尽管近几十年来在癌症治疗方面取得了重大科学进展，但黑人美国人在癌症筛查、诊断和治疗方面仍面临明显的不平等。要解决这些持久的不平等，需要创新的社区参与战略。作为癌症多样性筛查和诊断的专家，放射科医师是领导和实施面向当地癌症不平等问题的社区为基础战略的理想人选。通过在西费城建立的一个已建立的学术-社区合作伙伴关系，该团队在多个社区医疗活动的基础上试点了一种新颖的以放射科为主导的多学科方法，以改善黑人居民的癌症筛查通道。作者通过在社区核心地带提供全面的筛查和辅助服务的“一站式”框架，力图尽可能消除筛查的障碍。约有350名参与者参加了健康博览会，并完成了232项筛查测试或评估。本次活动的数据表明，这种包容性方法以及使用健康博览会的“通行证”作为激励参与的手段，可以成功改善医疗服务供不应求的社区对筛查和后续治疗的获得。这种“一站式”社区方法可以由放射科团队在其他环境中复制，作为一个高价值、可扩展的机会来减少癌症筛查的不平等。版权所有©2023. Elsevier Inc. 发表。

Despite significant scientific advances in cancer treatment in recent decades, Black Americans still face marked inequities in cancer screening, diagnosis, and treatment. Redressing these persistent inequities will require innovative strategies for community engagement. Radiologists, as experts in cancer screening and diagnosis for multiple malignancies, including breast, lung, and colon, are ideally suited to lead and implement community-based strategies to address local cancer disparities.Through an established academic-community partnership in West Philadelphia built over the course of multiple prior community healthcare events, the authors piloted a novel radiology-led multidisciplinary approach to improve access to cancer screening for the predominantly Black, medically-underserved residents. Using a "one-stop-shop" framework to provide a comprehensive suite of screening and ancillary services in the heart of the community, the authors sought to remove as many impediments to screening as possible.Approximately 350 participants attended the health fair, and a total of 232 screening tests or assessments were completed. Data from this event suggest that this inclusive approach, as well as the use of a health fair "passport" to incentivize engagement, can successfully improve access to screening and follow-up in an underserved community.This "one-stop-shop" community approach can be replicated by radiology-led teams in other settings as a high-value, scalable opportunity to reduce disparities in access to cancer screening.Copyright © 2023. Published by Elsevier Inc.