I/UCRC: Center for Health Organization Transformation

在第二阶段的运作中，I/UCRC卫生组织转型（CHOT）打算通过前瞻性、多学科和多层次的研究策略，在可行的情况下利用准实验设计和自然实验来解决卫生组织的多方面问题。在五年的第一阶段，CHOT通过将工程师、战略管理专家、管理科学家和卫生服务研究人员组成的多学科研究团队与顶级卫生系统难以解决的高影响问题配对，迅速消除了研究孤岛。具体而言，CHOT开展的研究使卫生系统能够更好地识别、应用、优化和评估创新对卫生保健服务的可及性、质量和效率的影响。通过这些合作努力确定的组织变革将继续作为创新表明需要持续变革的最佳实践进行传播。医疗保健支出占GDP的17.9%，是经合组织34个发达国家人均医疗保健支出的两倍多。尽管如此，美国在许多人口健康状况上仍低于经合组织的平均水平。当前和计划中的CHOT研究项目与美国医疗保健政策最广泛的变化相吻合，CHOT成员通过在他们自己的组织中获得创新的直接影响的早期验证而受益。中心的研究人员和学生与正在研究的卫生系统中的卫生管理人员、工程师和其他一线专业人员密切合作。这种培训，特别是针对博士生的培训，支持未来的研究人员和教师从现实世界的经验出发解决行业问题的能力。它还使参与的行业专业人员参与识别重要问题，并了解与这些问题相关的现有知识库，以便他们能够更有效地实现任何所需的更改。在代表性不足的群体中积极招募研究生将继续下去，增加学术界和工业界劳动力的多样性。本中心的研究活动将继续为本科生提供令人兴奋的新机会，使他们接触到卫生服务研究，并鼓励他们继续接受研究生教育。

In Phase II operation, the I/UCRC for Health Organization Transformation (CHOT) Intends to approach the multifaceted problems of health organizations with prospective, multi-disciplinary, and multi-level research strategies that take advantage of quasi-experimental designs and natural experiments, where feasible. In its five years of Phase I, CHOT has quickly removed research silos by pairing multi-disciplinary research teams of engineers, strategic management experts, management scientists, and health services researchers with high-impact problems that top-tier health systems struggle to address. Specifically, CHOT has produced research that enables health systems to better identify, apply, optimize, and assess the impact of innovations on access, quality, and efficiency of healthcare services.The organizational transformations identified through these collaborative efforts will continue to be disseminated as best practices where innovations indicate a need for sustained changes.U.S. healthcare expenditures, at 17.9 percent of GDP, account for over twice the healthcare spending per capita of the average of the 34 developed nations of the OECD. Nonetheless, U.S. falls below the OECD averages on many population health conditions. Current and planned CHOT research projects coincide with the most expansive change in healthcare policy in the U.S. CHOT members benefit by obtaining early validation of the direct impact of the innovations in their own organizations. Center researchers and students work closely with health managers, engineers, and other front-line professionals in health systems being studied. This kind of training, especially for doctoral students, supports the ability of future researchers and teachers to address industry issues from a position of real-world experience. It also engages participating industry professionals in identifying significant problems and understanding existing knowledge bases related to these problems so that they can more effectively implement any needed changes. Aggressive recruiting for graduate students among under-represented groups will continue, increasing the diversity of the workforce for both academia and industry. Exciting new opportunities will continue for undergraduate students in Center research activities, exposing them to health services research and encouraging them to pursue graduate education.