Center for Rural Health Care Delivery Science

农村医疗保健提供科学中心

• 批准号: 10555005
• 负责人: MARK A CREAGER
• 金额: $ 233.67万
• 依托单位: DARTMOUTH-HITCHCOCK CLINIC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10555005
• 关键词: Academic Medical Centers; Accountability; Achievement; Address; American; Award; Back; Caring; Centers of Research Excellence; Communities; Complex; Core Facility; Coupled; Dedications; Detection; Development; Disease; Disease Management; Ensure; Environment; Equity; Evaluation; Evolution; Face; Faculty; Fostering; Foundations; Funding; Geography; Goals; Health; Health Care Research; Health Policy; Health Services Accessibility; Health Technology; Health system; Healthcare; Infrastructure; Institution; Interdisciplinary Study; Link; Mentors; Mentorship; Methodology; Modeling; Monitor; Performance; Phase; Pilot Projects; Policy Maker; Population; Process; Program Evaluation; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Support; Resource Sharing; Resources; Rural; Rural Community; Rural Health Centers; Rural Population; Science; Scientist; Senior Scientist; Socioeconomic Factors; System; Training; Translating; United States; Work; access disparities; advanced analytics; care delivery; career; clinical infrastructure; community based participatory research; community engaged research; community engagement; digital health; disorder prevention; end of life care; experience; health care delivery; health care disparity; health management; improved; innovation; member; multidisciplinary; nonmetropolitan area; poor health outcome; programs; recruit; rural area; rural dwellers; rural health disparities; rural healthcare; rural patients; screening; skills; timeline

PROJECT SUMMARY/ABSTRACT This Centers of Biomedical Research Excellence (COBRE) proposal establishes a Center for Rural Health Care Delivery Science at Dartmouth-Hitchcock Health (D-HH), one of the most rural academic medical centers in the United States. Nearly 20% of Americans live in non-metropolitan areas and experience poorer health outcomes, but research on rural health care has been limited by challenges associated with relatively small and geographically dispersed populations. Accordingly, our Center will concentrate on understanding and solving challenges associated with the provision of health care in rural areas, focusing on a community- engaged approach to research. The overarching goal of this COBRE is to establish a multidisciplinary research program in rural health care delivery science and to provide expert mentorship and infrastructure to train and support a critical mass of early-career clinician-scientists as they transition into independent researchers dedicated to decreasing health care disparities in rural communities. To achieve this goal, the Center will pursue the following four specific aims: (1) Integrate research expertise, mentorship, and community engagement to establish a Center for Rural Health Care Delivery Science; (2) Enhance the transition of early- career clinician-scientists into independent researchers through strong research support and dedicated mentoring; (3) Assure accountability and achievement of milestones through the implementation of a rigorous program evaluation plan; and (4) Leverage shared resources to support the Center for Rural Health Care Delivery Science as a self-sustaining scientific community. The proposed Center will bring an innovative and impactful approach to rural health care delivery research by focusing on the fundamental causes of rural health disparities across systems and processes, as well as addressing barriers that impede disease detection, access to care, and management of health conditions that are particularly prevalent in rural populations. The initial four Research Project Leaders will address disease prevention and screening (Project 1), digital health technologies for disease management (Project 2), as well as socio-economic factors and health policy that impact the management of complex conditions (Project 3) and the provision of end-of-life care (Project 4). The Center's Scientific Cores will support the Center by: (1) Strengthening methodology for mechanistic studies in rural populations; and (2) Providing needed resources for expanding and strengthening critical relationships between researchers and key stakeholders via community-based participatory research. COBRE funding, coupled with substantial institutional funding and a commitment to hire additional faculty members during Phase I, will provide an outstanding foundation for the development of a vibrant Center. In summary, the proposed Center will support the establishment of a self-sustaining, multidisciplinary research program in rural health care delivery science at D-HH.

项目概要/摘要 该生物医学研究卓越中心 (COBRE) 提案建立了一个农村卫生中心 达特茅斯希区柯克健康中心 (D-HH) 的护理提供科学，是最偏远的乡村学术医疗中心之一 在美国。近 20% 的美国人居住在非大都市地区，健康状况较差 成果，但对农村卫生保健的研究受到相对较小规模相关挑战的限制。 以及地理上分散的人口。因此，我们中心将集中精力了解和 解决与农村地区提供医疗保健相关的挑战，重点关注社区 投入的研究方法。 COBRE 的总体目标是建立一个多学科研究 农村卫生保健提供科学计划，并提供专家指导和基础设施来培训和 支持大量早期职业临床医生科学家转变为独立研究人员 致力于缩小农村社区的医疗保健差距。为了实现这一目标，中心将 追求以下四个具体目标： (1) 整合研究专业知识、指导和社区 参与建立农村卫生保健服务科学中心； （二）加强早期转型 通过强大的研究支持和奉献精神，将职业临床医生科学家转变为独立研究人员 指导； (3) 通过严格的实施确保问责制和里程碑的实现 项目评估计划； (4) 利用共享资源支持农村卫生保健中心 交付科学作为一个自我维持的科学界。拟议的中心将带来一个创新和 通过关注农村健康的根本原因，对农村卫生保健提供研究采取有影响力的方法 系统和流程之间的差异，以及解决阻碍疾病检测的障碍， 获得护理和管理健康状况，这在农村人口中尤为普遍。这 最初的四个研究项目负责人将讨论疾病预防和筛查（项目 1）、数字健康 疾病管理技术（项目 2），以及社会经济因素和卫生政策 影响复杂状况的管理（项目 3）和临终关怀的提供（项目 4）。这 中心的科学核心将通过以下方式支持中心： (1) 加强机械研究方法论 农村人口； (2) 提供扩大和加强关键关系所需的资源 通过基于社区的参与性研究在研究人员和主要利益相关者之间建立联系。 COBRE 资金， 再加上大量的机构资金和在期间聘用更多教职人员的承诺 第一期将为充满活力的中心的发展提供良好的基础。综上所述， 拟议的中心将支持在农村建立一个自我维持的多学科研究项目 D-HH 的医疗保健提供科学。