The objective of this study is to investigate the complexities in the system of care within a NC local medical community, including nuances of communication and the mechanics of care referral, to help explain how deviations from reasonable breast cancer care obtained by African American patients, as compared to White patients, are potentially associated with racial disparities in breast cancer mortality.
The Greensboro Cancer Care and Racial Equality Study (CCARES) utilizes a Community-Based Participatory Research (CBPR) approach to address racial disparities in breast cancer mortality. The Moses Cone Health System (MCHS), located in Greensboro, North Carolina, has joined this project with the commitment of working with local health care providers to help identify elements of the care process that potentially could be altered to maximize outcomes for all members of the community. With this backdrop, CCARES addresses the following research questions:
The research questions and study design were developed through an 18-month planning grant by the Greensboro Health Disparities Collaborative of 35 community, academic, and health professionals to: (a) establish a research partnership; (b) understand and agree on the language for social/political analysis or racism in creating racial disparities; and (c) design a study to identify characteristics of the structure and climate of a local medical community that may or may not contribute to disparities in health care outcomes.
Two Study Aims were identified.
Yonas MA, Jones N, ENG E, Vines A, Aronson RE, Griffith DM, White B, DuBose M. The art and science of integrating undoing racism with CBPR: Challenges of pursuing NIH funding to investigate cancer care and racial equity. Journal of Urban Health, 83(6):1004-1012, 2006.