ISC3中心的协作努力，我们将进行一个 卫生社会决定者（SDH）的环境扫描，“人们出生，成长， 在特定地理位置区域内的生活，工作和年龄”。中心将选择一组外部环境 通用数据元素（OC-CDE）并使用这些数据构建存储库。感兴趣的度量包括 OC-CDE存储库代表七个范围来捕获以下环境：食物，物理，经济， 社会，医疗保健，癌症行为和筛查以及与癌症相关的政策。在我们计划和实施时 预防，早期检测和治疗癌症的干预措施，我们必须将外部环境带入 帐户。确实，SDH是健康不平等的主要影响者，并导致健康差异 人口和社区。 Bridge-C2中心实施实验室是一个社区网络 卫生中心（CHC）。 CHC面临一些最困难的实施挑战，因为它们主要是 为低收入，没有健康保险的患者提供服务，居住在农村地区。作为Bridge-C2中心 目标实施策略旨在改善基于证据的癌症筛查和 预防干预措施，很明显，我们不能忽略CHC也提供护理的外部环境 作为患者经历的上下文条件。因此，收集外部环境措施是必不可少的 提供诊所的强大而完整的环境扫描。此外，桥C2中心是 独特的位置，可以评估SDH在诊所与患者级别的独立或综合作用。 因此，桥C2中心有两个主要目标，首先是为收集 外部环境测量并在桥C2中心内进行SDH的环境扫描 CHC在OR，WA和CA中的实施实验室；其次评估独立或组合 上下文SDH在诊所和患者水平的影响对采用循证癌症筛查和 预防。这将是评估实践外情境对癌症筛查和 在考虑患者级SDH时进行预防干预措施。这项研究的发现将提供 所有ISC3中心的价值学习，并在该补品的第二阶段为跨中心协作提供信息。