Examining provider bias in an underserved dental patient population: Improving health equity through a Dental School Practice-based Research Network (dsPBRN)

检查服务不足的牙科患者群体中的提供者偏见：通过牙科学校实践研究网络 (dsPBRN) 改善健康公平

基本信息

批准号：
10754446
负责人：
THOMAS W OATES
金额：
$ 72.86万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-19 至 2028-06-30
项目状态：
未结题

项目摘要

PROJECT SUMMARY Health care disparities and inequities are national problems. To build the next generation of clinician scientists to advance health equity and reduce disparities, it is critical to provide clinical and research training through the lens of health equity. Healthcare equity concerns need to be addressed through the providers’ engagement in real-world patient care environments. The development of patient-based research network (PBRN) activities within clinical dental educational care programs offers the potential for meaningful research as well as building a culture supporting a broader and more diverse cohort of future practitioners to participate in community based PBRNs with greater capacity for equity considerations in both their practice and research activities. To build this future capacity, the University of Maryland Baltimore (UMB) and the Howard University (HU) are partnered with the shared goals to foster a culture of scientific inquiry and collaboration within our clinical dental education environments with scientific partnerships defined by shared strengths and synergies across institutions, to build foundational educational experiences in clinical practice-based research that encourage a more energized, diverse, and inclusive clinician scientist/practitioner, and to collect specific data examining the effects of racial bias on clinical care in our two academic oral health centers. To achieve these goals, we will integrate four programmatic components: 1) To establish program-specific educational pathways in clinical and practice-based research for students and faculty that include an understanding of healthcare disparities and equity awareness among providers. 2) To utilize inter-institutional strengths to build collaborative engagement opportunities through programmatic guidance, education, mentoring, and school-based practice research activities. 3) To develop inter-institutional mentoring partnerships between HU and the UMB faculty and students that foster bidirectional engagement (collaboration). 4) To develop a PBRN study providing clinical practice-based research experiences examining associations of racial bias with provision of dental care that align with student and faculty experiences and training in this program. Our study hypothesis is that racial biases negatively impact care delivery for Black (vs. White) patients in academic dental clinical settings. The practice-based research project proposed will examine the associations between implicit/explicit biases among dental student and resident providers with delivery of care metrics across diverse, underserved patient populations in two urban dental schools, UMB and HU. Successful completion of the project will address the health disparities and expand the reach of PBRN through dental education care programs.

项目概要医疗保健差异和不平等是国家问题。培养下一代临床医生。科学家们要促进健康公平并减少差距，提供临床和研究至关重要需要通过健康公平的视角来解决医疗保健公平问题。提供者参与现实世界的患者护理环境。临床牙科教育护理计划中的研究网络（PBRN）活动提供了潜力进行有意义的研究，并建立一种支持更广泛、更多样化群体的文化未来的从业者以更大的公平能力参与基于社区的 PBRN 为了培养这种未来的能力，大学在实践和研究活动中都考虑到了这一点。马里兰州巴尔的摩分校 (UMB) 和霍华德大学 (HU) 出于共同目标开展合作在我们的临床牙科教育环境中培养科学探究和协作的文化与通过机构之间的共同优势和协同作用确定的科学伙伴关系，建立基于临床实践的研究的基础教育经验，鼓励更多充满活力、多元化和包容性的临床科学家/从业者，并收集具体的数据检查种族偏见对我们两个学术口腔健康中心临床护理的影响为了实现这些目标，我们将整合四个计划组成部分：1）建立特定于计划的教育途径为学生和教师提供临床和基于实践的研究，包括了解医疗保健提供者之间的差异和公平意识 2) 利用机构间的优势。通过计划指导、教育、指导来建立协作参与机会，和校本实践研究活动 3) 发展机构间指导伙伴关系。 HU 与 UMB 教师和学生之间促进双向参与（合作）。开展 PBRN 研究，提供基于临床实践的研究经验种族偏见与提供符合学生和教师经验的牙科护理的关联我们的研究假设是种族偏见会对护理服务产生负面影响。针对学术牙科临床环境中的黑人（与白人）患者的基于实践的研究项目。提议将检查牙科学生和牙科学生之间的隐性/显性偏见之间的关联居民提供者为两个不同的、服务不足的患者群体提供护理指标城市牙科学校、UMB 和 HU 的成功完成将解决健康问题。通过牙科教育护理计划缩小差距并扩大 PBRN 的覆盖范围。