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

MOONSHOT - 主题 423 - 解决以患者为中心、基于证据的健康社会决定因素的综合多级决策支持平台

• 批准号: 10504039
• 负责人: Cupid Chunkin Chan
• 金额: $ 39.86万
• 依托单位: PISTEVO DECISION LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-16 至 2022-06-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10504039
• 关键词: Address; Advanced Malignant Neoplasm; Architecture; Breast; Cancer Patient; Caregivers; Caring; Cessation of life; Clinic; Clinical; Communication; Communities; Computer software; Data Collection; Data Element; Electronic Health Record; Feedback; Goals; Head and neck structure; Health; Health system; Healthcare Systems; Infrastructure; Interview; Malignant Neoplasms; Measures; Oncologist; Oncology; Patient Care Team; Patients; Prostate; Provider; Race; Reporting; Scanning; Social Workers; Societies; Software Engineering; System; Testing; Time; Treatment outcome; United States National Institutes of Health; base; cancer care; cancer diagnosis; cancer health disparity; cancer therapy; design; digital; disparity reduction; evidence base; follow-up; health assessment; health information technology; improved; informant; member; patient health information; patient oriented; prototype; psychosocial; screening; social determinants; social epidemiology; social health determinants; socioeconomics; software development; tool; treatment adherence; usability

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.

大量证据表明，解决医疗保健领域的健康社会决定因素 (SDH) 系统提高了癌症治疗的依从性和结果，可预防的癌症死亡继续发生。 因为跨社会经济群体和种族的 SDH 挑战尚未得到解决。 电子健康中内置的可操作 CDS 系统中的临床信息 记录 (EHR) 是解决癌症差异的重要方法。我们建议开发一种软​​件。 旨在： (1) 缩小电子 SDH 筛查、CDS 和临床工作流程方面的差距 (2) 开发以患者为中心的 和基于证据的 SDH 筛查和 CDS 工具 (3) 将提议的工具集成到现有的工具中 肿瘤学工作流程 (4) 建立持续评估和改进拟议工作流程的框架 解决方案。 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且相关的 SDH 信息来增强现有的肿瘤学实践 患者，加上基于证据的临床行动，解决患者的社会需求，从而产生 它将改善患者的沟通和决策支持。 致力于满足患者需求的护理团队和社区组织，可能会导致 减少癌症诊断的差异以及患者和社会的负担。