Odedina Folakemi T, Salinas Manisha, Albertie Monica, Murrell Doug, Munoz Kristin
Community Outreach and Engagement Office and Programs, Mayo Clinic Comprehensive Cancer Center, 4500 San Pablo Road, Jacksonville, FL, 3224, USA.
Community Outreach and Engagement Office and Programs, Mayo Clinic Comprehensive Cancer Center, Phoenix, AZ, USA.
Arch Public Health. 2024 Mar 14;82(1):35. doi: 10.1186/s13690-024-01252-1.
The National Cancer Institute's (NCI) Cancer Center Support Grants (CCSGs) encourages Cancer Centers to address health disparities and reduce the cancer burden in their Catchment Area (CA) through an organized Community Outreach and Engagement (COE) structure. This paper shares the development of two guide models that fosters the operations of the Mayo Clinic Comprehensive Cancer Center (MCCCC) COE Office and programs, the MCCCC COE Impact Model and the MCCCC COE Logic Model.
Following a less than stellar CCSG rating for COE in 2018, the MCCCC developed a transition team to specifically address the critique and create a transformative plan for engaging communities to address cancer burden in the CA. A qualitative research approach was employed, focusing on organizing and displaying the relationship between MCCCC COE processes and outcomes through impact and logic models. An impact model was developed to illustrate the components of the CCSG and connect those components to short- and long-term COE outcomes. A logic model was developed to track and monitor activities for continuous process improvement for all COE activities.
The impact and logic model serve as a roadmap to monitor progress towards short- and long-term COE goals of the MCCCC. The COE operational strategies draw upon bidirectional partnership, evidence-based practices, and research facilitation to respond to the CCSG critique.
These strategies demonstrate successful practices in addressing cancer burden, promoting health equity and eliminating cancer disparities in the MCCCC CA.
美国国立癌症研究所（NCI）的癌症中心支持拨款（CCSGs）鼓励癌症中心通过有组织的社区外展与参与（COE）结构，解决健康差异问题并减轻其服务区域（CA）内的癌症负担。本文分享了两种指导模型的开发过程，这两种模型促进了梅奥诊所综合癌症中心（MCCCC）COE办公室及项目的运作，即MCCCC COE影响模型和MCCCC COE逻辑模型。
在2018年CCSGs对COE的评级不尽人意之后，MCCCC组建了一个过渡团队，专门应对批评意见，并制定一项变革性计划，以促使社区参与解决服务区域内的癌症负担问题。采用了定性研究方法，重点是通过影响模型和逻辑模型来组织和展示MCCCC COE流程与结果之间的关系。开发了一个影响模型，以说明CCSGs的组成部分，并将这些组成部分与COE的短期和长期结果联系起来。开发了一个逻辑模型，以跟踪和监测所有COE活动，实现持续的流程改进。
影响模型和逻辑模型是监测MCCCC实现COE短期和长期目标进展情况的路线图。COE运营策略借鉴了双向伙伴关系、循证实践和研究促进措施，以应对CCSGs的批评意见。
这些策略展示了在MCCCC服务区域内解决癌症负担、促进健康公平和消除癌症差异方面的成功做法。
