Community Networks to Reduce Cancer Health Disparities

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Community Networks to Reduce Cancer Health
Disparities
Pre-application Conference May 26, 2004 National
Cancer Institute Rockville, Maryland

• Harold P. Freeman, MD, Director
• Center to Reduce Cancer Health Disparities
• The National Cancer Institute

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CAUSES OF HEALTH DISPARITIES
Poverty/ Low Economic Status
Culture
Social Injustice
Post Treatment/ Quality of Life
Early Detection
Diagnosis/ Incidence
Survival and Mortality
Prevention
Treatment
Freeman, Adapted from Cancer Epidemiology
Biomarkers Prevention, April 2003
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The Discovery-Delivery Disconnect
Delivery
Discovery
Development
Critical Disconnect
This discovery to delivery disconnect is a key
determinant of the unequal burden of cancer.
Voices of a Broken System Real People, Real
Problems, Presidents Cancer Panel, Freeman,
March 2002
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History of NCI Community-based Programs

• 1989 National Black Leadership Initiative
• 1992 National Hispanic Leadership Initiative
  and Appalachian Leadership Initiative
• 1995 Office of Special Populations Research
• 2000 18 Special Populations Networks
  (SPN) Cooperative Agreements
• 2001 Center to Reduce Cancer Health
  Disparities (CRCHD) created
• 2005 Community Networks to Reduce Cancer Health
  Disparities to be awarded

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Community NetworksProgram Goal

• Reducing cancer disparities in the community
• By improving utilization of beneficial cancer
  interventions
• Through Community-based education, research, and
  training in disparities research
• This disparities research program will help
  achieve the DHHS Healthy People 2010 goals, the
  NCI Directors goal for 2015 and the NIH
  Directors Roadmap goals for disparities.

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Organization and Partnerships

• Community Networks Staff
• Project PI
• Multidisciplinary professionals

NCI Collaborations

• Policy Analyst
• Program Evaluator
• Clinical Coordinator

Project Steering Committee
Community Advisory Group
Partnerships
Community Partnerships Local Community-based
organizations, government and non-government
organizations
Clinical Partnerships Primary and Secondary
Prevention Facilities Diagnosis and Treatment
Facilities
Research/Training Partnerships University(s) and
other cancer research organizations/foundations
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The war against cancer has not been fought
equitably on all fronts. To win this war, we
must apply what we know at any given time to all
people. There is a need to recognize and
eliminate all barriers to cancer care.
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Knowing is not enoughwe must apply.Willing
is not enough we must do.
Johann von Goethe