Training in Health Services Research for Vulnerable Populations

弱势群体卫生服务研究培训

• 批准号: 10747701
• 负责人: Marc Larochelle
• 金额: $ 33.96万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-03 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10747701
• 关键词: Training; Health; Services; Research; Vulnerable

ABSTRACT Since 2013, our AHRQ T32 program has successfully recruited diverse fellows and prepared them for health services research careers. We have trained 24 researchers, resulting in 35 presentations and 26 publications. Five of our trainees are still engaged in the training program and are on track to meet all our stated objectives; of the nineteen graduates, seven (six postdoctoral and one predoctoral who completed his PhD) have appointments at academic institutions and two are completing their PhDs at the BUSPH. This competitive renewal builds on our successful program in several important ways. We are expanding the diversity in content by including trainees and mentors from the Department of Surgery. We are also adding additional didactic and training and experiential opportunities and social determinants of health and health equity. Our interdisciplinary predoctoral and postdoctoral fellowship aims to produce Family Medicine, General Internal Medicine, Pediatrics, Surgery and Public Health researchers who will lead efforts to improve health care delivery for underserved patients. The four objectives of our program are to: (1) Recruit and retain high-quality, diverse candidates interested in research careers focused on improving health care quality, access, and delivery for underserved patients; (2) Provide predoctoral and postdoctoral fellows with comprehensive research training; (3) Produce graduates who will conduct research on health care quality, delivery, and health outcomes for low-income populations and whose research translates to systems change; and (4) Evaluate our program for continuous improvement. The program is led by Dr. Marc LaRochelle, an experienced researcher and mentor, and Co-Directed by an interdisciplinary team of senior scientists. We have established four pedagogical structures essential to training research fellows: (1) Intensive mentoring; (2) Boston University School of Public Health (BUSPH) courses culminating in a Master’s in Population Health for postdoctoral fellows and a PhD for predoctoral fellows; (3) Interdisciplinary academic seminars; and (4) Supervised conduct of at least two research projects. Predoctoral training includes the first 3 didactic years of the PhD program. Postdoctoral training is 2 years. Each year, we will train 3 predoctoral and 3 postdoctoral fellows. Fellows will become health service researchers focused on health care quality, delivery, and outcomes for low-income populations. We track graduates 1, 5, and 10 years after graduation (goal: >85% enter research careers focused on improving healthcare quality; >70% remain in health services research after 3 years; >50% lead efforts to implement new care models and have >1 funded research within 5 years).

抽象的 自 2013 年以来，我们的 AHRQ T32 计划已成功招募了多元化的研究员，并为他们的健康做好了准备 我们培训了 24 名研究人员，发表了 35 篇演讲和 26 篇出版物。 我们的五名学员仍在参加培训计划，并有望实现我们所有既定目标； 在十九名毕业生中，七名（六名博士后和一名博士前完成了博士学位） 学术机构的任命，其中两人正在 BUSPH 完成博士学位。 更新以我们成功的计划为基础，在几个重要方面扩大了内容的多样性。 我们还增加了来自外科部门的学员和导师的额外教学和指导。 培训和体验机会以及健康和健康公平的社会决定因素。 博士前和博士后奖学金旨在培养家庭医学、普通内科、 儿科、外科和公共卫生研究人员将领导改善医疗保健服务的工作 我们计划的四个目标是：(1) 招募和留住高质量、 对专注于提高医疗保健质量、获取和服务的研究职业感兴趣的多元化候选人 (2) 为博士前和博士后研究员提供全面的服务； (3) 培养能够从事医疗保健质量、服务和服务方面研究的毕业生 低收入人群的健康成果及其研究转化为系统变革；以及 (4) 评估我们的持续改进计划 该计划由 Marc LaRochelle 博士领导。 我们拥有经验丰富的研究员和导师，并由资深科学家组成的跨学科团队共同指导。 建立了四个对培训研究员至关重要的教学结构：（1）强化指导；（2） 波士顿大学公共卫生学院 (BUSPH) 课程最终获得人口健康硕士学位 博士后研究员和博士前研究员的博士学位；（3）跨学科学术研讨会；以及（4） 监督进行至少两个研究项目，包括前 3 年的教学。 博士后培养期限为2年，每年培养博士前3名，博士后3名。 研究员将成为专注于医疗保健质量、服务和结果的医疗服务研究人员。 我们跟踪毕业生毕业后 1 年、5 年和 10 年（目标：> 85% 进入研究） 职业专注于提高医疗保健质量；超过 50% 的职业在 3 年后仍然从事医疗服务研究； 领导实施新的护理模式，并努力在 5 年内资助了 >1 项研究）。

项目成果

Realizing the Potential of Nurse Home Visiting.

实现护士之家探访的潜力。

• 发表时间: 2021
• 影响因子: 8
• 作者: Egan, Kelsey A;Xuan, Ziming;Silverstein, Michael
• 通讯作者: Silverstein, Michael

Pilot Intervention Targeting Sugary Drink Intake Associated With Improvements in Adolescent Sleep Duration.

针对含糖饮料摄入量与青少年睡眠持续时间改善相关的试点干预措施。

• 发表时间: 2022-03
• 影响因子: 2.6
• 作者: Egan, Kelsey A;Waring, Molly E;Wang, Monica L
• 通讯作者: Wang, Monica L

Implementation of a Novel Pediatric Behavioral Health Integration Initiative.

实施新型儿科行为健康整合计划。

• 发表时间: 2023-01
• 作者: Safon, Cara B;Estela, Maria Guadalupe;Rosenberg, Jessica;Feinberg, Emily;Drainoni, Mari;Morris, Anita;Durham, Michelle P;Bair;Sheldrick, R Christopher
• 通讯作者: Sheldrick, R Christopher

Inappropriate Antibiotic Prescribing for Acute Bronchitis in Children and Impact on Subsequent Episodes of Care and Treatment.

儿童急性支气管炎抗生素处方不当及其对后续护理和治疗的影响。

• 发表时间: 2019
• 作者: Morgan, Jake R;Carey, Kathleen M;Barlam, Tamar F;Christiansen, Cindy L;Drainoni, Mari
• 通讯作者: Drainoni, Mari

Disparities in Emergency Department Visits Among Collocated Racial/Ethnic Medicare Enrollees.

同处一地的种族/民族医疗保险参保者急诊科就诊的差异。

• 发表时间: 2019
• 影响因子: 6.2
• 作者: Hanchate, Amresh D;Dyer, K Sophia;Paasche;Banerjee, Souvik;Baker, William E;Lin, Mengyun;Xue, Wen Dao;Feldman, James
• 通讯作者: Feldman, James