通过实施科学促进健康公平:识别和检查外部环境的措施
Erica T Warner1, Nathalie Huguet2, Michelle Fredericks3
1Mongan Institute, Clinical Translational Epidemiology Unit, Massachusetts General Hospital, Boston, MA, USA.
Social science & medicine (1982)
|July 20, 2023
概括
实施科学需要考虑健康公平的外部环境. 一个新的数据资源显示,外部设置在国家范围内有所变化和差异,影响干预的普遍性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 实施科学 (IS) 旨在加速健康公平,但往往忽视了外部环境,限制了干预的适用性和通用性.
- 开发了一种新型数据资源,用于评估国家癌症研究所的7个癌症控制中心IS中心 (ISC3) 网络计划中心的外部设置特征.
研究的目的:
- 描述外部设置数据资源的发展.
- 描述ISC3中心的县级外部环境.
主要方法:
- 外部设置数据资源捕捉了七个环境因素:食物,身体,经济,社会,医疗保健,癌症行为/查和癌症政策.
- 数据来源于公共数据集,包括美国人口普查和美国社区调查.
- 使用中位数,四分位数范围和单个样本标志测试分析了选择的措施,将ISC3县与国家估计进行了比较.
主要成果:
- ISC3中心的收获区包括28个州的458个县,为超过1.26亿人提供服务.
- 与全国中位数相比,ISC3县的公园邻近 (38.0%与18.0%) 和失业率 (5.2%与4.9%) 显著更高.
- 与全国中位数相比,ISC3县的家庭没有宽带接入的比例明显较低 (28.4%与32.8%相比).
结论:
- 外部设置特征在ISC3中心之间有很大差异,并且通常与国家平均值不同.
- 这些发现强调了评估干预实施的上下文环境的重要性.
- 了解外部设置变化对改善癌症控制中干预的概括性和可扩展性的潜在影响.
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