Training in Child Health Services Research and Implementation Science

这份续签申请是基于一位拥有23年历史的经验丰富和敬业的教员的专业知识。 由AHRQ资助的领先的成功的博士后NRSA培训计划，专门针对儿科 健康服务研究。在日益充满活力的美国医疗保健体系中，满足儿童的需求将 要求卫生服务研究人员接受新的和广泛的方法培训，以研究和改进 卫生保健的有效性、效率和公平性。通过扩大教员和合作伙伴关系，我们的计划 我们随时准备满足学员的需求，以解决在以下方面取得进展的卫生服务研究 科学、技术和数据分析，包括基因组学；数据挖掘和机器学习；新颖 诊断和治疗；以及信息技术。在这次更新中，我们将继续核心 波士顿儿童医院、麻省理工学院儿童医院和 哈佛医学院人口医学系以及 我们的最新合作伙伴-医疗保健改进研究所-将其公认的专业知识带到了 通过课程改进和研究，为学员提供关怀、改进和实施科学 机遇。随着研究的发展和实施越来越多地受到 患者和患者的体验，我们的计划将继续吸引患者和家长提供 对学员当前和未来研究的实质性反馈，作为我们项目文化的一个组成部分。 对于此次更新，我们还将与新的合作伙伴接洽，以解决信息的作用不断扩大的问题 医疗保健中的技术。我们的计划将侧重于四个支柱的培训：1)尖端观察性 学习卫生和卫生系统数据的方法；2)实施科学和相关技术的应用 改进儿童护理的设计、交付和评估的方法通过各种融资和 提供系统；3)将患者和家属的观点纳入设计和实施过程中 进行研究；以及4)将儿童研究作为生命过程中健康的一部分，特别是 护理和服务方面的不平等带来普遍而持久的影响。该计划将支持每年6笔津贴(3笔 第一年和第三年继续进修的博士后研究员)，以创造一个足够多的受训人员 分专业、研究领域和方法领域。除了进行密切指导之外 研究，每个实习生将完成哈佛大学公共学院公共卫生硕士学位的要求 以生物统计学和流行病学为核心技能的卫生，并参与高级卫生服务研究 方法培训。我们完善的计划基础设施和系统，用于密切监控学员的 进步将确保我们的毕业生记录继续下去，他们将领导相关的、适用的 卫生服务研究，转化为改善所有儿童的护理和健康结果。

This renewal application builds on the expertise of an experienced and dedicated faculty with a 23-year history of leading successful AHRQ-funded, post-doctoral NRSA training programs focused specifically on pediatric health services research. In an increasingly dynamic US health care system, meeting the needs of children will require health services researchers to be trained in novel and wide-ranging methods to study and improve the effectiveness, efficiency, and equity of health care. Through expanding faculty and partnerships, our program stands ready to meet the needs of our trainees to tackle health services research that builds on advances in science, technology, and data analytics, including genomics; data mining and machine learning; novel diagnostics and therapeutics; and information technology. In this renewal, we will continue the core programmatic collaborations among Boston Children's Hospital, the MassGeneral Hospital for Children, and the Department of Population Medicine at Harvard Medical School as well as the successful engagement of our newest partner—the Institute for Healthcare Improvement—which has brought its recognized expertise in care improvement and implementation science to our trainees through curricular enhancements and research opportunities. As both the development of research and its implementation are increasingly informed by patients and the patient experience, our program will continue to engage patients and parents to provide substantive feedback on trainees' current and future research, as an integral aspect of our program's culture. For this renewal, we will also engage with new partners to address the expanding role of information technology in healthcare. Our program will focus on four pillars of training: 1) cutting edge observational methods to learn from health and health system data; 2) application of implementation science and related methods to improve the design, delivery, and evaluation of care for children across a variety of financing and delivery systems; 3) incorporating the perspective of patients and families into the process for designing and conducting research; and 4) framing research in children as a part of health over the life course, especially the pervasive, enduring impact of disparities in care and services. The program will support 6 stipends per year (3 first-year and 3 second-year continuing postdoctoral fellows) to create a critical mass of trainees across subspecialties, areas of research, and methodological domains. In addition to conducting closely mentored research, each trainee will complete the requirements of an MPH from the Harvard T.H. Chan School of Public Health for core skills of biostatistics and epidemiology, and participate in advanced health services research methods training. Our well-developed program infrastructure and system for close monitoring of trainees' progress will ensure the continuation of our record of graduating individuals who will lead relevant, applied health services research that translates into both improved care and health outcomes for all children.