Pediatrics & Pulmonary Network: Improving Health Together

项目摘要 尽管空气质量有所改善，吸烟率有所下降，医疗保健也有所创新， 在美国，健康仍然是一个问题，呼吸系统疾病的患病率很高， 肺功能欠佳的人。儿童的睡眠障碍也在增加，影响到社会- 行为发育和长期发病率。健康不成比例的下降发生在 社会经济不平等的人口和代表性不足的少数群体。识别和降低健康 差异仍然是研究和临床护理中的一个挑战。为了识别肺部和睡眠障碍 为了尽早解决肺部健康和健康不平等方面的这些紧迫问题，我们必须建立合作关系， 在专科医生、普通儿科医生、学校、社区和家庭之间。为了促进这些合作 和改善护理，我们建议召开一次面对面的会议，重点是建立一个研究和临床护理议程， 儿童呼吸道健康。我们之前已经确定了改善肺部和睡眠的关键机会 健康，包括A）发展纵向儿童队列，以评估影响肺部和睡眠的因素 健康，B）通过实施现有生物标志物以及开发和测试新的 肺和睡眠健康的生物标志物，C）改善肺和睡眠为重点的实施 患者报告的结果、电子健康记录和大型数据集以及移动的/可穿戴技术 在一般儿科实践中，和D）改善幼儿的肺功能测试。的 本次会议的目的是总结关键的知识差距和关键步骤，以改善呼吸道疾病， 健康的人口，建立儿科和肺病学家之间的伙伴关系，作为儿科和 肺网络，解决临床护理和研究中影响呼吸健康的社会不平等问题， 促进劳动力的未来，包括对呼吸健康感兴趣的初级研究人员。预期 会议的产品是竞争性的跨学科资助申请，新的指南开发， 详细说明确定的优先事项的会议手稿。本次会议与NIH的使命相关， 制定一项研究和临床护理议程，通过改善 儿童呼吸道健康

PROJECT SUMMARY Despite improvements in air quality, decreases in smoking rates, and innovations in healthcare, respiratory health remains a problem in the United States with a high prevalence of respiratory disorders and many individuals with suboptimal lung function. Sleep disorders in children are also increasing, affecting both social- behavioral development and long-term morbidity. Disproportionate declines in health have occurred in populations with socioeconomic disparities and in underrepresented minorities. Identifying and decreasing health disparities remain a challenge in both research and clinical care. In order to identify lung and sleep disorders early and address these urgent issues in pulmonary health and health inequity, we must build collaborations between subspecialists, general pediatricians, schools, communities, and families. To foster these collaborations and improve care, we propose an in-person meeting focused on building a research and clinical care agenda in respiratory health in children. We have previously identified key opportunities to improve pulmonary and sleep health including A) Developing longitudinal childhood cohorts to evaluate factors that affect pulmonary and sleep health, B) Improving diagnostic measures by implementing existing biomarkers and developing and testing novel biomarkers of pulmonary and sleep health, C) Improving the implementation of pulmonary and sleep-focused patient reported outcomes, electronic health records and large data sets, and mobile/wearable technologies within general pediatric practices, and D) Improving pulmonary function testing within young children. The objectives of this conference are to summarize critical knowledge gaps and key steps to improve respiratory health in the population, create a partnership between pediatrics and pulmonologists as the Pediatric & Pulmonary Network, address social inequities affecting respiratory health in both clinical care and research, and promote the future of the workforce including junior investigators interested in respiratory health. Anticipated products of the meeting are competitive interdisciplinary grant applications, new guideline development, and conference manuscripts detailing identified priorities. This meeting is relevant to the mission of the NIH as it aims to develop a research and clinical care agenda that will have impacts to health across the lifespan by improving respiratory health in childhood.