Rural Health Research and Delivery Core

农村卫生研究和交付核心

• 批准号: 10205090
• 负责人: Jan Kirk Carney
• 金额: $ 89.13万
• 依托单位: MAINEHEALTH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-03 至 2022-08-04
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10205090
• 关键词: Academy; Address; Adoption; Basic Science; Biostatistics Core; Caring; Chronic; Clinical; Clinical Research; Clinical Trials; Collaborations; Communication; Communities; Community Health; Community Practice; Consent; Data; Data Analyses; Data Analytics; Data Collection; Data Science; Data Scientist; Development; Environment; Epidemiology; Fostering; Goals; Health; Health Care Research; Health Professional; Health Services Research; Health Status; Informatics; Infrastructure; Institution; Intervention; Investigator-Initiated Research; Lead; Link; Maine; Medical center; Modeling; Morbidity - disease rate; New England; Observational Study; Occupations; Outcome; Patient Care; Patients; Pilot Projects; Population; Practice based research; Provider; Public Health; Public Policy; Qualitative Research; Relationship-Building; Research; Research Activity; Research Design; Research Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Rural; Rural Health; Science; Science Policy; Scientist; Series; Site; Structure; Targeted Research; Testing; Training; Translating; Translational Research; Translations; Trust; Universities; Vermont; Work; base; catalyst; clinical practice; data access; data modeling; data standards; design; experience; health care availability; health data; health disparity; implementation research; implementation science; improved; innovation; mortality; population health; public health research; research in practice; research to practice; rural area; tool; translational pipeline; translational scientist

PROJECT SUMMARY Rural areas of Northern New England suffer from disparities in health status, health care access and clinical outcomes that lead to increased morbidity and mortality. Compounding this problem, rural providers and populations are seriously under-represented in clinical trials and health services research activities. Improving population health depends on successful translation of findings from basic science to clinical research, and subsequently to broader adoption through implementation science and public policy. This translational spectrum requires strong connections to clinical practice, not only as a testing ground for innovative ideas, but also as an environment in which real-world problems can be identified, characterized and brought forward as targets for research. The broad goal of the Rural Health Research and Delivery (RHRD) Core is to develop and support a partnership between academic institutions and rural practices in Northern New England to successfully carry out clinical and translational research. To achieve this goal we will engage in a series of activities designed to: 1) create a bi-directional partnership between academic centers and rural practices in order to stimulate research ideas, facilitate clinical and translational research, and test strategies to improve health; 2) develop the infrastructure to support research in rural practices; and 3) enhance research capacity through improved data access, data standardization, and, in collaboration with the Clinical Research Design, Epidemiology, and Biostatistics Core (CRDEB), provide training and access to state-of-the art observational and clinical research methodologies. These aims will be supported by strategies to engage rural practices in the research enterprise and in relationships with academic research partners in a team science and cooperative extension model approach. This includes the creation of innovative new research professional positions in Maine and Vermont, Practice-based Research Catalysts, who will facilitate communication and relationship building between academy and community, and will support the development and implementation of research projects. We will also develop formal and informal opportunities for researchers from academic centers and public/community health professionals to meet and work with rural clinicians, and collect qualitative data from rural clinicians and their practice organizations to understand the potential benefits and perceived barriers of participating in clinical and translational research. Finally, we will expand Northern New England providers' participation in the Observational Health Data, Science and Informatics platform, an innovative community of clinicians, researchers and data scientists committed to improving data comparability and robust research methodologies for observational and other clinical research. The activities of the RHRD core will involve collaboration with all of the other cores in this proposal. In particular, there will be activities in partnership with the CRDEB, Pilot Projects, and Professional Development Cores.

项目概要 新英格兰北部的农村地区在健康状况、医疗保健获取和临床方面存在差异 导致发病率和死亡率增加的结果。使这个问题变得更加复杂的是，农村提供者和 临床试验和卫生服务研究活动中人群的代表性严重不足。改善 人口健康取决于基础科学成果向临床研究的成功转化，以及 随后通过实施科学和公共政策得到更广泛的采用。这个翻译 频谱需要与临床实践紧密联系，不仅作为创新想法的试验场，而且 也是一个可以识别、描述和提出现实世界问题的环境 研究目标。农村卫生研究和交付 (RHRD) 核心的总体目标是开发和 支持新英格兰北部学术机构和农村实践之间的伙伴关系 成功开展临床和转化研究。为实现这一目标，我们将开展一系列工作 活动旨在：1）在学术中心和农村实践之间建立双向伙伴关系 为了激发研究思路，促进临床和转化研究，并测试改进策略 健康; 2）发展基础设施以支持农村实践研究； 3）增强研究能力 通过改进数据访问、数据标准化，并与临床研究设计合作， 流行病学和生物统计学核心（CRDEB）提供培训和最先进的观察数据 和临床研究方法。这些目标将得到让农村实践参与其中的战略的支持。 研究企业以及与团队科学和学术研究伙伴的关系 合作扩展模型方法。这包括创建创新的新研究专业人员 在缅因州和佛蒙特州的基于实践的研究催化剂职位，他们将促进沟通和 建立学院与社区之间的关系，并将支持制定和实施 研究项目。我们还将为学术界的研究人员提供正式和非正式的机会 中心和公共/社区卫生专业人员与农村临床医生会面并合作，并收集 来自农村临床医生及其实践组织的定性数据，以了解潜在的好处和 参与临床和转化研究的感知障碍。最后，我们将扩建北方新区 英格兰提供者参与观察健康数据、科学和信息学平台， 由临床医生、研究人员和数据科学家组成的创新社区致力于提高数据可比性 以及用于观察和其他临床研究的强大研究方法。人权捍卫者协会的活动 core 将涉及与本提案中所有其他核心的协作。特别是，将会有以下活动 与 CRDEB、试点项目和专业发展核心的合作伙伴关系。