Implementation Science and Equity

实施科学与公平

基本信息

批准号：
10557509
负责人：
Christie Befort
金额：
$ 232.47万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-11 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10557509
关键词：
Acceleration Address Adopted Adoption Advisory Committees Alzheimer&apos s Disease American Area Attention Award Caregivers Caring Centers of Research Excellence Child Clinic Clinical Research Communities Community Healthcare Development Diagnosis Dietetics Dimensions Discipline of Nursing Disparity Disparity population Economics Education Ensure Equitable healthcare Equity Ethical Issues Ethnic Origin Evidence based intervention Evidence based practice Family Funding Future Gender Geography Goals Growth Health Health behavior Health system Healthcare Healthcare Systems Income Inequity Infant Infrastructure Institution Interdisciplinary Study International Journals Kansas Knowledge Laboratory Study Latino Lead Leadership Medical Research Medical center Medicine Mentors Methodology Minority NIH Program Announcements National Cancer Institute National Heart, Lung, and Blood Institute Outcome Patients Phase Policies Population Positioning Attribute Pre-Eclampsia Pregnancy Prevention Primary Care Procedures Process Psychology Quality of Care Recommendation Records Research Research Project Grants Rural Rural Health Schools Services Sex Orientation Societies Study Section Subgroup System Talents Testing Time Tobacco Use Cessation Training Translating Translation Process Underrepresented Populations Underserved Population United States National Institutes of Health Universities Urban Health Woman care delivery care systems clinical care clinical practice cost design disability disparity gap early-career faculty end of life evidence base experience health care delivery health care quality health care service organization health disparity health inequalities human subject implementation research implementation science improved innovation institutional capacity literacy medical specialties minority investigator multidisciplinary novel novel therapeutics nutrition organizational structure programs psychologic racial disparity rurality social symposium treatment disparity uptake

项目摘要

PROJECT SUMMARY/ABSTRACT: OVERALL COBRE on Implementation Science & Equity Shrinking the time lag for translating research evidence into clinical practice would improve health outcomes across multiple domains and reduce costs to society. Until recently, however, clinical research has devoted little attention to implementing evidence-based practices in real-world clinical care. Moreover, rural, minority, and other subpopulations experience even greater gaps in health care quality. Implementation Science is an emerging field of research that specifically focuses on identifying the best approaches to integrating evidence- based practices into routine clinical care. Our proposal for a Phase I Center of Biomedical Research Excellence (COBRE) on Implementation Science and Equity seeks to establish a research center at the University of Kansas Medical Center (KUMC). This COBRE will develop and test Implementation Science approaches designed to achieve equitable care for rural, minority, and other underserved populations. The goal of this multidisciplinary research center in an Institutional Development Award (IDeA) state is to develop sustainable and generalizable approaches to reducing inequities in care. The Administrative Core includes an internal advisory committee, an external advisory committee, strong institutional support, and substantial financial and in-kind contributions from all schools and major centers across KUMC. The proposed COBRE will consist of three research cores, which will provide unique services for building institutional capacity in implementation science and will mentor five promising junior project leaders. Our overall specific aims are to: Aim 1. Create and sustain an organizational structure to provide scientific mentoring and institutional support for implementation science and equity at KUMC. Aim 2. Provide core infrastructure in methodology, engagement, and ethical issues in research with human subjects, to support implementation research conducted by Project Leaders and the broader KUMC community. Aim 3. Select and train outstanding, multi-disciplinary, senior and early-career faculty who will develop implementation science approaches for delivering high-quality care to underserved groups. The proposed COBRE will advance the field of implementation science by creating approaches to identifying inequities, diagnosing causes, and testing solutions. Implementation Science and Equity COBRE leads, Drs. Kimber Richter and Christie Befort have strong track records in leadership, administration, and mentoring in implementation science—especially with minority investigators—to achieve research independence. Taken together, the proposed COBRE will create a sustainable and growth-oriented program in implementation science that will have local, national, and international impact.

项目摘要/摘要：关于实施科学与公平的总体 COBRE 缩短将研究证据转化为临床实践的时间滞后将改善健康结果然而，直到最近，临床研究才致力于跨多个领域并降低社会成本。很少关注在现实世界的临床护理中实施循证实践。和其他亚人群在医疗保健质量方面存在更大的差距。新兴的研究领域，特别侧重于确定整合证据的最佳方法我们关于建立一期生物医学研究中心的建议。实施科学与公平卓越中心 (COBRE) 寻求在堪萨斯大学医学中心 (KUMC) 该 COBRE 将开发和测试实施科学。旨在为农村、少数民族和其他服务不足的人群提供公平护理的方法。这个位于机构发展奖 (IDeA) 州的多学科研究中心的目标是制定可持续和通用的方法来减少护理方面的不平等。包括内部咨询委员会、外部咨询委员会、强大的机构支持，以及 KUMC 的所有学校和主要中心都提供了大量的财政和实物捐助。 COBRE 将由三个研究核心组成，将为建设机构提供独特的服务实施科学方面的能力，并将指导我们的五位有前途的初级项目领导者。目标是：目标 1. 创建并维持一个组织结构，以提供科学指导和制度保障支持 KUMC 的实施科学和公平。目标 2. 提供研究方法、参与和道德问题方面的核心基础设施人类受试者，支持项目负责人和更广泛的研究实施 KUMC 社区。目标 3. 选拔和培养优秀的、多学科的、高级和早期职业教师，他们将发展实施科学方法，为服务不足的群体提供高质量的护理。拟议的 COBRE 将通过创建识别方法来推进实施科学领域不平等现象、诊断原因并测试解决方案。 COBRE 领导。金伯·里希特 (Kimber Richter) 和克里斯蒂·贝福特 (Christie Befort) 在领导、管理和指导方面拥有良好的记录实施科学——特别是少数族裔研究人员——以实现研究独立。拟议的 COBRE 将共同创建一个可持续且以增长为导向的实施计划将对地方、国家和国际产生影响的科学。