DREAMS - Translational Research Core - Health Equity & Action Translational (HEAT)

项目摘要/摘要：卫生公平与行动转化(HAT)研究核心 人们越来越认识到，为了促进整个糖尿病过程中的健康公平，一个新的 翻译研究的产生必须解决制度和政策层面的不平等驱动因素。作为两个人之一 通过先进的多层次科学进行的糖尿病公平研究中的翻译研究核心 糖尿病转化研究中心(DREAMS-CDTR)，新热点(健康公平与行动) 翻译)研究核心，我们将使用多层次系统方法来设计面向行动的、 严格的观察性和干预性研究解决了健康差距，促进了健康公平 大旧金山湾区和中央山谷。核心的动机是需要：a)设计和 优化糖尿病相关干预措施和公共卫生政策的目标定位和调整，以促进健康 公平和减少不平等，以及b)监测保健提供、公共卫生和医疗保健领域创新的影响 关于现有健康不平等的社会政策。 我们的目标是建立进行翻译研究的能力，以解决以下系统的范围 产生或破坏健康--从临床医疗保健系统到公共卫生系统，再到社会制度。 以这种方式扩大与以下认识相一致：在糖尿病患者中实现健康公平不仅将 需要新的方式在不同的卫生系统中提供医疗服务，但也需要新的方式来影响和转变 医疗保健内外的系统范围，以影响所谓的“结构性决定因素 身体健康。这一目标将在1年前实现。)保持和深化充满活力和协作的交叉 学科研究环境，2.)支持初级调查人员，3.)将调查结果分发给 与科学界和主要利益攸关方合作，包括受糖尿病影响最严重的社区，以及4.) 为一系列利益攸关方提供及时、权威和量身定制的咨询，包括调查人员、当地 卫生系统领导人、社区组织和区域公共卫生、社会服务和社会 关于与差异有关的专题的政策实体。

Project Summary/Abstract: Health Equity & Action Translational (HEAT) Research Core There is growing recognition that, in order to promote health equity across the diabetes continuum, a new generation of translational research must address system and policy level drivers of inequities. As one of two translational research cores within the Diabetes Research for Equity through Advanced Multilevel Science Center for Diabetes Translational Research (DREAMS-CDTR), the new HEAT (Health Equity & Action Translational) Research Core, we will employ a multi-level systems approach to designing action-oriented, rigorous observational and interventional research address health disparities and promoted health equity in the greater San Francisco Bay Area and the Central Valley. The Core is motivated by the need to: a) design and optimized targeting and tailoring of diabetes-related interventions and public health policy to promote health equity and reduce inequalities, and b) to monitor the impact of innovations in care delivery, public health and social policy on existing health inequalities. We aim to build capacity in carrying out translational research that addresses the range of systems that generate or undermine health – from clinical healthcare systems to public health systems to social systems. Expanding in this way is aligned with the recognition that achieving health equity in diabetes not only will require new ways of delivering care in diverse health systems, but also new ways to influence and transform a range of systems within and outside of healthcare so as to affect the so-called ‘structural determinants of health.’ This goal will be accomplished by 1.) Maintaining and deepening a vibrant and collaborative cross- disciplinary research environment, 2.) Supporting junior investigators, 3.) Disseminating findings among the scientific community and with key stakeholders, including the communities most affected by diabetes, and 4.) Providing timely, authoritative and tailored consultation to a range of stakeholders, including investigators, local health system leaders, community-based organizations, and regional public health, social service and social policy entities on disparities-related topics.