A Transdisciplinary Approach to Engage Specialty Investigators in Aging Research

让专业研究人员参与衰老研究的跨学科方法

基本信息

批准号：
9245225
负责人：
KEVIN P. HIGH
金额：
$ 0.45万
依托单位：
WAKE FOREST UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-15 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9245225
关键词：
Aging Americas Area Caring Centers for Disease Control and Prevention (U.S.)Chronic Clinical Cognitive Conscious Continuity of Patient Care Decision Making Discipline Disease Educational workshop Ethnic Origin Evaluation Faculty Fostering Foundations Funding Funding Agency Funding Opportunities Gender Geriatrics Gerontology Goals Grant Guidelines Health Healthcare Individual Institutes Internal Medicine International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10)Intervention Journals Knowledge Libraries Link Measures Medicine Minority Operative Surgical Procedures Outcome Patients Perception Personal Satisfaction Physical Function Physicians Physiological Provider Quality of life Race Research Research Infrastructure Research Personnel Resources Scientist Sensory Series Severity of illness Site Societies Specialist Teacher Professional Development Therapeutic Thinking Time Training Translational Research Underrepresented Minority United States National Institutes of Health aging population base bench to bedside career career development clinical care functional disability functional outcomes functional status health disparity improved interest medical specialties meetings outcome forecast patient oriented professor racial and ethnic rapid growth sample collection symposium tool

项目摘要

DESCRIPTION (provided by applicant): Rapid growth of U.S. seniors in the next two decades will significantly increase the burden of chronic health conditions. The overwhelming majority of healthcare for seniors is delivered by physicians in subspecialties of internal medicine or surgery. Recognizing the demographic imperative and the need for a coherent strategy to infuse gerontology and geriatrics into the consciousness of specialists and NIH institutes/centers (ICs) outside NIA, we embarked on a series of scientific workshops over the last seven years with support from the John A. Hartford Foundation (JAHF) and the NIA (U13 AG040938) to conduct a series of meetings that resulted in "state-of-the-art" reviews in high impact journals with research-setting agendas, and provided the basis for funding opportunities jointly sponsored by NIA with other NIH ICs. In each conference, the importance of functional evaluation - physical, cognitive and sensory - to determine patient-centered, individualized goals and drive therapeutic decision-making was identified as a resounding need. However, a "function first" implementation strategy has lagged in specialty research, and function remains a rarely mentioned factor in clinical guidelines or quality metrics. We believe the time is right to bring together leaders and innovators in specialty medicine with researchers who have spent their entire professional careers thinking about physical, cognitive and sensory function to identify best practices and conceptual or empirical gaps that inhibit the use of functional assessment to guide care in specialty medicine. This U13 application leverages ongoing foundation funding from JAHF and is a request to renew and expand the trans-disciplinary approach employed in our prior grant to further these goals. This will require linking across all four branches of NIA, multiple NIH ICs, and other federal agencies (e.g. PCORI, CMS, CDC). The project includes health disparities as a major focus - given the great racial/ethnic/gender divide in functional outcomes - and fosters career development of minority and junior faculty.

描述（由申请人提供）：未来二十年，美国老年人的快速增长将显着增加慢性健康疾病的负担，绝大多数老年人的医疗保健是由内科或外科亚专业的医生提供的。以及需要制定一个连贯的战略，将老年学和老年病学融入 NIA 之外的专家和 NIH 研究所/中心 (IC) 的意识中，我们开展了一系列科学研讨会过去七年，在约翰·A·哈特福德基金会 (JAHF) 和 NIA (U13 AG040938) 的支持下，举办了一系列会议，在具有研究背景的高影响力期刊上发表了“最先进”的评论议程，并为 NIA 与其他 NIH IC 联合赞助的资助机会提供了基础。在每次会议中，功能评估（身体、认知和感觉）的重要性，以确定以患者为中心的个性化目标并推动治疗。然而，“功能优先”的实施策略在专业研究中已经滞后，并且功能仍然是临床指南或质量指标中很少提及的因素。专科医学的创新者和研究人员在整个职业生涯中都在思考身体、认知和感觉功能，以确定阻碍使用功能评估来指导专科医学护理的最佳实践和概念或经验差距。该 U13 应用程序利用了持续的基础。来自 JAHF 的资金，是一个请求更新和扩展我们之前拨款中采用的跨学科方法，以进一步实现这些目标，这将需要 NIA 的所有四个分支机构、多个 NIH IC 和其他联邦机构（例如 PCORI、CMS、CDC）之间的联系。鉴于功能成果中存在巨大的种族/民族/性别差异，健康差异作为一个主要焦点，并促进少数族裔和初级教师的职业发展。