||3P50CA244433-03S2 Interpret this number
||Harvard School Of Public Health
||ISCCCE: Advancing Health Equity Through Implementation Science: Environmental Scans and Cross-Site Collaboration
Social determinants of health are key influencers of health inequality and contribute to health disparities
between populations and communities. Implementation science (IS) has particular potential to accelerate
progress toward achieving health equity goals, and significant work has focused on implementation in settings
that serve marginalized populations. Context is a central feature of IS, yet it is frequently poorly defined or goes
unreported. When it is considered, attention to context is mostly focused on the inner setting in which the
intervention is implemented, with relatively little consideration of how the outer context may impact on
implementation. It is naïve to think that implementing organizations are not impacted by their community
context. It is in the context in which employees are hired and work, that patients live in, and in which
organizations must acquire goods and services to support their business and health care mission. Failure to
fully measure outer context and to use that data to inform implementation efforts limits the applicability and
generalizability of study findings to different populations, settings, and time periods.
This supplement application from the Implementation Science Center for Cancer Control Equity (ISCCCE) will
meet this challenge by partnering with the six other ISC3 centers to create a set of outer context common data
elements (OC-CDE) that will be collected for all centers. This supplement represents a unique opportunity to
create a robust set of shared measures that can be utilized to understand and explore the impact of outer
context on implementation outcomes in a wide range of settings. This is a critical effort to conduct an
environment scan that will characterize the outer implementation context in a comprehensive manner and that
will represent such a diverse range of settings across the US.
None. See parent grant details.