Clinical Health Services and Research Core

临床健康服务和研究核心

基本信息

批准号：
9987906
负责人：
Paul D Cleary
金额：
$ 17.21万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/9987906
关键词：
AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adherence Affect Age Alcohol or Other Drugs use Alcohols Area Behavior Behavioral Bisexual Caring Clinic Clinical Clinical Services Collaborations Communities Comorbidity Continuity of Patient Care Criminal Justice Development Discipline of Nursing Domestic Violence Drug user Elderly Epidemic Fostering Gays Geriatrics Goals Grant HIV HIV Infections HIV Seronegativity Health Health Personnel Health Services Health Services Accessibility Health Services Research Health behavior Health system Healthcare Healthcare Systems High Prevalence Hispanics Human immunodeficiency virus test Incidence Individual Infection Interdisciplinary Study International Interpersonal Violence Intervention Studies Joints Knowledge Lead Leadership Maintenance Medicine Mental Health Mental disorders Mentors Minority New England Outcome Pediatrics Persons Population Population Heterogeneity Poverty Prevention Prevention Research Prevention approach Primary Health Care Psychiatry Psychological Factors Public Health Research Research Personnel Research Support Risk Risk Behaviors Role School Nursing Stress Substance Use Disorder System Testing United States National Institutes of Health Veterans Viral Woman Youth addiction aged care systems community based care correctional system experience health disparity high risk population implementation research implementation science implementation strategy improved innovation interdisciplinary collaboration meetings men men who have sex with men multidisciplinary personalized approach pre-exposure prophylaxis professor programs psychologic racial and ethnic disparities research and development social social stigma success transgender transgender women transmission process uptake working group

项目摘要

CLINICAL AND HEALTH SERVICES RESEARCH CORE Abstract The Clinical and Health Services Research (CHSR) Core promotes multidisciplinary intervention research in diverse clinical settings that mitigates the impact of mental health disorders, substance use, and other HIV comorbidities and advances the uptake and efficacy of pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) approaches. The CHSR Core will foster linkages and research collaborations that integrate clinical and social/behavioral approaches, and contribute expertise in HIV comorbidities research in clinical settings. Over the next five years, the Core will promote and support high quality research in areas in which psychological factors, mental health and treatment for substance use disorders within health systems are of utmost importance. Areas of special emphasis will include: engaging youth who are either HIV-infected or at risk for HIV, including transgender youth; and optimizing health care for those with substance use disorders and/or mental health comorbidities, and for women experiencing interpersonal violence and/or involved in the correctional system. As part of CIRA's New England HIV Implementation Science Network, the CHSR Core will emphasize development and support of research on linkage, retention and other implementation gaps in the treatment cascade, and issues particularly salient to HIV care in small clinics and health systems. The CHSR Core will also lead CIRA's international research development efforts, promoting and supporting strategic international collaborations with potential to have a high impact on the epidemic occurring in high prevalence areas. Through joint meetings with the Community Research and Implementation Core, CHSR will promote and support research addressing gaps across the continuum of care that entail both community-based and health care system approaches. Dr. David Fiellin, Professor of Medicine and Public Health, will serve as CHSR Core Director. Dr. Fiellin has conducted extensive research on substance use and mental health and has expertise in IS. Dini Harsono, MSc will serve as the Core Assistant Director. Other senior investigators in the Core have substantial research experience related to the interface between primary care, HIV, addiction and mental health comorbidities, and bring both research and clinical backgrounds in nursing, pediatrics, addiction medicine, geriatrics, and psychiatry and expertise with diverse populations such as veterans, people who use drugs and alcohol, youth, elderly, gay/bisexual men and others. These include: Dr. Brian Forsyth, Professor of Pediatrics who will lead the CHSR Core's international research program and facilitate a new Youth Work Group; Dr. Paul Cleary, Professor of Public Health and Director of CIRA, an expert in health services research; Dr. Frederick Altice, Professor of Medicine, who conducts implementation research focused on diverse risk groups both domestically and internationally; Dr. Gerald Friedland, Professor of Medicine, recognized internationally for his extensive research relating to HIV care and its comorbidities; Dr. Ann Kurth, Dean of the School of Nursing who provides leadership in international research on the continuum of care; and others.

临床和健康服务研究核心抽象的临床和健康服务研究（CHSR）核心促进了多学科干预研究减轻精神健康障碍，药物使用和其他艾滋病毒影响的各种临床环境合并症和提高暴露前预防（PREP）和治疗的吸收和功效预防（TASP）方法。 CHSR核心将促进整合的联系和研究合作临床和社会/行为方法，并在临床方面贡献HIV合并症研究的专业知识设置。在接下来的五年中，核心将促进和支持高质量研究卫生系统内的心理因素，心理健康和药物使用障碍的治疗是最重要的。特别重点的领域将包括：受HIV感染或在艾滋病毒的风险，包括跨性别青年；并为患有药物使用障碍的人优化医疗保健和/或心理健康合并症，以及经历人际暴力和/或参与的女性惩教系统。作为CIRA新英格兰HIV实施科学网络的一部分，CHSR Core将强调对链接，保留和其他实施差距的研究的发展和支持在小型诊所和卫生系统中，治疗级联以及对艾滋病毒护理特别明显的问题。 CHSR 核心还将领导CIRA的国际研究发展工作，促进和支持战略国际合作有可能对高流行的流行病产生重大影响区域。通过与社区研究和实施核心的联合会议，CHSR将促进并支持研究解决跨社区和基于社区的差距的差距的研究医疗保健系统方法。医学和公共卫生教授David Fiellin博士将担任CHSR 核心主任。 Fiellin博士已经对药物使用和心理健康进行了广泛的研究，并已 IS的专业知识。迪尼·哈森（Dini Harsono），硕士将担任核心助理主任。其他高级调查员核心具有与初级保健，艾滋病毒，成瘾和心理健康合并症，并带来护理，儿科，成瘾的研究和临床背景医学，老年医学和精神病学和专业知识，包括退伍军人，例如使用的人毒品和酒精，青年，老年人，同性恋/双性恋男人和其他人。其中包括：Brian Forsyth博士，教授将领导CHSR Core的国际研究计划并促进新的青年工作的儿科团体; Paul Cleary博士，公共卫生教授兼CIRA主任，卫生服务研究专家；医学教授Frederick Altice博士进行的实施研究重点是多样化的风险在国内和国际上群体；医学教授Gerald Friedland博士认可国际上与他有关艾滋病毒护理及其合并症的广泛研究；安·库斯（Ann Kurth）博士护理学院在国际护理方面提供领导力；还有其他。