HSR&D Research Career Scientist Award

高铁

• 批准号: 10699417
• 负责人: STEPHANIE L TAYLOR
• 金额: --
• 依托单位: VA GREATER LOS ANGELES HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-10-01 至 2028-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699417
• 关键词: Anxiety; Area; Award; Bible; Caring; Clinical; Coin; Collaborations; Complementary Health; Complementary Medicine; Complex; Congresses; Cost Analysis; Dissemination and Implementation; Effectiveness; Evaluation; Faculty; Feeling suicidal; Fostering; Foundations; Funding; Geography; Health; Health Policy; Health Service Area; Health Services; Health Services Research; Healthcare; Healthcare Systems; Homogeneously Staining Region; Integrative Medicine; International; Intervention; Interview; Journals; Lead; Leadership; Letters; Los Angeles; Medical; Medicine; Mental Depression; Mentors; Methods; Natural Language Processing; Pain; Paper; Patient-Centered Care; Peer Review; Persons; Policies; Policy Maker; Postdoctoral Fellow; Publications; Publishing; Quality of Care; Reporting; Research; Research Personnel; Role; Safety; Sampling; Scholarship; Scientist; Services; Shapes; Techniques; Training; Training Programs; United States National Institutes of Health; Universities; Veterans; Work; career; cost effectiveness; editorial; effectiveness evaluation; effectiveness research; ethnic disparity; evidence base; experience; faculty mentor; health management; implementation barriers; implementation research; improved; indexing; informant; innovation; lecturer; lectures; multilevel analysis; operation; patient safety; pragmatic trial; professor; program dissemination; programs; racial disparity; safety practice; sound; stem; whole health

As a sociomedical scientist, health services researcher, and implementation scientist, I have 20+ years’ experience and have been consistently VA funded with over $13 million as PI or Co-PI to lead complex and impactful research in: 1) geographic correlates of health/healthcare, 2) patient safety, and 3) complementary and integrative health (CIH) therapy effectiveness and implementation. I use advanced methods such as multi- level modeling, geospatial techniques, natural language processing, and pragmatic trials. My CIH research of the past decade has solidified my national and international stature within and beyond VA. For example, the NIH considers me one of the few people internationally at the intersection of implementation and CIH. CIH is a key VA “Whole Health” component and part of many top VA priorities. My work is often used to inform Congress and has substantially shaped VA healthcare nationally. As such, I was given the 2019 HSR&D Health Services Impact award. I currently am PI of two major research and evaluation initiatives totaling almost $9 million, one being a center with 9 projects. These ten current studies and projects stem mostly from one of my five most important studies. The resulting paper, “What Should Health Care Systems Consider When Implementing Complementary and Integrative Health…” was the third most cited paper in 2019 in the leading CIH journal, Journal of Integrative and Complementary Medicine (JICM). VA Office of Patient Centered Care’s (OPCC&CT, the VA Office guiding CIH/Whole Health policy) frequently uses it when shaping policy, referring to it as their “implementation bible”. My current “APPROACH” trial for which I am Co-PI (with Dr. Steve Zeliadt, VA Puget Sound), is an HSR&D Merit for a six-year, $4.3 million pragmatic trial. This high-profile study includes nine Co-Is from four VAs to longitudinally examine the effectiveness of CIH therapies among the largest-ever sample of CIH recipients (5,600+) and is conducted in partnership with the OPCC&CT. The other nine projects stemming from that key 2019 paper are part of the Complementary and Integrative Health Evaluation Center (CIHEC), for which I am PI. CIHEC is a large-scale QUERI Partnered Evaluation Initiative co-funded by OPCC&CT for six years (funded in 2017, renewed every two years for $3.5 million to-date). As CIHEC’s Director, I have overseen 22 Co-Is and staff in nine VAs to conduct nine CIH projects. All are done in collaboration with OPCC&CT to help guide their national strategy, support evidence-based CIH implementation, and respond to Congress. Their papers and reports have been the subject of briefings to Congresspersons, Congressional commissions, and VA leadership, and have been featured in ORD and HSR&D publications circulated to VACO. I have published 35 peer-reviewed papers in the past 3 years, 60% as first or senior author and 77% in higher quality journals, with an h-index of 29 and an i10-index of 51. My most important CIH-related paper is the above 2019 paper and my most important patient safety paper is, “What Context Features Might be Important Determinants of the Effectiveness of Patient Safety Practice Interventions?”. Published in the prestigious BMJ Quality & Safety in 2011, it was Editor’s Choice, and has been cited 185 times. I am an Associate Editor and on the editorial board for the leading CIH journal, JICM, and have served as Guest Editor Medical Care twice. In the past three years, I have had 26 VA mentees and collaborated with 101 investigators, most from 10 VAs or universities, and have given many invited national and local lectures to VA clinicians and national leadership and external briefings to 8 Congresspersons or Congressional staffers. For the past three years, I served as the Los Angeles (LA) HSR&D Associate Director (until 2021) and served on four LA VA committees, four local VA postdoctoral programs, and 23 VA and non-VA service activities. At UCLA, I am Adjunct Professor in two departments, Medicine, and Health Policy and Management. I am the VA Director of the UCLA Los Angeles Area Health Services Research Training Program and am faculty mentor in a second UCLA program.

作为一名社会医学科学家、卫生服务研究员和实施科学家，我拥有 20 多年的经验 经验丰富，并一直获得 VA 超过 1300 万美元的资助，作为 PI 或 Co-PI 来领导复杂和 在以下方面有影响力的研究：1) 健康/医疗保健的地理相关性，2) 患者安全，以及 3) 互补性 和综合健康（CIH）治疗的有效性和实施我使用多种先进方法。 水平建模、地理空间技术、自然语言处理和我的 CIH 研究。 过去十年巩固了我在退伍军人管理局内外的国内和国际地位。 NIH 认为我是国际上少数几个在实施和 CIH 交叉领域的人之一。 退伍军人事务部“整体健康”的一个关键组成部分，也是退伍军人事务部许多首要优先事项的一部分，我的工作经常被用来提供信息。 国会并在全国范围内对 VA 医疗保健做出了重大贡献，因此，我获得了 2019 年 HSR&D 健康奖。 服务影响奖。 我目前是两项主要研究和评估计划的 PI，总价值近 900 万美元，其中一项是中心 有 9 个项目。这 10 个当前研究和项目大部分源于我最重要的五项研究之一。 由此产生的论文“医疗保健系统在实施补充和 Integrative Health…” 是 CIH 领先期刊《Journal of Integrative》中 2019 年被引用次数第三多的论文 和补充医学 (JICM)，VA 办公室以患者为中心的护理 (OPCC&CT，VA 办公室指导) CIH/整体健康政策）在制定政策时经常使用它，将其称为政策的“实施” 我目前担任联合 PI（与弗吉尼亚州普吉特湾的 Steve Zeliadt 博士一起）的“APPROACH”试验是一本圣经。 HSR&D 的优点是一项为期 6 年、耗资 430 万美元的实用试验，包括来自 4 家公司的 9 名 Co-Is。 VA 将在有史以来最大的 CIH 样本中纵向检查 CIH 治疗的有效性 受助者（5,600 多个），并与 OPCC&CT 合作开展其他九个项目。 2019 年关键论文中的内容是补充和综合健康评估中心 (CIHEC) 的一部分， 我是 CIHEC 的 PI，它是一个由 OPCC&CT 共同资助的大型 QUERI 合作评估计划。 六年（2017 年资助，每两年更新一次，迄今为止金额为 350 万美元）。 监督 9 个 VA 的 22 个 Co-Is 和工作人员开展 9 个 CIH 项目，所有项目都是与 VA 合作完成的。 OPCC&CT 帮助指导其国家战略、支持基于证据的 CIH 实施并应对 他们的论文和报告已成为向国会议员和国会通报情况的主题。 委员会和 VA 领导层，并在被 VACO 废弃的 ORD 和 HSR&D 出版物中进行了专题报道。 过去 3 年我发表了 35 篇同行评审论文，其中 60% 为第一或高级作者，77% 为更高作者 优质期刊，h 指数为 29，i10 指数为 51。我最重要的 CIH 相关论文是 上面的 2019 年论文和我最重要的患者安全论文是“哪些背景特征可能很重要” 患者安全实践干预措施有效性的决定因素？发表在著名的 BMJ 上。 2011 年质量与安全，它是编辑选择，已被引用 185 次，我是副主编。 是领先的 CIH 期刊 JICM 的编辑委员会成员，并两次担任 Medical Care 客座编辑。 在过去的三年里，我有 26 名 VA 学员，并与 101 名研究人员合作，其中大多数来自 10 名 VA 或 大学，并多次受邀为退伍军人管理局教师和国家领导层进行国家和地方讲座 在过去的三年里，我担任了向 8 名国会议员或国会工作人员进行外部简报的职务。 洛杉矶 (LA) HSR&D 副总监（至 2021 年）并曾在四个洛杉矶 VA 委员会、四个当地 VA 委员会任职 在 UCLA，我是 23 个 VA 和非 VA 服务活动的兼职教授。 我是加州大学洛杉矶分校洛杉矶分校的 VA 主任。 地区卫生服务研究培训项目，并且是加州大学洛杉矶分校第二个项目的教师导师。