| Sumario: | Problem: Inequities in care experiences and outcomes persist across the cancer continuum, particularly among people with lived/living experiences of health and social inequities (PWLEHSI). These inequities are especially prevalent in Vancouver's Downtown Eastside neighbourhood -- one of Canada's most densely-populated and underserved health service delivery areas. Background: The Equity-Oriented Model of Cancer Care (E-MOC) is designed to integrate equity-oriented, team-based approaches into cancer care delivery at BC Cancer. This project aims to reduce disparities in access, experiences, and outcomes for PWLE-HSI by embedding culturally safe, trauma-informed, and harm reduction-based approaches into clinical practice and workflows. Discussion: Project planning activities (2023-2024) led to the co-creation of a novel implementation plan, tailored to embed equity into staff and clinicians' workflows while centring the unique needs of PWLE-HSI who come for care. This model will be piloted and evaluated (2024-2027) within pre-existing interdisciplinary care teams in BC Cancer -- Vancouver's ambulatory systemic and radiation therapy programs using an implementation science framework. Key Message: Clinical Nurse Specialists are integral to driving system transformation, their mentorship and guidance in E-MOC aims to equip oncology staff and clinicians with the knowledge, skills, and resources to provide equity-oriented cancer care. Innovation: Through meaningful engagement of PWLE-HSI in project co-design and leveraging the advanced practice nursing leadership of Clinical Nurse Specialists, we have created an implementation project that takes actionable steps to redress inequities in cancer care.
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