Technologies Advancing Translation and Equity - Regional Core

区域核心：方案摘要/摘要 东南部在糖尿病预防和护理方面的差距很明显，而且还有未得到满足的需求 翻译研究，评估和促进技术在提供连续性护理和 最大限度地减少医疗保健的不平等。新冠肺炎疫情突显出，微博的加速使用 技术(例如，远程医疗的扩展)已帮助医疗保健系统适应患者和提供者 同时将病毒暴露风险降至最低。已经发现了许多障碍，可能会阻碍 这些技术在社区和临床实践中的实施，对其影响知之甚少 医疗保健领域的这场技术革命将对弱势群体产生影响。除了远程医疗， 其他技术进步包括允许远程监控的多个接口和互操作性 和人口健康管理。然而，在弱势群体中获得这类技术 通常都很低。与此同时，美国的智能手机拥有量迅速增长(约80%)，其中包括 那些收入较低的人和人们正在向互联网寻求建议、指导、联系和健康 从未有过的关心。同样重要的是要考虑在某些情况下实现技术的方式 人口，因为持续快速的技术进步和铺天盖地的营销有时可以 拉大技术差距，扩大差距。此外，实施不力可能导致提早 停止使用技术，从长远来看可能是有益的。因此，区域核心 佐治亚州糖尿病翻译研究中心的《促进翻译和公平的技术》 (GCDTR)将先验地将技术与实施科学相结合，以优化覆盖范围、采用 糖尿病和缩小差距技术的影响和可持续性。核心将实现其目标 通过：a)在佐治亚州、佛罗里达州和田纳西州建立协作学习网络，以增强 知识分享活动侧重于糖尿病预防和护理方面的技术方法(目标1)；b) 在五种关键的技术多样性驱动的方法方面提供专业知识和咨询；互动 技术；可穿戴设备；人工智能和大数据；以及电子健康记录集成和 临床决策支持，就缩小差距和促进公平提供具体指导(目标2)；和c) 资助项目，告知如何优化覆盖范围、采用、实施、有效性和 维持改善和减少糖尿病预防和护理方面的不平等现象的技术(目标3)。在……里面 与GCDTR的试点、可行性和浓缩方案以及其他核心项目密切合作 区域核心将提高关键技术的可用性、可访问性和可用性，以促进 在该区域各伙伴机构之间公平和具有成本效益的糖尿病预防和管理。这个 区域核心组织还将与全国范围更广的综合发展援助网络分享其专门知识和材料。

REGIONAL CORE: PROGRAM SUMMARY / ABSTRACT Disparities in diabetes prevention and care are pronounced in the Southeast, and there is an unmet need for translation research that evaluates and advances the role of technology in both providing continuity of care and minimizing healthcare inequities. The COVID-19 pandemic has highlighted how the accelerated use of technologies (e.g., expansion of telehealth) has helped healthcare systems accommodate patient and provider needs while minimizing viral exposure risk. Numerous barriers have been identified that may hinder the implementation of such technologies in communities and clinical practices, and little is known about the impact that this technological revolution in healthcare will have on vulnerable populations. In addition to telehealth, other technological advances include multiple interfaces and interoperability that allow for remote monitoring and population health management. However, access to this type of technology in disadvantaged populations is often low. At the same time, smartphone ownership has grown rapidly in the US (~80%), including among those with lower incomes, and people are turning to the internet for advice, coaching, connection, and health care like never before. It is also important to consider the way technologies are implemented in certain populations, given that continued rapid technological advances and overwhelming marketing can sometimes widen the technology gap and increase disparities. Additionally, poor implementation can lead to early discontinuation of technology use that might have been beneficial long term. As such, the Regional Core (Technologies Advancing Translation and Equity) of the Georgia Center for Diabetes Translation Research (GCDTR) will combine, a priori, technologies with implementation science to optimize the reach, adoption, impact, and sustainability of technologies for diabetes and disparities reduction. The Core will achieve its goal by: a) establishing a Collaborative Learning Network across Georgia, Florida, and Tennessee to enhance knowledge sharing activities focused on technological approaches in diabetes prevention and care (Aim 1); b) providing expertise and consulting in five key technological diversity driven approaches; interactive technologies; wearables; artificial intelligence and Big Data; and electronic health records integration and clinical decision support with specific guidance on reducing disparities and promoting equity (Aim 2); and c) funding projects that inform how to optimize the reach, adoption, implementation, effectiveness, and maintenance of technologies to improve and reduce inequities in diabetes prevention and care (Aim 3). In close collaboration with the GCDTR's Pilot and Feasibility and Enrichment Programs and other Cores, the Regional Core will advance the availability, accessibility, and usability of key technologies that promote equitable and cost-effective diabetes prevention and management across partner institutions in the region. The Regional Core will also share its expertise and material with the wider CDTR network nationally.