Addressing Oral Health Disparities in Medicaid-Enrolled Special Needs Children wi

解决加入医疗补助的特殊需要儿童的口腔健康差异

• 批准号: 8264933
• 负责人: Donald Leslie Chi
• 金额: $ 12.64万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-06 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8264933
• 关键词: Accounting; Address; Adopted; Advisory Committees; Applications Grants; Award; Behavior; Behavioral; Belief; Caregivers; Caring; Child; Chronic; Clinical; Clinical Data; Cognitive deficits; Communities; Community Dentistry; Complex; Comprehensive Dental Care; Computer software; Consult; Data; Dental; Dental Care; Dental Care for Children; Dental Hygiene; Dental caries; Dentists; Development; Development Plans; Discipline; Doctor of Philosophy; Emergency Situation; Enrollment; Environment; Ethnic Origin; Family; Funding; Future; General Anesthesia; Glean; Goals; Grouping; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Health Services Research; Healthcare; Healthcare Systems; Hospitals; Improve Access; Interdisciplinary Study; Intervention; Iowa; K-Series Research Career Programs; Knowledge; Lead; Learning; Link; Literature; Low income; Measures; Medicaid; Medical History; Mentors; Mentorship; Modeling; Operating Rooms; Oral health; Outcome; Outcome Measure; Pediatric Dentistry; Pediatrics; Phase; Policies; Preventive; Preventive Dentistry; Principal Investigator; Process; Provider; Public Health; Publications; Publishing; Race; Relative (related person); Reporting; Research; Research Activity; Research Methodology; Research Personnel; Resources; Risk; School Dentistry; Scientist; Services; Severities; Structure; Subgroup; Surveys; Temperament; Testing; Time; Training; Travel; United States National Institutes of Health; Universities; University Health Services; Visit; Washington; Work; Writing; aged; base; career; career development; design; evidence base; experience; health disparity; improved; innovation; insight; meetings; professor; programs; public health relevance; research and development; skills; tertiary care; theories

DESCRIPTION (provided by applicant): The proposed application for a K08 Mentored Clinical Scientist Research Career Development Award is being submitted by Donald Chi, a dentist with advanced clinical training in pediatric dentistry and dental public health. Dr. Chi is currently a PhD candidate in Oral Health Services Research at the University of Iowa. This award will allow Dr. Chi to meet his long-term goal of becoming an independently-funded clinician scholar with an interdisciplinary research program that addresses disparities in oral health and access to dental care for children with special health care needs. His immediate career goal is to extend his dissertation research on access to dental care for Medicaid-enrolled children with a chronic condition by developing, testing, and refining a new multi-level conceptual model on access. Dr. Chi proposes the following five aims related to his career development: (1) improve conceptual understanding of access to care for low-income children with special needs; (2) learn and apply new discipline- and theory-based research methods; (3) collect pilot data for a future R01 application; (4) improve writing skills and professional networks; and (5) develop mentorship skills. In addition, he will test the central hypothesis of the proposed research plan - that the health care system-, community-, provider-, family-, and child-level determinants of access to dental care are complex, interrelated, and vary in relative importance depending on type of access being examined - through the following three research aims: (1) identify the multi-level determinants of access to dental care for Medicaid-enrolled children with a chronic condition using administrative data; (2) evaluate the extent to which behavioral factors are associated with access to dental care for Medicaid-enrolled children with a chronic condition using survey data; and (3) assess the relationship between access to dental care and the level of unmet dental need for Medicaid-enrolled children with a chronic condition using clinical data. This research will guide future studies on access and help in the development of multi-level interventions that will improve the oral health of Medicaid-enrolled children with a chronic condition. The proposed career development and research activities will take place in highly supportive, research-intensive environments. Peter Milgrom, DDS and Colleen Huebner, PhD, national experts in their respective fields and Directors of the Northwest Center to Reduce Oral Health Disparities at the University of Washington School of Dentistry, will supervise Dr. Chi's research and career development activities. In addition, Dr. Chi will receive consulting advice from John Neff, MD (co-developer of Clinical Risk Grouping software); Lloyd Mancl, PhD (biostatistician); and Elizabeth Momany, PhD (Iowa Medicaid data expert). Finally, all activities will be overseen by an External Advisory Committee consisting of Jeffrey Murray, MD (Professor of Pediatrics, University of Iowa); Peter Damiano, DDS, MPH (Professor of Preventive and Community Dentistry, University of Iowa); and Diane Martin, PhD (Professor of Health Services, University of Washington). This cross-institutional, interdisciplinary mentorship team will facilitate Dr. Chi's natural progression from current research experiences to the mentored clinical scientist development phase and then to independence. Public Health Relevance: There is a dearth of research on access to dental care for publicly-insured children with special health care needs. This project seeks to identify and understand the multi-level determinants of access to dental care for Medicaid-enrolled children with a chronic condition. Our work will be used to develop clinical and policy strategies designed to reduce oral health disparities and to improve the oral health of these vulnerable children.

描述（由申请人提供）：拟议的K08指导临床科学家研究职业发展奖的申请由唐纳德·奇（Donald Chi）提交，唐纳德·奇（Donald Chi）是一名牙医，该牙医接受了小儿牙科和牙科公共卫生的高级临床培训。 Chi博士目前是爱荷华大学口腔健康服务研究的博士学位候选人。该奖项将使Chi博士能够实现他的长期目标，即通过跨学科研究计划成为一名独立资助的临床医生，该计划解决了口腔健康方面的差异，并为具有特殊医疗保健需求的儿童提供了牙科护理。他的直接职业目标是通过开发，测试和完善有关访问的新的多层次概念模型，扩展他对医疗补助注册儿童的牙科护理的访问研究的论文研究。 Chi博士提出了以下五个与他的职业发展有关的目标：（1）提高对有特殊需要的低收入儿童获得护理的概念理解； （2）学习并应用新的学科和基于理论的研究方法； （3）收集未来R01应用程序的试点数据； （4）提高写作技巧和专业网络； （5）发展指导能力。此外，他还将检验拟议的研究计划的中心假设 - 医疗保健系统 - ，社区，提供者 - ，家庭和儿童级别的诊所访问权限的决定因素是复杂的，相互关联的，相互关联的，并且相对重要性根据所检查的访问类型而变化 - 通过以下三个研究目的：（1）确定访问范围的儿童范围的范围，以下三个研究，以确定态度的范围。 （2）评估使用调查数据具有慢性病的医疗补助儿童的行为因素与获得医疗补助注册儿童的牙齿护理有关的程度； （3）评估使用牙科护理的机会与使用临床数据的慢性病儿童的牙科牙科需求水平之间的关系。这项研究将指导未来的有关访问的研究，并有助于开发多层干预措施，以改善患有慢性病的医疗补助儿童的口腔健康。拟议的职业发展和研究活动将在高度支持，研究密集的环境中进行。彼得·米尔格罗姆（Peter Milgrom），DDS和科琳·休伯纳（Colleen Huebner），博士学位，其各自领域的国家专家和西北中心的董事，以减少华盛顿大学牙科学院的口腔健康差异，将监督Chi博士的研究和职业发展活动。此外，Chi博士将获得医学博士John Neff（临床风险分组软件的共同开发者）的咨询建议；劳埃德·曼克（Lloyd Mancl）博士（生物统计学家）；和Elizabeth Momany博士（爱荷华州医疗补助数据专家）。最后，所有活动将由外部咨询委员会监督，由医学博士Jeffrey Murray（爱荷华大学儿科教授）组成；彼得·达米亚诺（Peter Damiano），DDS，MPH（爱荷华大学预防和社区牙科教授）；和Diane Martin博士（华盛顿大学卫生服务教授）。这个跨机构的跨学科指导团队将促进Chi博士从当前的研究经验到指导的临床科学家发展阶段，然后再到独立性的自然发展。 公共卫生相关性：缺乏有关具有特殊医疗保健需求的公开保险儿童获得牙科护理的研究。该项目旨在识别和理解具有慢性病的医疗补助注册儿童获得牙齿护理的多层次决定因素。我们的工作将用于制定旨在减少口腔健康差异并改善这些脆弱儿童的口腔健康的临床和政策策略。