A Transdisciplinary Approach to the Evaluation of Social Determinants of Health s

评估健康社会决定因素的跨学科方法

基本信息

批准号：
8707250
负责人：
MICHAEL F DULIN
金额：
$ 35.35万
依托单位：
CAROLINAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-30 至 2017-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8707250
关键词：
Accident and Emergency department Age American Area Clinic Clinical Data Communities Community Health Community Health Services Community Hospitals Community Surveys Country County Crime Data Data Collection Databases Development Disadvantaged Effectiveness of Interventions Ethnic Origin Evaluation Family Practice Food Gender Geographic Information Systems Goals Hazardous Substances Health Health Food Health Personnel Health Services Health Services Accessibility Healthcare Healthcare Systems Hispanics Hospitalization Hospitals Housing Immigrant Improve Access Individual Intervention Lead Life Low income Maps Modeling Neighborhoods North Carolina Outcome Pattern Policies Population Primary Health Care Process Provider Public Hospitals Qualitative Methods Qualitative Research Quality of life Race Recording of previous events Recreation Research Research Methodology Research Technics Resources Risk School Nursing Schools Services Social Network Socioeconomic Status Surveys System Transportation Universities Vulnerable Populations billing data community based participatory research demographics density design effective intervention experience health care service utilization health disparity improved innovation low socioeconomic status medical specialties member metropolitan novel novel strategies practice-based research network research study residence skills social social health determinants therapy design tool

项目摘要

Project Summary Individual and community health is adversely impacted by disparities in health outcomes for disadvantaged and vulnerable populations. Understanding the underlying causes of health disparities is an essential step in developing interventions designed to ameliorate them and subsequently improve overall community health. This study will examine multiple social determinates that can cause disparities including: deprived neighborhood conditions, inefficient social networks, low socioeconomic status, the presence of hazardous materials in or near a neighborhood, and the lack of access to primary care services with the goal of developing novel and innovated approached to improving community health. First, our collaborative team will look for associations between these social determinants and rates of hospitalizations, emergency department (ED) use, and ED use for primary care treatable or preventable conditions. Second, geospatial models will be developed using both hospital and community level data that will identify local areas where interventions to improve disparities would have the greatest impact. Third, the associations between social determinants and health outcomes as well as the geospatial models will be validated using community surveys and qualitative methods. Fourth, our community's rapidly growing and underserved Hispanic immigrant population will be the target of an intervention informed by the research process and designed, deployed, and evaluated using the geospatial tools and qualitative research findings. The purpose of this intervention will be to reduce health disparities by improving access to and utilization of primary care and preventative services. This project will occur within a primary care practice-based research network using key principles of community-based participatory research. An advisory board of community members, key stakeholders, primary care providers, and research team members will guide the process to assure that all findings are relevant and applicable to the targeted community. All findings will be disseminated through partnering organizations within the research network and will be made available for all community members to assist in the procurement of additional resources and to broaden the scope of the intervention to include all community members that suffer from health disparities.

项目概要个人和社区健康受到健康结果差异的不利影响弱势群体和弱势群体。了解健康差异的根本原因是制定旨在改善这些问题并随后提高整体水平的干预措施的重要一步社区健康。这项研究将探讨可能导致差异的多种社会决定因素，包括：贫困的邻里条件、低效的社交网络、低下的社会经济地位、社区内或附近存在有害物质，以及无法获得初级保健服务，其目标是开发新颖和创新的方法来改善社区健康。首先，我们的协作团队将寻找这些社会决定因素与住院率、急诊科率之间的关联 (ED) 使用，以及 ED 用于初级保健可治疗或可预防的病症。其次，地理空间模型将使用医院和社区层面的数据开发，这些数据将确定需要采取干预措施的当地区域改善差距将产生最大的影响。第三，社会决定因素与将通过社区调查和定性研究来验证健康结果以及地理空间模型方法。第四，我们社区快速增长且服务不足的西班牙裔移民人口将成为干预的目标由研究过程提供信息，并使用以下方法进行设计、部署和评估地理空间工具和定性研究结果。该干预措施的目的是降低健康水平通过改善初级保健和预防性服务的获取和利用来缩小差距。该项目将在基于初级保健实践的研究网络中进行，使用以下关键原则：以社区为基础的参与性研究。由社区成员、主要利益相关者、主要利益相关者组成的咨询委员会护理提供者和研究团队成员将指导该过程，以确保所有发现都是相关的并且适用于目标社区。所有调查结果将通过内部合作组织传播研究网络并将提供给所有社区成员以协助采购额外资源并扩大干预范围以包括所有遭受苦难的社区成员来自健康差异。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood.

DOI：
10.1177/1540415317727569
发表时间：
2017-09
期刊：
Hispanic health care international : the official journal of the National Association of Hispanic Nurses
影响因子：
0
作者：
Coffman MJ;de Hernandez BU;Smith HA;McWilliams A;Taylor YJ;Tapp H;Schuch JC;Furuseth O;Dulin M
通讯作者：
Dulin M

Bringing Big Data to the Forefront of Healthcare Delivery: The Experience of Carolinas HealthCare System.

将大数据带到医疗保健服务的最前沿：卡罗莱纳州医疗保健系统的经验。

DOI：
发表时间：
2016
期刊：
Frontiers of health services management
影响因子：
0
作者：
Dulin,MichaelF;Lovin,CarolA;Wright,JeanA
通讯作者：
Wright,JeanA

Community-Academic Partnerships to Improve Hispanic Immigrant Health: Perspectives from a Doctoral Student.

改善西班牙裔移民健康的社区学术伙伴关系：博士生的观点。

DOI：
10.1353/nib.2017.0007
发表时间：
2017
期刊：
Narrative inquiry in bioethics
影响因子：
0
作者：
Schuch,JClaire
通讯作者：
Schuch,JClaire

Using Community-Based Participatory Research to Develop Geospatial Models Toward Improving Community Health for Disadvantaged Hispanic Populations in Charlotte, NC.

利用基于社区的参与性研究开发地理空间模型，以改善北卡罗来纳州夏洛特弱势西班牙裔群体的社区健康。

DOI：
10.1007/s10935-018-0505-z
发表时间：
2018
期刊：
The journal of primary prevention
影响因子：
0
作者：
Ludden,ThomasM;Taylor,YhennekoJ;Simmons,LauraK;Smith,HeatherA;deHernandez,BrisaUrquieta;Tapp,Hazel;Furuseth,OwenJ;Dulin,MichaelF
通讯作者：
Dulin,MichaelF

Communities matter: the relationship between neighborhoods and health.

社区很重要：社区与健康之间的关系。