Health Care Improvement for Aging Women

改善老年妇女的医疗保健

• 批准号: 8265573
• 负责人: ANDREA Z. LACROIX
• 金额: $ 11.6万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8265573
• 关键词: Aging; Healthcare; Woman

DESCRIPTION (provided by applicant): This is a renewal application for a highly successful, interdisciplinary, T32 training program. The purpose of this program is to build a critical mass of outstanding postdoctoral scientists, primarily epidemiologists, health services researchers, behavioral scientists, and academic clinicians, to produce the evidence that will guide optimum, efficient, and cost-effective healthcare practices for older women. In the coming years, older women will consume a disproportionate amount of the nation's health care resources. By 2030, 70 million, or 1 in 5 Americans, will have reached their 65th birthday. Women live longer than men and thus outnumber men especially in older age groups. At every age over 65, women's disabled life expectancy is doubled that of men and their institutionalized life expectancy is 3-4 fold longer than men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The training program is housed in the Group Health Research Institute, a nationally recognized leader in health care innovation. Trainees have access to a broad range of resources, including an invigorated scientific community, formal, and informal coursework, and degree granting programs. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington and the Fred Hutchinson Cancer Research Center. We will continue the training program with recruitment of 7 new postdoctoral fellows over the next 5-year period. Women's health faculty at GHRI have a rich program of research focused in areas critically important to improving healthcare for aging women including: 1) screening and preventive services; 2) bone health; 3) urinary health; 4) the menopausal transition; 5) chronic disease prevention and management; and 6) frailty and disability. Twenty faculty preceptors will participate. The training program has 8 primary learning objectives: 1) Develop skills in defining research questions and appropriate study designs; 2) Acquire basic knowledge in the 6 aforementioned research focus areas in women's health; 3) Acquire in-depth expertise in one or more research domains relevant to healthcare improvement for aging women; 4) Complete training in protection of human subjects; 5) Gain experience implementing research protocols; 6) Improve skills in making scientific presentations; 7) Improve skills in scientific writing and publishing; 8) Develop skills in grant writing. To date, we have appointed 6 postdoctoral fellows from multidisciplinary scientific areas (epidemiology, pharmacy, nutrition, demography, social work) and diverse race/ethnicity groups (2 Caucasian, 2 Asian, 1 Native American, 1 Black). Three fellows have completed the program and accepted junior faculty positions at excellent universities, 3 are current trainees, and two have successfully competed for K-awards. Over the long term, this training program will build a cohort of outstanding public health scientists prepared to have major impacts on health care delivery for aging women. PUBLIC HEALTH RELEVANCE: Women live longer than men but in every age group over 65, women's disabled life expectancy is doubled that of men and their institutionalized life expectancy is 3-4 fold longer than older men. The purpose of this training program application is to prepare postdoctoral public health scientists, primarily epidemiologists, health services researchers, behavioral scientists, and academic clinicians, to produce the evidence that will guide optimum, efficient, and cost-effective healthcare practices for older women in the future. We propose to continue this successful training program with recruitment of 7 new postdoctoral fellows over the next 5-year period.

描述（由申请人提供）：这是一份非常成功的跨学科 T32 培训计划的续签申请。该计划的目的是建立足够数量的 杰出的博士后科学家，主要是流行病学家、卫生服务研究人员、行为科学家和学术临床医生，提供证据来指导老年妇女最佳、高效和具有成本效益的医疗保健实践。未来几年，老年妇女将消耗大量的国家医疗保健资源。到 2030 年，7000 万美国人（即五分之一的美国人）将迎来 65 岁生日。女性的寿命比男性长，因此女性数量也超过男性，尤其是在老年群体中。每超过 65 岁，女性的残疾预期寿命就比男性长一倍，她们的制度化预期寿命比男性长 3-4 倍。老年女性的医疗保险支出比男性高 7-23%，疗养院支出比男性高 60-100%。该培训项目设在团体健康研究所，该研究所是全国公认的医疗保健创新领导者。学员可以获得广泛的资源，包括充满活力的科学界、正式和非正式课程以及学位授予计划。该项目及其教职人员与华盛顿大学流行病学和卫生服务系以及弗雷德·哈钦森癌症研究中心有着密切的联系。我们将继续该培训计划，在未来 5 年内招募 7 名新博士后研究员。 GHRI 的女性健康教师拥有丰富的研究计划，重点关注对改善老年女性医疗保健至关重要的领域，包括：1）筛查和预防服务； 2）骨骼健康； 3）泌尿健康； 4）更年期过渡； 5）慢性病预防和管理； 6) 虚弱和残疾。二十名教师导师将参加。培训内容 该计划有 8 个主要学习目标： 1) 培养定义研究问题和适当研究设计的技能； 2）获得上述6个妇女健康研究重点领域的基础知识； 3）在与老年女性医疗保健改善相关的一个或多个研究领域获得深入的专业知识； 4）完成人体受试者保护方面的培训； 5）获得实施研究方案的经验； 6）提高科学演示的技巧； 7）提高科学写作和出版技能； 8) 开发 补助金写作技巧。迄今为止，我们已任命了 6 名博士后研究员，他们来自多学科科学领域（流行病学、药学、营养学、人口学、社会工作）和不同种族/族裔群体（2 名白种人、2 名亚洲人、1 名美洲原住民、1 名黑人）。 3 名研究员已完成该项目并接受优秀大学的初级教职，3 名目前是实习生，2 名已成功角逐 K 奖。从长远来看，该培训计划将培养一批杰出的公共卫生科学家，准备对老年妇女的医疗保健服务产生重大影响。 公共健康相关性：女性的寿命比男性长，但在 65 岁以上的每个年龄组中，女性的残疾预期寿命是男性的两倍，而且她们的制度化预期寿命是老年男性的 3-4 倍。该培训计划申请的目的是培养博士后公共卫生科学家，主要是流行病学家、卫生服务研究人员、行为科学家和学术临床医生，以提供证据来指导老年妇女最佳、高效和具有成本效益的医疗保健实践。未来。我们建议在未来 5 年内招募 7 名新的博士后研究员，继续这一成功的培训计划。