Evolution of community outreach and engagement at National Cancer Institute-Designated Cancer Centers, an evolving journey

IF 503.1 1区 医学 Q1 ONCOLOGY CA: A Cancer Journal for Clinicians Pub Date : 2024-05-04 DOI:10.3322/caac.21841
Sarah A. Pohl MPH, Barry A. Nelson BS, Tanjeena R. Patwary MPH, Salina Amanuel BS, Edward J. Benz Jr MD, Christopher S. Lathan MD, MS, MPH
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Abstract

Cancer mortality rates have declined during the last 28 years, but that process is not equitably shared. Disparities in cancer outcomes by race, ethnicity, socioeconomic status, sexual orientation and gender identity, and geographic location persist across the cancer care continuum. Consequently, community outreach and engagement (COE) efforts within National Cancer Institute-Designated Cancer Center (NCI-DCC) catchment areas have intensified during the last 10 years as has the emphasis on COE and catchment areas in NCI's Cancer Center Support Grant applications. This review article attempts to provide a historic perspective of COE within NCI-DCCs. Improving COE has long been an important initiative for the NCI, but it was not until 2012 and 2016 that NCI-DCCs were required to define their catchment areas rigorously and to provide specific descriptions of COE interventions, respectively. NCI-DCCs had previously lacked adequate focus on the inclusion of historically marginalized patients in cancer innovation efforts. Integrating COE efforts throughout the research and operational aspects of the cancer centers, at both the patient and community levels, will expand the footprint of COE efforts within NCI-DCCs. Achieving this change requires sustained commitment by the centers to adjust their activities and improve access and outcomes for historically marginalized communities.

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国家癌症研究所指定癌症中心社区外联和参与的演变,一个不断发展的历程
在过去的 28 年中,癌症死亡率有所下降,但这一进程并没有得到公平分享。在癌症治疗的整个过程中,因种族、民族、社会经济地位、性取向和性别认同以及地理位置不同而导致的癌症治疗结果差异依然存在。因此,在过去 10 年中,国家癌症研究所指定癌症中心(NCI-DCC)覆盖区内的社区外展和参与(COE)工作得到了加强,NCI 的癌症中心支持拨款申请中也强调了社区外展和覆盖区。这篇综述文章试图从历史的角度来审视NCI-DCC内的COE。长期以来,改善COE一直是NCI的一项重要举措,但直到2012年和2016年,NCI-DCC才分别被要求严格界定其覆盖区,并提供COE干预措施的具体描述。此前,NCI-DCCs 一直没有充分重视将历史上被边缘化的患者纳入癌症创新工作中。在癌症中心的研究和运营过程中,从患者和社区两个层面整合共同国家评估和评价工作,将扩大共同国家评估和评价工作在NCI-DCC内的覆盖范围。要实现这一变革,需要各中心作出持续承诺,调整其活动并改善历史上被边缘化的社区的就医机会和治疗效果。
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来源期刊
CiteScore
873.20
自引率
0.10%
发文量
51
审稿时长
1 months
期刊介绍: CA: A Cancer Journal for Clinicians" has been published by the American Cancer Society since 1950, making it one of the oldest peer-reviewed journals in oncology. It maintains the highest impact factor among all ISI-ranked journals. The journal effectively reaches a broad and diverse audience of health professionals, offering a unique platform to disseminate information on cancer prevention, early detection, various treatment modalities, palliative care, advocacy matters, quality-of-life topics, and more. As the premier journal of the American Cancer Society, it publishes mission-driven content that significantly influences patient care.
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