University of Miami Vision Loss Prevention Translational Research Center

迈阿密大学视力丧失预防转化研究中心

• 批准号: 8046219
• 负责人: David J Lee
• 金额: $ 24.94万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8046219
• 关键词: University; Miami; Vision; Loss; Prevention

DESCRIPTION : University of Miami Vision Loss Prevention Translational Research Center Vision problems are among the top ten conditions responsible for disability in the US population and approximately half of severe visual impairment is preventable via early detection and treatment. The Centers for Disease Control and Prevention has launched the Vision Health Initiative (VHI) to develop a coordinated national public health framework to address the growing burden of ocular disease and disability in the US. The University of Miami Ocular Epidemiology Research Group (UM-OERG), which has a long-standing interest in health disparities research, is a joint partnership between the Departments of Ophthalmology and Epidemiology, as well as the Bascom Palmer Eye Institute (BPEI), which is consistently rated as one of the nation's best ophthalmic hospitals in the US. The UM-OERG, which includes epidemiologists, heath services researchers, health policy experts, ocular clinician-scientists, biostatisticians, and community health researchers will focus on local underserved populations, (including Hispanic, African-American, and Haitian- American), to evaluate system-level and individual-level factors which enhance and impede access to high quality and cost-effective ocular health care. Four projects are proposed, all in adults 40 years of age and older, which will be modified as necessary in year one in order to develop common metrics across the Translational Research Centers (TRCs); in addition a proposed TRC Network Study is listed: 1) Undertake comprehensive analysis of BPEI medical and billing records to determine treatment patterns for patients with the following disabling ocular conditions: age-related macular degeneration (AMD), cataract, diabetic retinopathy, and open-angle glaucoma, as a function of insurance status, insurance type, ocular diagnosis, and patient socidemographic characteristics; 2) Develop and administer health care provider surveys including all Bascom-Palmer ophthalmologists, optometrists, and select ancillary medical personnel, community ocular care providers, and primary care healthcare providers throughout Miami-Dade County with an emphasis on medically underserved areas, in order to assess ocular treatment and referral practices, knowledge of and counseling for risk factors for visual disorders in their patient populations, and barriers to the optimal treatment of ocular conditions; 3) Develop and administer waiting room surveys of BPEI ocular patients as well as in select community ocular care clinics; 4) Develop and undertake community-based surveys of adults residing in medically underserved populations in Miami-Dade county; and 5) Propose a TRC Network Study which will utilize a "systems-approach" to integrate and implement into primary care and ocular tertiary health care, clinical practice guidelines for smoking cessation. Research findings will be disseminated locally to targeted underserved populations health care providers via our established UM Health Disparities Outreach Core, and across TRCs via stakeholder meetings in order to inform behavior change and health care practices designed to improve population-level vision health.

描述：迈阿密大学视力损失预防转化研究中心的视力问题是负责美国人群残疾的十大条件之一，并且可以通过早期检测和治疗来预防严重视力障碍的大约一半。疾病控制与预防中心已经启动了Vision Health倡议（VHI），以开发一个协调的国家公共卫生框架，以应对美国的眼病和残疾人的日益增长的负担。迈阿密大学眼流行病学研究小组（UM-OERG）对健康差异研究具有长期兴趣，是眼科和流行病学部门之间的共同伙伴关系，以及Bascom Palmer Eye Institute，bascom Palmer Eye Institute，它一直被评为美国最好的眼科医院之一。 UM-OGER包括流行病学家，健康服务研究人员，卫生政策专家，眼科临床医生，生物统计学家和社区健康研究人员将专注于当地服务不足的人群（包括西班牙裔，非洲人，非洲裔美国人和海地人 - 美国），to评估系统级别和个人级别的因素，从而增强和阻碍获得高质量和具有成本效益的眼部医疗保健的机会。提出了四个项目，所有项目均在40岁及以上的成年人中，在第一年的必要条件下进行修改，以便在整个转化研究中心（TRC）中开发普通指标；此外，列出了拟议的TRC网络研究：1）对BPEI医学和计费记录进行全面分析，以确定患有以下残疾眼病的患者的治疗模式：与年龄相关的黄斑变性（AMD），白内障，糖尿病性视网膜病和开放式和开放 - 角膜青光眼，作为保险状况，保险类型，眼部诊断和患者社交人体人数特征的函数； 2）开发和管理医疗保健提供者调查，包括所有BASCOM-PALMER眼科医生，验光师和精选辅助医疗人员，社区眼护理提供者以及迈阿密戴德县的初级保健医疗服务提供者评估眼部治疗和转诊实践，对患者人群视觉疾病的风险因素的了解和咨询，以及对眼病最佳治疗的障碍； 3）开发和管理对BPEI眼部患者以及精选社区眼护理诊所的候诊室调查； 4）开发和进行基于社区的调查，对居住在迈阿密戴德县的医学欠佳人口中的成年人； 5）提出了一项TRC网络研究，该研究将利用“系统接口”整合并实施到初级保健和眼科医疗保健，即戒烟临床实践指南。研究发现将通过我们既定的UM健康差异外展核心以及通过利益相关者会议在整个TRC上进行当地传播到服务不足的人群，以便为行为改变和卫生保健实践提供旨在改善人群级别视力健康的行为。