Duke Center for REsearch to AdvanCe Healthcare Equity (REACH EQUITY)

杜克大学促进医疗保健公平研究中心 (REACH EQUITY)

• 批准号: 10400972
• 负责人: KIMBERLY S. JOHNSON
• 金额: $ 3.73万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-25 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10400972
• 关键词: AIDS/HIV problem; Academic Medical Centers; Address; African American; Award; Behavior; Caring; Clinical; Collaborations; Communication; Communities; Development; Diabetes Mellitus; Diagnosis; Disease; Ensure; Faculty; Funding; Goals; Health; Health Care Costs; Health Services Accessibility; Health system; Healthcare; Healthcare Systems; Heart Diseases; Hispanics; Income; Insurance; Intervention; Intervention Studies; Knowledge; Lead; Leadership; Life Cycle Stages; Malignant Neoplasms; Medical Students; Mental disorders; Mentors; Minority; Morbidity - disease rate; Outcome; Patient Preferences; Patient-Centered Care; Patients; Process; Provider; Publishing; Quality of Care; Reproducibility; Research; Research Personnel; Research Project Grants; Research Support; Resources; Scientific Advances and Accomplishments; Series; Students; Testing; Training; Training Programs; Training and Education; Underrepresented Minority; Work; career development; clinical encounter; disparity reduction; early-career faculty; education research; effective intervention; ethnic health disparity; evidence base; experience; graduate student; health care delivery; health care disparity; health care quality; health care settings; health disparity; health equity promotion; health training; improved; minority investigator; mortality; next generation; programs; racial and ethnic; racial and ethnic disparities; racial disparity; racial health disparity; role model; shared decision making; social determinants; undergraduate student; voucher

ABSTRACT—Overall Racial and ethnic health disparities are ubiquitous, lead to excess morbidity and mortality, and are associated with substantial healthcare costs. These disparities are present even among those with similar access to care, suggesting that providers and health systems (as indicated in the NIMHD framework) are important contributors to health disparities. Yet most studies of interventions to reduce disparities have focused on changing patient behavior and knowledge, leaving substantial gaps in the evidence base of effective interventions to reduce disparities in healthcare delivery. In this application, we propose The Duke Center for REsearch to AdvanCe Healthcare Equity. REACH Equity will address gaps in current disparities' research by focusing on the quality of healthcare delivery in the clinical encounter—a setting where racial and ethnic disparities in care are well-documented. The overall theme of REACH Equity is to: develop and test interventions that reduce racial and ethnic disparities in health by improving the quality of patient-centered care in the clinical encounter through better provider communication, high quality interpersonal processes of care, and shared decision making. Rather than focusing on a single disease, REACH Equity will support research which is applicable to and can be replicated across diagnoses, settings of care, stages of illness, and throughout the life course. The Specific Aims of REACH Equity are to: (1) Create an umbrella for the integration of transdisciplinary health disparities research that extends across the campus and health system. (2) Catalyze and support a program of relevant, rigorous, reproducible research related to the Center's theme. (3) Develop the next generation of transdisciplinary health disparities investigators through a research education and training pipeline program which includes undergraduates, medical and graduate students, postdoctoral trainees, and early-career faculty. (4) Diversify the health disparities research workforce by intentionally identifying, mentoring, and developing underrepresented minority (URM) investigators, leaders, and role models. (5) Develop reciprocal partnerships which facilitate community and stakeholder engagement in the Center and ensure widespread dissemination of research findings. REACH Equity will leverage the vast resources of a large health system, nationally ranked training programs, research-intensive academic medical center, and community stakeholder partnerships, to advance scientific knowledge which will have a real-world impact on racial and ethnic disparities in patient-centered care and ultimately health outcomes. The Center will also address national priorities in training health disparities investigators and increasing diversity in the research workforce.

摘要--总体 种族和民族健康差异无处不在，导致过度发病率和死亡率，以及 与高额的医疗费用相关。这些差距甚至存在于 有类似的获得护理的机会，表明提供者和卫生系统(如NIMHD所示 )是造成健康差距的重要因素。然而，大多数干预研究都是为了 缩小差距的重点是改变患者的行为和知识，留下大量 在有效干预措施的证据基础上存在差距，以减少医疗保健提供方面的差异。 在这项申请中，我们建议杜克中心研究以促进医疗保健 公平。Reach Equity将通过关注质量来解决当前差异研究中的差距 在临床就诊中提供医疗服务的情况--在这种情况下，种族和民族在护理方面存在差异 都有很好的记录。REACH Equity的总体主题是：开发和测试干预措施 通过改善以患者为中心的护理质量，减少种族和民族健康差异 通过更好的提供者沟通、高质量的人际关系流程实现临床相遇 关爱和共同决策。Reach Equity将不再专注于单一疾病 支持适用于并可在诊断、护理环境、 疾病的各个阶段，以及整个生命过程。 REACH Equity的具体目标是：(1)为整合 跨学科的健康差距研究，延伸到整个校园和医疗系统。(2) 催化和支持与该中心相关的、严格的、可重复的研究计划 主题。(3)通过以下途径培养下一代跨学科健康差距调查人员 研究教育和培训流水线计划，包括本科生、医学和 研究生、博士后实习生和职业生涯早期教师。(四)扩大健康差距 通过有意识地识别、指导和发展代表人数不足的少数族裔来研究劳动力 (URM)调查人员、领导者和榜样。(5)发展互惠伙伴关系，促进 社区和利益攸关方参与中心，并确保广泛传播 研究成果。Reach Equity将利用一个大型医疗系统的巨大资源， 国家级培训计划、研究密集型学术医疗中心和社区 利益攸关方伙伴关系，以促进科学知识，对现实世界产生影响 在以病人为中心的护理和最终的健康结果方面存在种族和民族差异。该中心将 还解决国家在培训健康差距调查人员和增加多样性方面的优先事项 研究人员。