Creation of PBRN to Study Healthcare Delivery to a Transitioning Community

创建 PBRN 以研究向转型社区提供医疗保健服务

• 批准号: 7025548
• 负责人: MICHAEL F DULIN
• 金额: $ 9.89万
• 依托单位: CAROLINAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7025548
• 关键词: Hispanic Americans; clinical research; health services research tag; human subject; patient care management; primary care physician

DESCRIPTION (Provided by the Applicant): The Carolinas Healthcare System (CHS) Department of Family Medicine in partnership with the University of North Carolina at Charlotte (UNC-Charlotte) Department of Geography and Earth Sciences requests funds to initiate a primary-care practice-based research network (PBRN). The objective of the PBRN is to study healthcare delivery to the Hispanic population in Charlotte, North Carolina. This population has seen unprecedented growth due to increased Hispanic immigration to the area, challenging the ability of the medical community to adequately provide healthcare services. Charlotte Latinos are also underutilizing primary care services, despite the existence of a nearby group of primary care ambulatory clinics created to provide services for disadvantaged populations. The clinics are managed by CHS and share a common informatics infrastructure, yet no formal research network linking the clinics exists. A PBRN whose central focus is facilitating research and information exchange between clinic providers will be developed to acquire a detailed understanding of the origin and impact of barriers to healthcare access among the targeted Hispanic population. The strength of the proposed PBRN lies in the involvement of two collaborating academic institutions that will be linked with healthcare providers and the community from the outset. It has been demonstrated that pairing the "hands-on" experience of primary care physicians with university departments knowledgeable about the research process, creates the optimal partnership for a successful PBRN. The union of community members with research groups to form a community-based research team has been shown to create successful collaborations that empower communities and improve community health. Each of the elements of the proposed PBRN brings a unique perspective to the network. The CHS Department of Family Medicine has experience implementing the community-oriented primary care model, which has emerged as a valuable tool for improving health outcomes in transitioning communities. The UNC-Charlotte Department of Geography and Earth Sciences has experience in using Geographic Information Systems which will be used to evaluate the distribution of healthcare services and health care access within the Hispanic community. The inclusion of community health organizations adds the vital dimension of community-participatory research to the network. The information obtained from the proposed study will be used to fulfill the long-term goal of the PBRN, which is to develop and implement interventions to increase the efficacy of health care delivery to this and other underserved communities in the Charlotte area.

描述（由申请人提供）：卡罗莱纳州医疗保健系统 (CHS) 家庭医学部与北卡罗来纳大学夏洛特分校 (UNC-夏洛特) 地理和地球科学系合作，请求资金启动初级保健实践 -基于研究网络（PBRN）。 PBRN 的目标是研究向北卡罗来纳州夏洛特市西班牙裔人口提供的医疗保健服务。由于该地区西班牙裔移民的增加，该人口出现了前所未有的增长，对医疗界充分提供医疗保健服务的能力提出了挑战。夏洛特拉丁裔也没有充分利用初级保健服务，尽管附近存在一组为弱势群体提供服务的初级保健流动诊所。这些诊所由 CHS 管理，并共享共同的信息学基础设施，但不存在连接这些诊所的正式研究网络。将开发一个 PBRN，其核心重点是促进诊所提供者之间的研究和信息交流，以详细了解目标西班牙裔人群中医疗保健获取障碍的根源和影响。拟议的 PBRN 的优势在于两个合作学术机构的参与，这两个机构从一开始就与医疗保健提供者和社区建立联系。事实证明，将初级保健医生的“实践”经验与了解研究过程的大学部门结合起来，可以为成功的 PBRN 创造最佳的合作伙伴关系。事实证明，社区成员与研究小组联合组成一个以社区为基础的研究团队可以建立成功的合作，增强社区能力并改善社区健康。拟议的 PBRN 的每个元素都为网络带来了独特的视角。 CHS 家庭医学部拥有实施以社区为导向的初级保健模式的经验，该模式已成为改善转型社区健康结果的宝贵工具。北卡罗来纳大学夏洛特分校地理与地球科学系在使用地理信息系统方面拥有丰富的经验，该系统将用于评估西班牙裔社区内医疗保健服务的分布和医疗保健的可及性。社区卫生组织的加入为网络增添了社区参与研究的重要维度。从拟议研究中获得的信息将用于实现 PBRN 的长期目标，即制定和实施干预措施，以提高向该社区和夏洛特地区其他服务不足的社区提供医疗保健的效率。