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 这是一份K01奖的申请书，申请人是雷切尔·霍格博士，她是密歇根大学的助理教授。 肯塔基州健康科学学院。霍格博士正在建立自己作为一个年轻的调查员谁使用 以患者为中心的结局研究（PCOR）和比较有效性研究（CER）方法， 检查临床和社区合作的效果模型，围绕健康相关的社会 健康决定因素对提高保健质量和减少住院和再入院的影响。 该K01奖项将为霍格博士提供必要的支持，以实现以下目标：（1）开发 在用于整合临床和社区组织的模型类型方面的专家知识， 不仅解决保健问题，而且解决与健康有关的健康社会决定因素，（2）确立自己是 独立研究员，掌握先进的比较有效性研究方法， 确定临床社区模型如何满足不同人群需求的效应异质性，以及（3） 利用公共卫生和社会服务敏感准入措施， 结果。霍格博士组建了一个由主要导师格伦·梅斯博士和合作者组成的指导团队， 导师，博士。帕特里克基茨曼，丹妮尔瓦尔达，和马克威廉姆斯。 处理与健康有关的健康社会决定因素已成为一项主要战略， 应对可预防的住院和再入院造成的日益沉重的经济和财政负担。博士 霍格的研究将使用混合方法的方法，以更详细地检查跨 美国将公共卫生和社会服务与医院提供的临床护理相结合，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 (Aims 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， 确定患者、护理人员和提供者的医疗保健体验受到以下因素影响的程度 周围的公共卫生和社会服务提供系统（目标3）。调查结果将累积在一个 将作为R01申请的一部分，在 K奖结束

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.