Admin Core

管理核心

• 批准号: 10437310
• 负责人: CONSUELO HOPKINS WILKINS
• 金额: $ 50.74万
• 依托单位: VANDERBILT UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10437310
• 关键词: Academic Medical Centers; Address; African American; Asthma; Behavioral; Biological; Cardiovascular Diseases; Cause of Death; Cessation of life; Chronic; Chronic Disease; Collaborations; Collection; Common Data Element; Communication; Communities; Data; Data Collection; Data Science; Development; Diabetes Mellitus; Discipline; Doctor of Philosophy; Endocrinologist; Ensure; Evaluation; Faculty; Genetic; Goals; Health; Health Expenditures; Hispanics; Human; Human Resources; Hypertension; Individual; Infrastructure; Institutes; Institution; Intervention; Knowledge; Language; Latino; Leadership; Malignant Neoplasms; Medicine; Methods; Minority; Molecular; Monitor; Obesity; Operating System; Operative Surgical Procedures; Pilot Projects; Population; Poverty; Problem Solving; Quality of life; Research; Research Personnel; Research Project Grants; Resource Sharing; Resources; Risk Factors; Scientist; Socioeconomic Status; Southeastern United States; Stephania; Structure; Technology; Testing; Time; Translations; Universities; Vision; Work; clinical practice; collaborative environment; community engagement; data collection evaluation; data harmonization; data integration; data sharing; data standards; disease disparity; disparity reduction; ethnic health disparity; ethnic minority population; experience; health data; health disparity; health equity; informatics tool; innovation; medical schools; minority communities; novel; operation; population health; premature; preventable death; professor; programs; prospective; racial and ethnic; racial minority; skills; social; social health determinants; tool; translational scientist

The burden of racial and ethnic health disparities is most evident in the southeastern United States, where Black and Latino populations suffer the highest rates of cardiovascular disease, diabetes, obesity, hypertension, cancer, and asthma. These chronic conditions are a primary cause of poor health, reduced quality of life, and premature death, and account for more than 50% of health care expenditures. Despite substantial reduction of some chronic diseases and risk factors over the last few decades, the Southeast continues to have the highest number of potentially preventable deaths for each of the five leading causes of death. Racial and ethnic minorities comprise 39% of the population of the Southeast (HHS Region IV), which includes nearly 15 million African Americans and 9 million Latinos. Minorities in the Southeast fare worse on many health indicators compared to other regions, in large part due to poor socioeconomic status, with more than 22% of Southeastern residents living in poverty. Effectively addressing pervasive chronic disease disparities will require interventions that consider the needs, priorities, and lived experiences of those disproportionately impacted. Research teams with expertise in social, environmental, behavioral, and biological disciplines must collaborate to develop and test multicomponent strategies aimed at the multilevel determinants that drive disparities. The Administrative Core of the Southeast Collaborative for Innovative and Equitable Solutions to Chronic Disease Disparities builds on existing, highly-productive, health disparities research collaborations across multiple institutions in the Southeast, where efforts to mitigate chronic disease disparities have been numerous, yet remain intractable among African Americans and Latinos. The Core will create a cross-institutional structure, bringing together faculty from Vanderbilt University Medical Center, University of Miami School of Medicine, and Meharry Medical College to: Specific Aim 1. To develop and sustain a highly productive and efficient regional transdisciplinary collaborative center that enables chronic disease disparities research to reduce disparities among African American and Latino populations. Specific Aim 2. To effectively expedite data integration, coordinate data harmonization, and share data across research projects and pilot projects, and with the Coordinating Center. Specific Aim 3. To facilitate Center operations through real-time data collection for continuous quality improvement and support prospective monitoring and evaluation of Center activities.

种族和民族健康差异的负担在美国东南部最为明显， 黑人和拉丁美洲人患心血管疾病、糖尿病、肥胖症、高血压的比率最高， 癌症和哮喘这些慢性病是健康状况不佳、生活质量下降以及 过早死亡，占医疗保健支出的50%以上。尽管大幅度减少 在过去的几十年里，一些慢性疾病和危险因素，东南部仍然是最高的 五个主要死因中每一个的潜在可预防死亡人数。 种族和少数民族占东南部（HHS第四区）人口的39%，其中包括 近1500万非洲裔美国人和900万拉丁裔美国人。东南部的少数民族在许多健康状况上更差 与其他地区相比，这在很大程度上是由于社会经济状况差，22%以上的 生活在贫困中的东南部居民。有效解决普遍存在的慢性病差异需要 干预措施考虑到不成比例地受到影响的人的需求，优先事项和生活经历。 具有社会、环境、行为和生物学科专业知识的研究团队必须合作 制定和测试针对造成差距的多层次决定因素的多成分战略。 东南部合作的创新和公平的解决方案的行政核心， 慢性病差异建立在现有的，高生产力的，健康差异的研究合作 在东南部的多个机构中，缓解慢性病差异的努力一直在进行， 许多，但仍然棘手的非洲裔美国人和拉丁美洲人。核心将创建一个跨机构的 结构，汇集了来自范德比尔特大学医学中心，迈阿密大学医学院的教师， 医学，和Meharry医学院： 具体目标1.发展和维持一个高产高效的区域跨学科 合作中心，使慢性病的差异研究，以减少非洲之间的差距 美国人和拉丁美洲人。 具体目标2。有效加快数据集成、协调数据统一和共享数据 跨研究项目和试点项目，并与协调中心。 具体目标3。通过实时数据收集促进中心运营，以实现持续质量 改进和支持对中心活动进行前瞻性监测和评价。