SMART Cancer Care Teams: Enhancing EHR Communication to Improve Interprofessional Teamwork - Diversity Supplement

智能癌症护理团队：加强 EHR 沟通以改善专业间团队合作 - 多样性补充

• 批准号: 10816261
• 负责人: Kwan-Liu Ma
• 金额: $ 17.7万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10816261
• 关键词: Address; Affordable Care Act; Asbestos; Award; Breast; California; Cancer Burden; Cancer Patient; Caring; Characteristics; Colorectal; Communication; Communities; Community Health; Complex; Databases; Development; Diagnosis; Disparity; Economics; Emergency department visit; Environmental Risk Factor; Focus Groups; Foundations; Goals; Health; Health Insurance; Health Services Accessibility; Hispanic; Homelessness; Hospitalization; Housing; Income; Individual; Insurance Coverage; Intervention; Interview; Malignant Neoplasms; Maps; Measures; Mentors; Mentorship; Methodology; Neighborhoods; Non-Small-Cell Lung Carcinoma; Outcome; Parents; Patient Care; Patient-Focused Outcomes; Patients; Perception; Play; Preventive care; Qualitative Methods; Questionnaires; Radon; Research; Research Personnel; Research Project Grants; Role; SEER Program; Scientific Advances and Accomplishments; Screening for cancer; Socioeconomic Status; Strategic Planning; Structure; Training; Travel; United States; United States National Institutes of Health; World Health Organization; barrier to care; built environment; cancer care; cancer risk; cancer survival; cancer therapy; cancer type; care outcomes; career development; data registry; design; disparity gap; education access; environmental tobacco smoke; ethnic disparity; experience; health care availability; health data; health disparity; health inequalities; housing instability; improved; minority health; minority health disparity; neighborhood disadvantage; neoplasm registry; parent grant; poor health outcome; racial disparity; skills; social; social culture; social factors; social health determinants; socioeconomic disadvantage

ABSTRACT While access to cancer treatment and care has increased since the implementation of the Affordable Care Act (ACA) in 2010, the benefits are not experienced proportionately across all groups in the United States. One of the major factors contributing to persistent disparities is the complexity and expansiveness of social determinants of health (SDOH), of which access to care is only one component. A recent emphasis in SDOH research has been on the role that neighborhood characteristics or community health play in health disparities and inequities in cancer care. We propose to examine the relationship between SDOH, specifically community health, and cancer health outcomes and access to care. As it relates to the parent award, leveraging SDOH data and incorporating their potential impact on cancer care team communication networks will elicit a more comprehensive and in-depth examination of a key SDOH domain with team structures and patient outcomes. This Diversity Supplement proposal centers on patient-level factors that impact cancer care, with these aims: Aim 1. Determine the geospatial distribution of cancer patients and the association of their SDOH, specifically community health, with unplanned hospitalizations and potentially preventable emergency department (ED) visits. Aim 2. Elicit cancer patient perceptions of access to and burden of cancer care treatment through an expansion of the qualitative interviews in the parent grant. We will map community health indicators and analyze their association with cancer health outcomes for patients from UC Davis with stage II or II breast, colorectal, and non-small cell lung cancer. As an expansion of the interviews and focus groups in the parent award, we will conduct in-depth interviews with patients to ascertain their perceived barriers to care. This supplement addresses a key priority of the NIH specifically aimed at measuring health disparities. The research proposed here addresses Goal 2 of the NIH Minority Health and Health Disparities Strategic Plan, which is to advance scientific understanding of the causes of health disparities. The mentoring and training that Dr. Garcia would receive as part of this supplement would enable her to develop skills in geospatial mapping and qualitative methodologies, with results from this study serving as preliminary results for an early-stage investigator proposal.

抽象的 自《平价医疗法案》实施以来，获得癌症治疗和护理的机会有所增加 (ACA) 2010 年，美国所有群体并未按比例享受到好处。之一 造成持续不平等的主要因素是社会决定因素的复杂性和广泛性 健康 (SDOH)，获得护理只是其中的一个组成部分。 SDOH 研究最近的重点是 邻里特征或社区健康在健康差异和不平等中发挥的作用 在癌症护理方面。 我们建议研究 SDOH（特别是社区健康）与癌症健康之间的关系 结果和获得护理的机会。由于它与家长奖励相关，因此利用 SDOH 数据并结合他们的 对癌症护理团队沟通网络的潜在影响将引发更全面和深入的 检查关键 SDOH 领域的团队结构和患者结果。本多样性补充 该提案以影响癌症护理的患者层面因素为中心，目标如下： 目标 1. 确定癌症患者的地理空间分布及其 SDOH 的关联， 特别是社区卫生，包括计划外住院和潜在可预防的紧急情况 部门 (ED) 访问。 目标 2. 通过以下方式了解癌症患者对获得癌症护理治疗的机会和负担的看法 扩大家长资助中的定性访谈。 我们将绘制社区健康指标并分析其与患者癌症健康结果的关联 来自加州大学戴维斯分校，患有 II 期或 II 期乳腺癌、结直肠癌和非小细胞肺癌。作为扩展 在家长奖访谈和焦点小组中，我们将对患者进行深入访谈，以确定 他们感知到的护理障碍。 该补充文件解决了 NIH 的一个关键优先事项，专门旨在衡量健康差异。这 这里提出的研究涉及 NIH 少数族裔健康和健康差异战略计划的目标 2， 这是为了促进对健康差异原因的科学理解。的指导和培训 加西亚博士将获得该补充品的一部分，这将使她能够发展地理空间测绘技能 和定性方法，本研究的结果作为早期阶段的初步结果 研究者的建议。