Utah Center for Clinical and Translational Science

犹他州临床和转化科学中心

基本信息

批准号：
10363309
负责人：
WILLARD H. DERE
金额：
$ 123.11万
依托单位：
UNIVERSITY OF UTAH
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-03-30 至 2023-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10363309
关键词：
Academic Medical Centers Achievement Address Administrative Efficiency Advocacy African African American Area Biomedical Research Cities Clinical Clinical Research Clinical Sciences Clinical Trials Collaborations Colorado Communities Community Outreach Complement Computer software Data Data Collection Disease Diverse Workforce Ecosystem Education Ensure Environment Ethics Evaluation Face Fostering Foundations Funding Genes Genetic Genomics Goals Health Health Care Research Health Professional Health system Healthcare Healthcare Systems Idaho Informatics Infrastructure International Knowledge Latino Leadership Learning Longevity Medicare Methodology Methods Mission Native Americans Participant Patients Positioning Attribute Principal Investigator Prize Process Public Health Randomized Refugees Reproducibility Research Research Infrastructure Research Methodology Research Project Grants Research Training Resource Sharing Resources Rural Science Scientific Advances and Accomplishments Services Sodium Chloride Special Population Statistical Methods Structure Surrogate Markers Time Training Training and Infrastructure Translational Research Translations Underrepresented Minority United States Department of Veterans Affairs Universities Utah Work Wyoming base burden of illness career clinical center community based participatory research data acquisition educational atmosphere experience frontier implementation science improved innovation member multidisciplinary novel programs quality improvement organization sharing platform skills software development suburb tool translational impact translational pipeline

项目摘要

PROJECT SUMMARY/ABSTRACT Racial/ethnic minority, low socioeconomic status (SES), and rural populations suffer profound health inequities across a wide variety of diseases and conditions, as well as a disproportionate burden of the negative health consequences of the COVID-19 pandemic. Latinos make up ~14% of the Utah population vs. ~40% of Utah's COVID-19 cases, and the case rate is over 3-fold higher in neighborhoods characterized by high vs. low deprivation. The case rate in Utah per 100,000 is 665 among Whites vs. 3,503 among Latinos, 3,470 among Pacific Islanders, 1,727 among African Americans, and 1,569 among Native Americans. Community Health Centers (CHCs) are optimal settings for addressing the screening and uptake of COVID-19 testing among underserved populations. Twelve Utah CHC systems are participating in SCALE-UP Utah. Their 39 primary care clinics serve over 115,000 unique patients annually (37% Latino, 11% Native American, 61% <100% poverty level, 51% uninsured, and 49% of clinics are in rural/frontier areas). SCALE-UP Utah is a state-wide, pragmatic, multilevel intervention study. The long-term objective is to increase the reach, uptake, and sustainability of COVID-19 screening and testing among underserved populations. The team has existing infrastructure and “shovel ready” clinic and population health management (PHM) interventions ready for implementation. SCALE-UP Utah builds on long standing, funded partnerships, and will implement and evaluate three practical, feasible, scalable multi-level interventions to increase COVID-19 screening and uptake in Utah CHCs. Interventions leverage widely adopted Health Information Technology (HIT) at the point of care, text messaging, and patient navigation. SCALE-UP Utah will coordinate and synergize existing infrastructure and resources across the state, as well as strengthen infrastructure and data networks for rapid deployment of new screening and testing protocols, vaccination programs, etc. The project will employ a rapid cycle research approach in which interventions are tested on a small scale, using short time frames (e.g., <1 month) and cyclical evaluation cycles. A critical aspect of these rapid-research cycles is that change can be quickly tested on a small scale, and then disseminated to other clinics/patients. The interventions will be readily available for adoption by other low-resource healthcare settings; and, the data will advance population health and implementation science. The specific aims are to: 1. Implement and evaluate clinic and PHM interventions for increasing the uptake of COVID-19 testing among CHC patients across Utah. 2. Examine implementation effectiveness outcomes, as well as characteristics of both clinics and patients that may influence intervention effects and implementation outcomes.

项目概要/摘要少数种族/族裔、低社会经济地位 (SES) 和农村人口健康状况不佳各种疾病和状况的不平等，以及不成比例的负面负担 COVID-19 大流行对健康造成的影响拉丁裔约占犹他州人口的 14%，而约占犹他州人口的 40%。犹他州的 COVID-19 病例，高社区与低社区的病例发生率高出 3 倍多犹他州每 10 万人中的患病率为 665 例，拉丁裔为 3,503 例，拉丁裔为 3,470 例。太平洋岛民、非洲裔美国人 1,727 人、美洲原住民 1,569 人社区健康。中心 (CHC) 是解决筛查和接受 COVID-19 检测的最佳场所犹他州 12 个 CHC 系统正在参与 SCALE-UP Utah 项目。护理诊所每年为超过 115,000 名独特患者提供服务（37% 拉丁裔、11% 美洲原住民、61% <100% 贫困水平，51% 没有保险，49% 的诊所位于农村/边境地区）。务实的多层次干预研究的长期目标是扩大覆盖范围、吸收率和影响力。该团队现有在服务不足的人群中开展 COVID-19 筛查和检测的可持续性。基础设施和“准备就绪”的诊所和人口健康管理（PHM）干预措施已准备就绪 SCALE-UP 犹他州建立在长期的、资助的伙伴关系的基础上，并将实施和实施。评估三种实用、可行、可扩展的多层次干预措施，以提高 COVID-19 筛查和吸收率犹他州 CHC 的干预措施利用了广泛采用的健康信息技术 (HIT)。护理、短信和患者导航 SCALE-UP 犹他州将协调和协同现有的服务。加强全州的基础设施和资源，并加强基础设施和数据网络，以实现快速发展部署新的筛查和测试方案、疫苗接种计划等。该项目将采用快速周期研究方法，其中使用短时间框架（例如，<1 月）和周期性评估周期的一个重要方面是变化可以是。快速进行小规模测试，然后将干预措施传播给其他诊所/患者。易于被其他资源匮乏的医疗机构采用，并且这些数据将促进人口增长；健康和实施科学。具体目标是： 1. 实施和评估诊所和 PHM 干预措施，以提高 COVID-19 检测的采用率犹他州各地的 CHC 患者中。 2. 检查有效性实施结果，以及诊所和患者的特征可能会影响干预效果和结果的实施。