Chicago Chronic Condition Equity Network (C3EN)

芝加哥慢性病股票网络 (C3EN)

• 批准号: 10437368
• 负责人: ELBERT S. HUANG
• 金额: $ 419.53万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10437368
• 关键词: Academic Medical Centers; Address; Ambulatory Care; Caring; Charge; Chicago; Chronic; Collaborations; Communication; Communities; Community Healthcare; County; Dementia; Diabetes Mellitus; Disease; Economics; Federally Qualified Health Center; Foundations; Funding; Geography; Grant; HIV; Health; Health Resources; Healthcare Systems; Home; Individual; Institutes; Institution; Interdisciplinary Study; Intervention; Knowledge; Life; Low income; Malignant Neoplasms; Mental Health; Mentors; Minority Groups; Modeling; Neighborhoods; Network-based; Outcome; Pilot Projects; Plant Roots; Poverty; Prevention approach; Preventive; Primary Health Care; Public Health; Public Health Informatics; Quality of Care; Recording of previous events; Research; Research Personnel; Research Project Grants; Research Support; Resources; Science; Services; Social Functioning; System; Time; Training; Training Programs; Training and Education; Translational Research; United States National Institutes of Health; Universities; base; body system; cardiometabolism; community based research; community organizations; community setting; critical period; disparity reduction; ethnic minority population; evidence base; experience; health care service; health care service organization; health disparity; health goals; health professional shortage areas; implementation science; individual patient; innovation; inter-institutional; interest; medical specialties; multiple chronic conditions; opioid use; prevent; psychologic; racial and ethnic; racial minority; remote sensor; safety net; segregation; sensor technology; service gap; social; social health determinants; software systems; translational medicine

PROJECT SUMMARY Health disparities in the burden of multiple chronic conditions for low-income and racial/ethnic minority groups are pervasive and have their roots in social determinants of health and unequal access to evidence-based health care services during critical periods of life. A long history of racial segregation in the Chicago region has resulted in neighborhoods that are disproportionately burdened by poverty and related social determinants of health as well as poor access to high quality health resources. Unequal distribution of resources across the Chicago region results in geographic “hotspots” where high numbers of residents suffer from multiple cardiometabolic conditions. Innovative local solutions are necessary to bridge gaps in the healthcare system, gaps in the traditional approach to delivering preventive and management services, and gaps generated by the traditional siloed approach to science. The Chicago Chronic Condition Equity Network (C3EN) will address these gaps by strengthening collaborations across community-based organizations, practice networks, and academic researchers, by promoting a comprehensive approach to the prevention and management of multiple chronic conditions that accounts for mental health, functional health and social life, and by supporting interventions that actively seek to cross boundaries of disease-specific management, professional training, community and practice. This network will be the communication channel for multi-directional exchange of ideas regarding how to address disparities in communities, the community-based research network where both pilot studies and larger regional studies of scalable interventions will take place, and the training ground for new investigators. Our research projects have been selected to demonstrate our scientific thematic interest in promoting a comprehensive view of health that acknowledges the importance of physical, psychological, and social functioning as outcomes as well as potential avenues for health improvement. The C3EN will benefit from a foundation of multiple institutes and centers at the University of Chicago and Rush that set the stage for conducting interdisciplinary research aligned with public health goals of the Chicago region, inter-institutional collaboration, and models for training programs. Our Center’s Specific Aims are: 1) To build a Chicago regional community-based research network based on collaborations with key stakeholder groups including community-based organizations, networks of ambulatory practices, and academic institutions, to identify innovative, effective, and scalable interventions that reduce disparities for multiple chronic conditions; 2) To provide cutting edge research support and expertise (intersectoral health, informatics, implementation science, community-resource referral software systems, remote sensor technology) to facilitate chronic condition health disparities research conducted across practice networks, in community settings, and in the home; and 3) To attract and support diverse new investigators by providing education, training, mentoring, support for community and stakeholder engagement, pilot grant funding, and access to research support.

项目概要 低收入和少数种族/族裔群体多种慢性病负担的健康差异 其根源在于健康的社会决定因素和获得循证健康的机会不平等 芝加哥地区长期以来的种族隔离导致了生命关键时期的护理服务。 在因贫困和相关健康社会决定因素而承受不成比例负担的社区， 以及整个芝加哥地区的优质医疗资源分配不均。 导致大量居民患有多种心脏代谢疾病的地理“热点”。 创新的本地解决方案对于弥合医疗保健系统和传统方法的差距是必要的 提供预防和管理服务，以及传统的孤立方法所产生的差距 芝加哥慢性病公平网络 (C3EN) 将通过加强科学来弥补这些差距。 跨社区组织、实践网络和学术研究人员的合作， 推广预防和管理多种慢性病的综合方法， 考虑心理健康、功能健康和社会生活，并通过支持积极寻求的干预措施 该网络跨越了特定疾病管理、专业培训、社区和实践的界限。 将成为就如何解决差异问题进行多方位交流的沟通渠道 在社区中，以社区为基础的研究网络，其中包括试点研究和更大范围的区域研究 将进行可扩展的干预措施，并为新研究人员提供培训场地。 被选中是为了展示我们对促进全面健康观的科学主题兴趣， 承认身体、心理和社会功能作为结果和潜力的重要性 C3EN 将受益于位于多个研究所和中心的基金会。 芝加哥大学和拉什大学为开展与公众保持一致的跨学科研究奠定了基础 芝加哥地区的健康目标、机构间合作以及我们的培训计划模式。 中心的具体目标是： 1）建立一个基于芝加哥地区社区的研究网络 与主要利益相关者群体的合作，包括社区组织、门诊网络 实践和学术机构，以确定创新、有效和可扩展的干预措施，以减少 2）提供前沿的研究支持和专业知识 （部门间卫生、信息学、实施科学、社区资源转诊软件系统、 远程传感器技术）促进跨实践进行的慢性病健康差异研究 网络、社区环境和家庭；以及 3) 通过以下方式吸引和支持不同的新研究者： 提供教育、培训、指导、对社区和利益相关者参与的支持、试点补助金 资金和获得研究支持。