From Analysis to Action: Advancing Health Equity through Learning Health System Research

从分析到行动：通过学习卫生系统研究促进卫生公平

• 批准号: 10753013
• 负责人: Erika Rose Cheng
• 金额: $ 5万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-05 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10753013
• 关键词: Address; Area; Awareness; Biological Models; Clinical Research; Clinical Sciences; Collaborations; Community Health; Competence; Data; Data Science; Development; Discrimination; Disparity; Dissemination and Implementation; Educational Status; Equity; Ethics; Exclusion; Faculty; Family Research; Fostering; Future; Goals; Health; Health Professional; Health system; Healthcare; Healthcare Systems; Indiana; Inequity; Infant Mortality; Informatics; Institutionalization; Justice; Knowledge; Learning; Malignant Neoplasms; Maternal Mortality; Medicine; Modeling; National Institute on Minority Health and Health Disparities; Outcome; Primary Care; Process; Public Health; Quality of Care; Request for Applications; Request for Proposals; Research; Research Institute; Research Personnel; Research Support; Scientist; Series; Sociology; Structural Racism; Suicide prevention; System; Translational Research; Universities; Vision; Work; behavioral health; cardiovascular health; care systems; community setting; design; disparity elimination; experience; health care delivery; health care quality; health care service; health disparity; health equity; health inequalities; improved; improved outcome; infant morbidity/mortality; innovation; interest; marginalization; marginalized community; minority health; minority health disparity; patient population; patient-clinician communication; peer; peer learning; population health; programs; research to practice; skills; symposium; systems research; trend

Public awareness has recently increased about the impacts of structural racism and other institutionalized forms of oppression on the delivery of health care and on health outcomes. Addressing issues of health inequity will require a dramatic transformation of how our health care systems function. The “learning health system” (LHS) model, in which internal data and experience are systematically integrated with external evidence, and that knowledge is put into practice, is a paradigm-shifting approach to the delivery of health care and holds great promise as a way to foster more responsive and equitable systems of care. However, in order to achieve results, we must equip stakeholders across the academic and operational enterprises with the knowledge and skills to conduct, implement, and disseminate high quality and actionable LHS research that focuses on health equity. Therefore, this application requests support for a two-day Symposium “From Analysis to Action: Advancing Health Equity through Learning Health System Research,” designed to connect trainees, scientists, faculty and health professionals who aspire to incorporate health equity research into the LHS. The symposium will be held in Indianapolis IN on November 9-10, 2023. The purpose of our symposium is to: (1) Bring together key stakeholders – researchers and health care professionals focused on improving equitable community and population health, as well as those striving to advance equity and workforce diversity to improve the delivery of health care – to connect, collaborate, and provide multiple perspectives on advancing health equity in the LHS; (2) Provide opportunities for researchers and health professionals to integrate principles of health equity into LHS research competencies and domains by showcasing examples of equity- based challenges and solutions; (3) Consider ethical aspects of working with historically excluded, underrepresented, and marginalized patient populations in clinical research; and (4) Foster peer learning and build bridges between research and practice while working within LHS to put research into practice through the dissemination and implementation of evidence in an expedient manner. We will accomplish these goals through a program of speakers, coordinated networking, and breakout sessions that provide practical learning about health equity and relevant research strategies. Our program will be designed for those who are driven to bring quality health care and health care services to historically excluded, underrepresented, and marginalized patient populations, including researchers from a variety of fields (e.g., medicine, public health) and training levels (i.e., fellows, junior faculty, etc.). Importantly, we believe the work to accomplish these goals spans critical areas of interest recognized by the NIMHD, including: (1) the impact of structural racism and discrimination on minority health and health disparities; (2) data science in health disparities; and (3) patient- clinician communication in primary care.

最近，公众对结构性种族主义和其他制度化行为影响的认识有所提高。 对提供医疗保健和健康结果的各种形式的压迫。 不平等需要我们的医疗保健系统的运作方式发生巨大转变。 系统”（LHS）模型，其中内部数据和经验与外部系统地集成 证据，以及将知识付诸实践，是提供医疗保健的一种范式转变方法 作为一种促进反应更灵敏、更公平的护理系统的方法，前景广阔。 为了取得成果，我们必须为学术和运营企业的利益相关者提供 开展、实施和传播高质量和可操作的 LHS 研究的知识和技能 因此，本申请请求支持为期两天的研讨会“来自分析”。 采取行动：通过学习健康系统研究促进健康公平”，旨在将学员联系起来， 渴望将健康公平研究纳入 LHS 的科学家、教师和卫生专业人员。 研讨会将于 2023 年 11 月 9 日至 10 日在印第安纳州印第安纳波利斯举行。我们研讨会的目的是：(1) 将主要利益相关者——研究人员和医疗保健专业人员聚集在一起，致力于提高公平性 社区和人口健康，以及那些努力促进公平和劳动力多样性的人 改善医疗保健的提供——相互联系、协作并提供推动进步的多种视角 LHS 中的健康公平；(2) 为研究人员和卫生专业人员提供整合的机会； 通过展示公平的例子，将健康公平原则纳入 LHS 研究能力和领域 (3) 考虑与历史上被排除在外的人合作的道德方面， 临床研究中代表性不足且患者人数不断减少；(4) 促进同行学习和 在 LHS 内工作时，在研究和实践之间建立桥梁，通过以下方式将研究付诸实践： 我们将以便捷的方式传播和实施证据。 通过演讲者计划、协调网络和提供实践学习的分组会议 我们的计划将为那些有动力的人设计。 为历史上被排斥、代表性不足和边缘化的人提供优质的医疗保健和医疗保健服务 患者群体，包括来自各个领域（例如医学、公共卫生）和培训的研究人员 重要的是，我们相信实现这些目标的工作是跨度的。 NIMHD 认可的关键利益领域，包括：(1) 结构性种族主义和 对少数族裔健康的歧视和健康差异；(2) 健康差异中的数据科学；以及 (3) 患者 初级保健中的临床医生沟通。