Center for Improving Care Delivery for the Aging (CICADA)

改善老年人护理服务中心 (CICADA)

基本信息

批准号：
10219119
负责人：
Rachel M Werner
金额：
$ 60.61万
依托单位：
UNIVERSITY OF PENNSYLVANIA
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：
2018-09-15 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10219119
关键词：
Accounting Achievement Address Affect Age Aging American Arts Businesses Caring Chronic Disease Communication Dental Discipline Discipline of Nursing Economics Education Elderly Faculty Functional disorder Future Goals Grant Health Health Care Costs Health Sciences Health Services Health Services Research Health system Healthcare Healthcare Systems Hispanics Infrastructure Institutes Laws Medicine Mentors Methodology Methods Minority Minority Groups Modeling Pediatric Hospitals Pennsylvania Personal Satisfaction Philadelphia Politics Population Public Health Quality of Care Quality of life Research Research Infrastructure Research Personnel Research Training Resources Rewards Science Scientist Training Translational Research Trust Underrepresented Populations United States Universities Ursidae Family aging population base burden of illness care coordination care delivery care fragmentation career data resource educational atmosphere evidence base experience health care cost/financing health care delivery health disparity health economics improved innovation leadership development medical schools minority health minority investigator next generation payment racial and ethnic disparities rapid growth research study social theories

项目摘要

Delivering high-quality, accessible, and affordable health care to older Americans is fundamental to their health, wellbeing, function, and independence. Yet, with a growing chronic disease burden, rapid growth of health care costs, and fragmentation of care delivery, aging Americans are increasingly finding that high- quality care is not available, accessible, or affordable. The health care system in the United States (US) is not organized to address the fundamental health needs of older Americans. Moreover, the persistence of health disparities in the US, particularly for minority elders, suggests that health system dysfunction affects this population disproportionately. There is a critical need to reorganize and reorient health care delivery to coordinate care; maintain and improve quality of life as populations age; address inequities and health disparities; and implement new models of payment rewarding the value of care rather than the volume of care. Health services research (HSR) studies the organization, financing, and delivery of health care, providing an evidence base that is central to addressing issues of care quality, access, affordability, and equity. HSR is critical to identifying and implementing solutions to improve the current shortcomings of health care delivery and, thus, the health and wellbeing of aging Americans. As a discipline, HSR has been a cornerstone of identifying and addressing disparities in health and health care delivery. Minority investigators are underrepresented in HSR, with Blacks and Hispanics accounting for only 6.9% and 3.7%, respectively, of the HSR workforce. Yet underrepresented HSR researchers bring essential diverse perspectives and, often, personal experiences to bear in understanding the social, economic, political, and environmental determinants of racial and ethnic disparities in health and health care. Furthermore, according to the federal Office of Minority Health, underrepresentation in research leads to underfunding of health research as well as a lack of culturally appropriate theories, models, and methodologies. Thus, developing a representative cadre of researchers who can undertake studies that address the challenges facing our aging population and, in particular, disparities in aging, is an absolute priority. To address this need, we propose the Center for Improving Care Delivery for the Aging (CICADA), a Resource Center for Minority Aging Research (RCMAR) at the University of Pennsylvania (Penn). CICADA aims to train emerging scientists from underrepresented backgrounds in the interdisciplinary science of HSR as it applies to the most pressing issues for aging Americans, particularly minority elders. Redressing researchers from backgrounds underrepresentation in HSR is critical to finding innovative public health solutions, creating a robust learning environment, and developing the trust needed to implement innovative solutions in minority populations.

为美国老年人提供高质量、可及且负担得起的医疗保健是实现这一目标的基础他们的健康、福祉、功能和独立性。然而，随着慢性病负担的增加，快速增长随着医疗保健成本的增加以及医疗服务的分散化，老年人越来越多地发现，高高质量的护理是不可用的、可获得的或负担得起的。美国的医疗保健系统并不完善旨在满足美国老年人的基本健康需求。此外，健康的坚持美国的差异，特别是少数族裔老年人的差异，表明卫生系统功能失调会影响这一点人口不成比例。迫切需要重组和调整医疗保健服务的方向协调护理；随着人口老龄化，维持和提高生活质量；解决不平等和健康问题差异；实施新的支付模式，奖励护理价值而不是护理量。卫生服务研究 (HSR) 研究卫生保健的组织、融资和提供，提供对于解决护理质量、可及性、负担能力和公平性问题至关重要的证据基础。 HSR 对于确定和实施改善当前医疗保健缺陷的解决方案至关重要分娩，从而影响美国老年人的健康和福祉。作为一门学科，高铁一直是其基石确定并解决健康和卫生保健服务方面的差异。少数族裔调查员在 HSR 中的代表性不足，仅黑人和西班牙裔分别占高铁劳动力的 6.9% 和 3.7%。然而，代表性不足的高铁研究人员带来了重要的不同的观点和个人经历有助于理解社会、经济、政治、健康和保健方面种族和民族差异的环境决定因素。此外，根据联邦少数族裔健康办公室的说法，研究代表性不足导致资金不足健康研究以及缺乏适合文化的理论、模型和方法。因此，培养一支具有代表性的研究人员队伍，能够开展应对挑战的研究面对人口老龄化，特别是老龄化差异，是一个绝对优先事项。为了满足这一需求，我们提议成立改善老龄化护理服务中心 (CICADA)，宾夕法尼亚大学 (Penn) 少数族裔老龄化研究资源中心 (RCMAR)。蝉旨在培养高铁跨学科科学中代表性不足背景的新兴科学家因为它适用于美国老年人，特别是少数族裔老年人最紧迫的问题。矫正来自高铁领域代表性不足的背景的研究人员对于寻找创新的公共卫生至关重要解决方案，创造一个强大的学习环境，并建立实施创新所需的信任少数民族人口的解决方案。