Examining the Integration of Hospitals, Public Health, and Social Services to Target the Social Determinants of Health Using Patient-Centered and Comparative Effectiveness Research Methods

摘要 这是哈佛大学助理教授雷切尔·霍格博士的K01奖项申请表。 肯塔基健康科学学院。霍格博士正在将自己确立为一名年轻的研究员，她使用 以患者为中心的结果研究(PCOR)和比较有效性研究(CER)方法 研究围绕健康相关社会的临床和社区协作的效果模式 健康的决定因素包括提高保健质量和减少住院和再入院。 K01奖将为霍格博士提供必要的支持，以实现以下目标：(1)开发 在用于将临床和社区组织整合到 不仅涉及卫生保健，而且还涉及与健康相关的健康的社会决定因素，(2)将自己确立为 掌握使用先进的比较有效性研究方法的独立研究人员 确定临床社区模型如何解决不同人群需求的效果异质性，以及(3) 使用公共卫生和社会服务敏感入学措施作为一种 结果。霍格博士组建了一个指导团队，由主要导师格伦·梅斯博士和联合 导师：帕特里克·基茨曼博士、丹妮尔·瓦尔达和马克·威廉姆斯。 解决与健康相关的健康的社会决定因素已成为 应对可预防的住院和再入院带来的日益增加的经济和财政负担。Dr。 霍格的研究将使用混合方法来更详细地检查正在使用的模型 美国将公共卫生和社会服务与医院提供的临床护理结合起来，作为一种机制 针对导致住院和再入院的社会、行为和环境因素 (目标1和2)。霍格博士的项目还将吸引患者、护理人员和社区利益相关者参与 确定患者、护理者和提供者的医疗体验受以下因素影响的程度 公共卫生和社会服务的周边提供系统(目标3)。调查结果将累积在一份 模板模型将作为R01应用程序的一部分建议用于试点测试，并将在 K奖结束了。

Abstract This is an application for a K01 award for Dr. Rachel Hogg, an Assistant Professor at the University Of Kentucky College Of Health Sciences. Dr. Hogg is establishing herself as a young investigator who uses Patient Centered Outcomes Research (PCOR) and Comparative Effectiveness Research (CER) methods to examine the effect models of clinical and community collaboration around the health-related social determinants of health have on improved health care quality and reduced hospitalizations and readmissions. This K01 award will provide Dr. Hogg with the support necessary to achieve the following goals: (1) develop expert knowledge in the types of models being used to integrate clinical and community organizations to address not only health care, but also the health-related social determinants of health, (2) establish herself as an independent researcher with mastery of using advanced Comparative Effectiveness Research methods to determine effect heterogeneity in how clinical-community models address diverse population needs, and (3) To secure R01 level funding using the Public Health and Social Service Sensitive Admission Measures as an outcome. Dr. Hogg has assembled a mentoring team comprised of primary mentor, Dr. Glen Mays, and Co- Mentors, Drs. Patrick Kitzman, Danielle Varda, and Mark Williams. Addressing the health-related social determinants of health has emerged as a leading strategy to combat the increasing economic and financial burden of preventable hospitalizations and readmissions. Dr. Hogg’s study will use a mixed methods approach to examine in greater detail the models being used across the US to integrate public health and social services with clinical care provided in hospitals as a mechanism to target the social, behavioral, and environmental factors that contribute to hospitalizations and readmissions (Aims 1 and 2). Dr. Hogg’s project will also engage patients, caregivers, and community stakeholders to determine the extent to which patient, caregiver, and provider experiences with health care are influenced by the surrounding delivery systems for public health and social services (Aim 3). The findings will cumulate in a template model that will be proposed for pilot testing as part of a R01 application to be submitted before the end of the K award.