Center for Improving Care Delivery for the Aging (CICADA)

改善老年人护理服务中心 (CICADA)

• 批准号: 10219119
• 负责人: Rachel M Werner
• 金额: $ 60.61万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-15 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10219119
• 关键词: Accounting; Achievement; Address; Affect; Age; Aging; American; Arts; Businesses; Caring; Chronic Disease; Communication; Dental; Discipline; Discipline of Nursing; Economics; Education; Elderly; Faculty; Functional disorder; Future; Goals; Grant; Health; Health Care Costs; Health Sciences; Health Services; Health Services Research; Health system; Healthcare; Healthcare Systems; Hispanics; Infrastructure; Institutes; Laws; Medicine; Mentors; Methodology; Methods; Minority; Minority Groups; Modeling; Pediatric Hospitals; Pennsylvania; Personal Satisfaction; Philadelphia; Politics; Population; Public Health; Quality of Care; Quality of life; Research; Research Infrastructure; Research Personnel; Research Training; Resources; Rewards; Science; Scientist; Training; Translational Research; Trust; Underrepresented Populations; United States; Universities; Ursidae Family; aging population; base; burden of illness; care coordination; care delivery; care fragmentation; career; data resource; educational atmosphere; evidence base; experience; health care cost/financing; health care delivery; health disparity; health economics; improved; innovation; leadership development; medical schools; minority health; minority investigator; next generation; payment; racial and ethnic disparities; rapid growth; research study; social; theories

Delivering high-quality, accessible, and affordable health care to older Americans is fundamental to their health, wellbeing, function, and independence. Yet, with a growing chronic disease burden, rapid growth of health care costs, and fragmentation of care delivery, aging Americans are increasingly finding that high- quality care is not available, accessible, or affordable. The health care system in the United States (US) is not organized to address the fundamental health needs of older Americans. Moreover, the persistence of health disparities in the US, particularly for minority elders, suggests that health system dysfunction affects this population disproportionately. There is a critical need to reorganize and reorient health care delivery to coordinate care; maintain and improve quality of life as populations age; address inequities and health disparities; and implement new models of payment rewarding the value of care rather than the volume of care. Health services research (HSR) studies the organization, financing, and delivery of health care, providing an evidence base that is central to addressing issues of care quality, access, affordability, and equity. HSR is critical to identifying and implementing solutions to improve the current shortcomings of health care delivery and, thus, the health and wellbeing of aging Americans. As a discipline, HSR has been a cornerstone of identifying and addressing disparities in health and health care delivery. Minority investigators are underrepresented in HSR, with Blacks and Hispanics accounting for only 6.9% and 3.7%, respectively, of the HSR workforce. Yet underrepresented HSR researchers bring essential diverse perspectives and, often, personal experiences to bear in understanding the social, economic, political, and environmental determinants of racial and ethnic disparities in health and health care. Furthermore, according to the federal Office of Minority Health, underrepresentation in research leads to underfunding of health research as well as a lack of culturally appropriate theories, models, and methodologies. Thus, developing a representative cadre of researchers who can undertake studies that address the challenges facing our aging population and, in particular, disparities in aging, is an absolute priority. To address this need, we propose the Center for Improving Care Delivery for the Aging (CICADA), a Resource Center for Minority Aging Research (RCMAR) at the University of Pennsylvania (Penn). CICADA aims to train emerging scientists from underrepresented backgrounds in the interdisciplinary science of HSR as it applies to the most pressing issues for aging Americans, particularly minority elders. Redressing researchers from backgrounds underrepresentation in HSR is critical to finding innovative public health solutions, creating a robust learning environment, and developing the trust needed to implement innovative solutions in minority populations.

为美国老年人提供高质量、可获得和负担得起的医疗保健是 他们的健康、福祉、功能和独立性。然而，随着慢性病负担的日益加重， 医疗保健成本，以及医疗服务的分散，美国老年人越来越多地发现， 高质量的护理是不可得的、可及的或负担得起的。美国的医疗保健系统不是 旨在满足美国老年人的基本健康需求。此外，健康的持久性 美国的差异，特别是少数族裔老年人的差异，表明卫生系统功能失调影响了这一点。 人口不成比例。迫切需要重组和调整保健服务， 协调护理;随着人口老龄化，维持和提高生活质量;解决不平等和健康问题 实施新的支付模式，奖励护理的价值，而不是护理的数量。 卫生服务研究（HSR）研究卫生保健的组织，融资和提供， 提供证据基础，这是解决护理质量，获取，负担能力和公平问题的核心。 HSR对于确定和实施解决方案以改善当前医疗保健的缺点至关重要 分娩，因此，美国老年人的健康和福祉。作为一门学科，高铁一直是 确定和解决卫生和卫生保健提供方面的差距。 少数民族调查人员在HSR中的代表性不足，黑人和西班牙裔仅占 分别占高铁劳动力的6.9%和3.7%。然而，代表性不足的高铁研究人员带来了必要的 不同的观点，往往是个人的经验，以了解社会，经济，政治， 以及健康和医疗保健方面种族和民族差异的环境决定因素。此外，委员会认为， 根据联邦少数民族健康办公室的数据，研究中的代表性不足导致了研究资金不足， 健康研究以及缺乏文化上适当的理论，模型和方法。因此，在本发明中， 培养一批有代表性的研究人员，他们能够开展研究，应对挑战 面对人口老化，特别是老化的不平等，是绝对优先的。 为了满足这一需求，我们建议建立改善老年人护理服务中心（CICADA）， 宾夕法尼亚大学少数民族老龄化研究资源中心（RCMAR）。蝉 旨在培养新兴的科学家，从代表性不足的背景下，在跨学科的科学高铁 因为它适用于美国老年人，特别是少数族裔老年人最紧迫的问题。纠正 来自HSR背景的研究人员代表性不足对于寻找创新的公共卫生至关重要 解决方案，创造一个强大的学习环境，并发展实施创新所需的信任 解决少数民族问题。