Child Health Services Research Training Program

儿童健康服务研究培训计划

• 批准号: 7880147
• 负责人: Donald Alan Goldmann
• 金额: $ 29.26万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7880147
• 关键词: Child; Health; Services; Research; Training

DESCRIPTION (provided by applicant): The Harvard Pediatric Health Service Research (HSR) Fellowship Program seeks to train researchers who can fundamentally improve the capacity of the US health care system to meet the needs of children and families, including socioeconomically disadvantaged populations. This mature Program, first funded in 1994 by AHRQ, is now fully integrated across its 3 core sites: Children's Hospital Boston, Mass General Hospital for Children, and the Harvard Dept. of Ambulatory Care and Prevention. In the last 10 years it has graduated a diverse, multi-disciplinary group of 36 trainees drawn from a large, high-quality applicant pool. They have published 290 peer-reviewed papers, many in high-impact journals, and 92% remain in academic positions in leading pediatric centers. Trainees' research has addressed all major AHRQ HSR priority areas. Our Program is built upon a highly structured curriculum (including training in core competencies needed for independent HSR careers); a collaborative; multi-disciplinary cadre of senior mentors and faculty (including methodologists in the "basic sciences" of HSR) with well funded research portfolios; and high expectations for trainees to meet clear milestones for national presentations, publications, and grant submissions. A dynamic evaluation system has allowed rapid-cycle improvement in all aspects of our Program, including enhanced support for transitions to academic careers. In this renewal application, we highlight new initiatives in frontier areas in child HSR including: use of genetic information in pediatrics; IT innovations in personal health records to promote family centered care; comparative effectiveness research using large integrated databases to inform clinical and policy decisions; approaches to improving population health through collaborations among health care and public health systems, payers, and community partners; quasi-experimental methods for evaluating Ql interventions (including initiatives to reduce disparities); and new methods for detecting and preventing harm. We will continue to build partnerships that allow direct access to hospitals and ambulatory care systems, insure that trainees benefit from other Harvard AHRQ Programs, and leverage our connections with IHI and NICHQ for access to "real world" work on health care innovation, translation, implementation, and dissemination. These initiatives, along with our already robust HSR portfolio, utilize fully the cross-disciplinary resources at Harvard to train a generation of leaders in child HSR.

描述（由申请人提供）：哈佛小儿卫生服务研究（HSR）奖学金计划旨在培训研究人员，这些研究人员可以从根本上提高美国卫生保健系统的能力，以满足儿童和家庭的需求，包括社会经济贫困人口。该成熟的计划于1994年由AHRQ资助，现在已在其3个核心地点完全融合：波士顿儿童医院，大众儿童综合医院以及哈佛大学的门诊护理和预防部门。在过去的十年中，它毕业了一个由36名学员组成的多样化的多学科小组，这些小组是从大型高质量申请人池中汲取的。他们已经发表了290份同行评审的论文，其中许多是高影响力期刊，而在领先的小儿中心中仍处于学术职位。受训人员的研究已经解决了所有主要的AHRQ HSR优先领域。我们的计划建立在一项高度结构化的课程基础上（包括对独立HSR职业所需的核心能力进行培训）；协作；高级导师和教职员工的多学科干部（包括基本科学的方法论家）与资助良好的研究组合；以及对学员的高度期望，可以满足国家演讲，出版物和授予提交的清晰里程碑。动态评估系统允许在我们计划的各个方面进行快速循环的改进，包括增强对学术职业过渡的支持。在此续签应用中，我们重点介绍了儿童HSR边境地区的新计划，包括：在儿科中使用遗传信息； IT在个人健康记录中创新以促进家庭中心护理；使用大型集成数据库的比较有效性研究为临床和政策决策提供了信息；通过医疗保健和公共卫生系统，付款人和社区合作伙伴之间的合作来改善人口健康的方法；用于评估QL干预措施的准实验方法（包括减少差异的举措）；以及检测和预防伤害的新方法。我们将继续建立合作伙伴关系，以直接访问医院和门诊系统，确保受训者从哈佛AHRQ的其他计划中受益，并利用我们与IHI和NICHQ的联系，以访问有关医疗保健创新，翻译，实施和传播的“现实世界”工作。这些举措，以及我们已经强大的HSR投资组合，全面利用了哈佛大学的跨学科资源来培训儿童hsr的一代领导者。