Entry into Adult Care for Youth with Chronic Conditions

患有慢性病的青少年接受成人护理

• 批准号: 7037198
• 负责人: Peter B Scal
• 金额: $ 12.94万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7037198
• 关键词: adolescence (12-20); behavioral /social science research tag; career; chronic disease /disorder; clinical research; health care quality; health care service availability; health care service utilization; health economics; health insurance; health services research tag; human data; longitudinal human study; mentoring /mentor; young adult human (21-34)

DESCRIPTION (provided by applicant): This career development award aims to provide the foundations for the candidate's career transition to an independent researcher and leader in health services research and policy focusing on the intersection of health care services and policies for adolescents with special health care needs. His long-term goal is to improve the health and quality of health care for adolescents with chronic conditions. From a background in pediatrics and public health/maternal and child health and his current position as a fellow in health services research the candidate has begun to develop the knowledge-base and skills necessary for a successful career in health services research. This award proposal details a 3-year scope of work through which he will gain the theoretical and methodological knowledge and skills and research experience that will serve as the foundation for future research endeavors. Specifically, the 3 year goals of this proposal are to: 1) acquire expertise in research methodology through the completion of doctoral training in health services research; 2) conduct a series of substantively related research studies under the mentorship of a team of experienced interdisciplinary health services researchers utilizing a variety of research methodologies; 3) build a network of colleagues and collaborators within the University of Minnesota as well as nationally through participation at local and national seminars and meetings; and 4) prepare and submit two federal research grants based upon the findings from the mentored research. The three related research projects that comprise this application address the issue of improving the quality of care provided to adolescents and young adults with special health care needs as they transition to adulthood and from pediatrics to adult oriented health care. The specific aims are: 1) to compare delays in care and unmet needs and their determinants between adolescents (14-17 years) and young adults (18-24 years) with chronic conditions utilizing data from the National Health Interview Survey (NHIS); 2) to compare the factors associated with access to health care, and specifically primary care services between adolescents and young adults with chronic conditions utilizing data from the Medical Expenditures Panel Survey (MEPS); and 3) to compare the health care utilization and expenditures between adolescents and young adults with chronic conditions and to evaluate the effect of loss of insurance coverage on health care access, utilization and expenditures utilizing MEPS data.

描述（由申请人提供）：该职业发展奖旨在为候选人的职业转型奠定基础，成为卫生服务研究和政策领域的独立研究员和领导者，重点关注针对有特殊卫生保健需求的青少年的卫生保健服务和政策的交叉点。他的长期目标是改善慢性病青少年的健康和医疗保健质量。凭借儿科和公共卫生/妇幼健康的背景以及目前作为卫生服务研究研究员的职位，候选人已开始发展卫生服务研究成功职业所需的知识库和技能。该奖项提案详细说明了三年的工作范围，通过该工作范围，他将获得理论和方法知识、技能以及研究经验，为未来的研究工作奠定基础。具体来说，该提案的 3 年目标是： 1）通过完成卫生服务研究的博士培训获得研究方法方面的专业知识； 2）在经验丰富的跨学科卫生服务研究人员团队的指导下，利用各种研究方法进行一系列实质性相关的研究； 3）通过参加地方和国家研讨会和会议，在明尼苏达大学内部以及全国范围内建立同事和合作者网络； 4) 根据指导研究的结果准备并提交两项联邦研究补助金。组成该应用程序的三个相关研究项目解决了在青少年和年轻人向成年过渡以及从儿科过渡到面向成人的医疗保健过程中提高向有特殊医疗保健需求的青少年和年轻人提供的医疗质量的问题。具体目标是： 1) 利用国家健康访谈调查 (NHIS) 的数据，比较患有慢性病的青少年（14-17 岁）和年轻人（18-24 岁）之间的护理延误和未满足的需求及其决定因素； 2) 利用医疗支出小组调查 (MEPS) 的数据，比较患有慢性病的青少年和年轻人之间获得医疗保健、特别是初级保健服务的相关因素； 3) 比较患有慢性病的青少年和年轻人的医疗保健利用和支出，并利用 MEPS 数据评估失去保险覆盖对医疗保健获取、利用和支出的影响。