PDF(Pubmed)
Abstract：
Enduring community-academic partnerships are essential for expediting the successful dissemination and implementation of promising interventions and programs, particularly for complex public health issues such as cancer prevention and control. The purpose of this case study was to understand the combined voices of a diverse group of stakeholders to outline the essential factors needed to translate research into sustainable cancer care within communities. System dynamics group model building was used to develop system maps of the factors impacting equitable access to cancer care services among three stakeholder groups (Group A: survivors and family members, n = 20; Group B: providers and administrators in community agencies/organizations, n = 40; Group C: administrators from a cancer institute, academic universities, foundations, and healthcare facilities that coordinate care, n = 25) in central Texas, USA. The lead researcher identified factors involved in transitions of care and their linkages with each other. The analysis of this work displays these connections visually. These models represent the ripple effect of factors influencing the transition of care for stakeholders who are invested in cancer care outcomes. All three groups identified medical mistrust, a culturally sensitive and diverse provider workforce, and care coordination as three essential factors (i.e., themes). Group A also identified caregiver navigation. The groups varied in their emphasis on upstream vs. downstream social drivers of health, with Group B emphasizing the former and Group C emphasizing the latter. To achieve cancer care equity, all stakeholder groups agreed on the importance of addressing the impact of social drivers as critical gaps. Eliminating or reducing these impacts allows each stakeholder group to work more efficiently and effectively to improve cancer care for patients.
摘要：
持久的社区-学术伙伴关系对于加快成功传播和实施有希望的干预措施和计划至关重要。特别是对于复杂的公共卫生问题，如癌症预防和控制。本案例研究的目的是了解不同利益相关者群体的综合声音，以概述将研究转化为社区内可持续癌症护理所需的基本要素。系统动力学小组模型构建用于开发影响三个利益相关者群体之间公平获得癌症护理服务的因素的系统图（A组：幸存者和家庭成员，n=20；B组：社区机构/组织中的提供者和管理员，n=40；C组：癌症研究所的管理人员，学术大学,基金会,和协调护理的医疗保健设施，n=25）在德克萨斯州中部，美国。首席研究员确定了涉及护理过渡的因素及其相互联系。对这项工作的分析直观地显示了这些连接。这些模型代表了影响投资于癌症护理结果的利益相关者的护理过渡的因素的连锁反应。所有三组都确定了医学上的不信任，文化敏感和多样化的提供者劳动力，和护理协调是三个基本因素(即，themes).A组还确定了护理人员导航。这些小组对上游和上游的重视程度各不相同。健康的下游社会驱动因素，B组强调前者，C组强调后者。为了实现癌症护理公平，所有利益相关者团体都同意解决社会驱动因素的影响作为关键差距的重要性。消除或减少这些影响使每个利益相关者团体能够更有效地工作，以改善患者的癌症护理。
