Sinai diabetes center

西奈糖尿病中心

• 批准号: 10649981
• 负责人: Jackie Jacobs
• 金额: $ 49.94万
• 依托单位: SINAI HEALTH SYSTEM, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10649981
• 关键词: Sinai; diabetes; center

PROJECT SUMMARY Sinai Chicago (Sinai) is Illinois’ largest private safety-net healthcare system, serving predominantly low-income communities of color with large Medicaid-eligible populations in Chicago. In response to high diabetes rates and community calls for coordinated, multidisciplinary diabetes care, Sinai designed the Center for Diabetes and Endocrinology (the Center) which launched in 2020. The Center uses a comprehensive model with streamlined services to address the full spectrum of patient medical and non-medical needs. We propose a convergent mixed-methods optimization study to determine the appropriateness and fidelity of three intervention components of a team- based care model for patients served by the Center to define the ideal sequence for improving patient outcomes. Grounded in qualitative methodology and guided by a sequential multiple assignment randomized trial (SMART), we propose evaluating the appropriateness of novel intervention enhancements (Aim 1); measuring fidelity of new intervention enhancements (Aim 2); comparing the effectiveness and determining optimization of intervention enhancements (Aim 3). We will evaluate Aim 1 via key stakeholder interviews and focus groups. We will analyze Aims 2 and 3 by conducting descriptive statistics on all variables, giving special attention to outlier values. We will also run bivariate and multivariate analyses across variables of interest and time points to determine the optimal sequence of intervention activities. We will disseminate our learnings broadly to key stakeholders through community forums, peer-reviewed publications and presentations. Our multi-disciplinary team has a wealth of experience in health services programming as well as research and evaluation. We propose a 3 year, $1.5 million project from March 2023 to February 2026.

项目摘要 西奈芝加哥（西奈）是伊利诺伊州最大的私人安全网医疗系统，服务 主要是低收入的色彩社区，符合医疗补助资格的人群 在芝加哥。为了响应高糖尿病率和社区要求协调的呼吁， Sinai多学科糖尿病护理设计了糖尿病和 内分泌学（该中心）于2020年推出。该中心使用综合 具有简化服务的模型，以解决全部患者医疗和 非医学需求。我们提出了一项收敛的混合方法优化研究 确定团队三个干预组成部分的适当性和保真度 - 基于中心服务的患者的基于护理模型，以定义理想序列 改善患者的预后。以定性方法为基础，并以 顺序多次分配随机试验（SMART），我们建议评估 新颖干预增强的适当性（AIM 1）；测量新的忠诚度 干预增强（目标2）；比较有效性和确定性 干预增强的优化（目标3）。我们将通过密钥评估AIM 1 利益相关者采访和焦点小组。我们将通过进行分析目标2和3 所有变量的描述性统计数据，特别注意异常值。我们将 还可以跨感兴趣的变量和时间点进行双变量和多变量分析 确定干预活动的最佳序列。我们将传播我们的 通过社区论坛对主要利益相关者进行广泛的学习，并经过同行评审 出版物和演示。我们的多学科团队拥有丰富的经验 在卫生服务计划以及研究和评估中。我们提出了3 一年，从2023年3月到2026年2月的150万美元项目。