Technologies Advancing Translation and Equity - Regional Core

区域核心：摘要/摘要 东南部地区糖尿病预防和护理方面的差异很明显，并且糖尿病预防和护理的需求尚未得到满足 翻译研究，评估和推进技术在提供连续性护理和 最大限度地减少医疗不平等。2019冠状病毒病疫情凸显了如何加速使用 技术（例如，远程医疗的扩展）帮助医疗保健系统适应患者和提供者 同时最大限度地减少病毒暴露风险。已经确定了许多可能阻碍 这些技术在社区和临床实践中的实施，以及对这些技术的影响知之甚少。 这场医疗保健技术革命将对弱势群体产生的影响。除了远程医疗， 其他技术进步包括允许远程监控的多个接口和互操作性 人口健康管理。然而，弱势群体获得这类技术的机会 往往很低。与此同时，智能手机拥有量在美国迅速增长（约80%），其中包括 那些收入较低的人，人们转向互联网寻求建议，指导，联系和健康 前所未有的关心同样重要的是要考虑技术在某些领域的实现方式， 鉴于持续快速的技术进步和势不可挡的市场营销有时会 扩大技术差距，扩大差距。此外，执行不力可能导致早期 停止使用可能长期有益的技术。因此，区域核心 （技术促进翻译和平等）的格鲁吉亚中心糖尿病翻译研究 （GCDTR）将联合收割机，先验，技术与实施科学，以优化覆盖面，采用， 糖尿病和减少不平等技术的影响和可持续性。内核会实现它的目标 通过：a）在格鲁吉亚、佛罗里达和田纳西州建立协作学习网络， 以糖尿病预防和护理技术方法为重点的知识共享活动（目标1）; B） 在五个关键的技术多样性驱动方法方面提供专业知识和咨询;互动 技术;可穿戴设备;人工智能和大数据;以及电子健康记录集成和 提供临床决策支持，并就减少差异和促进公平提供具体指导（目标2）;以及c） 资助项目，告知如何优化覆盖范围，采用，实施，有效性， 维持技术，以改善和减少糖尿病预防和护理方面的不公平现象（目标3）。在 与GCDTR的试点项目、可行性项目和浓缩项目以及其他核心项目密切合作， 区域核心将提高关键技术的可用性、可访问性和可用性， 在该区域的伙伴机构中开展公平和具有成本效益的糖尿病预防和管理。的 区域核心还将与全国范围内更广泛的CDTR网络分享其专业知识和材料。

REGIONAL CORE: PROGRAM SUMMARY / ABSTRACT Disparities in diabetes prevention and care are pronounced in the Southeast, and there is an unmet need for translation research that evaluates and advances the role of technology in both providing continuity of care and minimizing healthcare inequities. The COVID-19 pandemic has highlighted how the accelerated use of technologies (e.g., expansion of telehealth) has helped healthcare systems accommodate patient and provider needs while minimizing viral exposure risk. Numerous barriers have been identified that may hinder the implementation of such technologies in communities and clinical practices, and little is known about the impact that this technological revolution in healthcare will have on vulnerable populations. In addition to telehealth, other technological advances include multiple interfaces and interoperability that allow for remote monitoring and population health management. However, access to this type of technology in disadvantaged populations is often low. At the same time, smartphone ownership has grown rapidly in the US (~80%), including among those with lower incomes, and people are turning to the internet for advice, coaching, connection, and health care like never before. It is also important to consider the way technologies are implemented in certain populations, given that continued rapid technological advances and overwhelming marketing can sometimes widen the technology gap and increase disparities. Additionally, poor implementation can lead to early discontinuation of technology use that might have been beneficial long term. As such, the Regional Core (Technologies Advancing Translation and Equity) of the Georgia Center for Diabetes Translation Research (GCDTR) will combine, a priori, technologies with implementation science to optimize the reach, adoption, impact, and sustainability of technologies for diabetes and disparities reduction. The Core will achieve its goal by: a) establishing a Collaborative Learning Network across Georgia, Florida, and Tennessee to enhance knowledge sharing activities focused on technological approaches in diabetes prevention and care (Aim 1); b) providing expertise and consulting in five key technological diversity driven approaches; interactive technologies; wearables; artificial intelligence and Big Data; and electronic health records integration and clinical decision support with specific guidance on reducing disparities and promoting equity (Aim 2); and c) funding projects that inform how to optimize the reach, adoption, implementation, effectiveness, and maintenance of technologies to improve and reduce inequities in diabetes prevention and care (Aim 3). In close collaboration with the GCDTR's Pilot and Feasibility and Enrichment Programs and other Cores, the Regional Core will advance the availability, accessibility, and usability of key technologies that promote equitable and cost-effective diabetes prevention and management across partner institutions in the region. The Regional Core will also share its expertise and material with the wider CDTR network nationally.