Administration Core

行政核心

基本信息

批准号：
10267314
负责人：
MARK RICHARD CULLEN
金额：
$ 330.56万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-22 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10267314
关键词：
Address Affect American Indians Bioethics COVID-19 COVID-19 pandemic Calibration Centers for Disease Control and Prevention (U.S.)Collaborations Communicable Diseases Communities Consent Consultations Data Detection Development Devices Diagnostic Diagnostic Reagent Diagnostic tests Disease Outbreaks Economics Education Ensure Environment Equilibrium FDA approved Face Future Goals Government Health Health Policy Health Resources Healthcare Indigenous Infection Infrastructure Knowledge Laboratories Laws Measures Medical Methods Monitor Morbidity - disease rate Northern Plains Tribe Participant Patients Policies Population Prevalence Privacy Protocols documentation Public Health Public Health Practice Readiness Research Resources Risk Running Safety Science Secure Serologic tests Site Symptoms System Technology Test Result Testing Teton Sioux Indian Time Training Translations Tribes United States Work base biobank biosignature combat community partnership data management data resource design electronic data equipment acquisition falls fitness health disparity health economics heart rate monitor improved innovation insight medical schools mortality multimodality pandemic disease patient privacy preservation programs research facility response seroconversion social tool tribal community tribal health tribal medicine web portal

项目摘要

The spread of COVID-19 across the world and throughout the United States has brought extant disparities in health care resources and capacity into new focus as the various health, economic, and social harms of COVID19 disproportionately fall upon under-invested communities. Ongoing limitations in testing capacity, medical infrastructure and resources, and strong community partnerships are leading to greater spread of COVID-19, more difficulty in balancing precautionary isolation vs economic decisions, and a lack of data to guide public health policies. At the same time, efforts to overcome these issues that are led by faraway groups without local knowledge or consent can not only result in the promotion of ineffective solutions over local needs, but can also perpetuate ongoing harms to health, social, and economic concerns. Therefore, solutions that aim to address COVID-19 public health capacity in under-resourced environments must include local resources, local consent, and ensure long-term capacity, shared equity, and data control for participants. Here, we propose to leverage pre-existing resources and partnerships between the Stanford School of Medicine & tribal affiliates to upgrade existing laboratory infrastructure for conducting COVID-19 diagnostic tests, health consultations, and tribe-wide public health data management and policy. This capitalizes on existing resources built with the Native BioData Consortium (NBDC)—an Indigenous-led research group- from its collaboration with the SPHERE Project 1 BioRepository for American Indian Capacity, Education, Law, Economics, and Technology (BRAICELET) center. The work proposed here was designed to result in a tribe-governed health resource being operational within 6 months to conduct COVID-19 diagnostic tests and monitoring on an ongoing basis for improved public health.

COVID-19 在世界各地和美国各地的传播给人们带来了巨大的差异由于新冠病毒对健康、经济和社会造成的各种危害不成比例地落在投资不足的社区身上，医疗保健资源和能力成为新的焦点。基础设施和资源以及强大的社区伙伴关系正在导致 COVID-19 的更大传播，平衡预防性隔离与经济决策更加困难，并且缺乏指导公众的数据与此同时，解决这些问题的努力是由遥远的团体领导的，而没有当地的支持。知情或同意不仅会导致推行无效的解决方案，忽视当地的需求，而且还可能使健康、社会和经济问题持续受到损害，因此，需要采取解决方案。资源贫乏环境中的 COVID-19 公共卫生能力必须包括当地资源、当地同意、并确保参与者的长期能力、共享股权和数据控制。在这里，我们建议发挥杠杆作用。斯坦福大学医学院和部落附属机构之间现有的资源和合作伙伴关系将得到升级用于进行 COVID-19 诊断测试、健康咨询和部落范围内的现有实验室基础设施公共卫生数据管理和政策利用了本地生物数据构建的现有资源。联盟 (NBDC) 是一个由原住民领导的研究小组，由其与美洲印第安人能力、教育、法律、经济和技术 (BRAICELET) 中心的 SPHERE 项目 1 生物资源库合作产生。这里提出的工作旨在使部落管理的卫生资源在 6 年内投入运行。持续几个月进行 COVID-19 诊断测试和监测，以改善公共卫生。