Training in Health Services Research

项目摘要 约翰霍普金斯博士前AHRQ NRSA培训计划的目的是准备博士水平的卫生服务 研究人员在以下三个高度优先领域：1）患者安全，质量和成果的重点是 与实现最佳患者安全、质量和健康结果相关的多维因素， 在不同环境中提供护理; 2）改变医疗保健服务的融资和组织 重点是了解我们的医疗保健系统的公共和私人融资机制的方式， 组织结构影响护理的效率、公平和质量，并影响开发创新解决方案 解决不足之处; 3）减少弱势群体的卫生保健差距，重点是 少数种族和族裔以及因缺乏保健服务而处于不利地位的人口（低收入 个人、无保险儿童、服务不足地区的居民）和易受护理不良影响的群体 协调和较低质量的护理，如对有复杂护理需求的人。我们的三个领域的预- 博士培训建立在课程工作的共同核心之上，强调包括研究设计在内的技能， 统计、测量、数据库/信息技术应用、评估和政策分析。一个重要的组成部分是 一个实习要求，让学生获得的研究经验，针对实际的 应用.本建议书提出了一套详细的核心能力和学习目标， 学生训练。这些能力是根据2005年AHRQ赞助的 2012年由我司主办的全国“高铁核心竞争力”会议。解决 美国医疗保健系统的转型因素和新出现的问题，我们将更加重视 比往年更注重以人为本的研究，利益相关者的参与，研究与实践的整合， 学习型医疗机构和健康信息技术。学员将获得曝光， 通过课程，研讨会和教师个人参与这些主题的研究经验 研究和实习。AHRQ将每年为4-5名新的博士前学生提供两年的培训。 我们的计划提供个性化的小组和一对一的支持，指导和指导， 经验丰富的导师，以确保协调和凝聚力的培训计划的经验，为我们每个人 实习生最后，我们的培训计划与我们内部的积极研究计划和中心很好地结合在一起。 部门和整个大学，并受益于一个大的教师与伟大的广度和深度，在我们的 优先领域和广泛的机会，在研究和政策在巴尔的摩/华盛顿地区。

PROJECT SUMMARY The Johns Hopkins pre-doctoral AHRQ NRSA training program aims to prepare PhD-level health services researchers in the following three high priority areas: 1) Patient Safety, Quality and Outcomes focuses on the multi-dimensional factors associated with attaining optimal patient safety, quality and health outcomes of care delivery in diverse settings; 2) Transforming the Financing and Organization of Health Care Services focuses on understanding the ways our health care system's public and private financing mechanisms and organizational structure affect the efficiency, equity, and quality of care and on developing innovative solutions to address deficiencies; and 3) Reducing Health Care Disparities for Vulnerable Populations focuses on racial and ethnic minorities and populations disadvantaged by lack of access to health services (low income persons, uninsured children, residents of underserved areas) and groups who are vulnerable to poor care coordination and lower quality care, such as with persons with complex care needs. Our three areas of pre- doctoral training build on a common core of course work that emphasizes skills including study design, statistical, measurement, database/IT application, evaluation, and policy analysis. An important component is a Practicum requirement that allows students to gain experience in research directed toward practical applications. This proposal presents a detailed set of core competencies and learning objectives which guides students' training. These competencies were developed in accordance with the 2005 AHRQ sponsored national “HSR core competencies” conference hosted by our Department and updated in 2012. To address transformational factors and emerging problems in the U.S. health care system, we will place greater emphasis than in previous years on person-centered research, stakeholder engagement, research-practice integration, learning healthcare organizations, and health information technology. Trainees will gain exposure and research experience on these topics through coursework, seminars, and individual involvement in faculty research and practicum. AHRQ will support two years of training for 4-5 new pre-doctoral students per year. Our program offers personalized small group and one-on-one support, mentoring, and guidance by experienced mentors to ensure a coordinated and cohesive training program experience for each of our trainees. Finally, our training program is well integrated with active research programs and centers within our Department and across the University and benefits from a large faculty with great breadth and depth in our priority areas and the extensive opportunities in research and policy in the Baltimore/ Washington area.