Center for Rural Health Care Delivery Science

农村医疗保健提供科学中心

• 批准号: 10555005
• 负责人: MARK A CREAGER
• 金额: $ 233.67万
• 依托单位: DARTMOUTH-HITCHCOCK CLINIC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10555005
• 关键词: Academic Medical Centers; Accountability; Achievement; Address; American; Award; Back; Caring; Centers of Research Excellence; Communities; Complex; Core Facility; Coupled; Dedications; Detection; Development; Disease; Disease Management; Ensure; Environment; Equity; Evaluation; Evolution; Face; Faculty; Fostering; Foundations; Funding; Geography; Goals; Health; Health Care Research; Health Policy; Health Services Accessibility; Health Technology; Health system; Healthcare; Infrastructure; Institution; Interdisciplinary Study; Link; Mentors; Mentorship; Methodology; Modeling; Monitor; Performance; Phase; Pilot Projects; Policy Maker; Population; Process; Program Evaluation; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Support; Resource Sharing; Resources; Rural; Rural Community; Rural Health Centers; Rural Population; Science; Scientist; Senior Scientist; Socioeconomic Factors; System; Training; Translating; United States; Work; access disparities; advanced analytics; care delivery; career; clinical infrastructure; community based participatory research; community engaged research; community engagement; digital health; disorder prevention; end of life care; experience; health care delivery; health care disparity; health management; improved; innovation; member; multidisciplinary; nonmetropolitan area; poor health outcome; programs; recruit; rural area; rural dwellers; rural health disparities; rural healthcare; rural patients; screening; skills; timeline

PROJECT SUMMARY/ABSTRACT This Centers of Biomedical Research Excellence (COBRE) proposal establishes a Center for Rural Health Care Delivery Science at Dartmouth-Hitchcock Health (D-HH), one of the most rural academic medical centers in the United States. Nearly 20% of Americans live in non-metropolitan areas and experience poorer health outcomes, but research on rural health care has been limited by challenges associated with relatively small and geographically dispersed populations. Accordingly, our Center will concentrate on understanding and solving challenges associated with the provision of health care in rural areas, focusing on a community- engaged approach to research. The overarching goal of this COBRE is to establish a multidisciplinary research program in rural health care delivery science and to provide expert mentorship and infrastructure to train and support a critical mass of early-career clinician-scientists as they transition into independent researchers dedicated to decreasing health care disparities in rural communities. To achieve this goal, the Center will pursue the following four specific aims: (1) Integrate research expertise, mentorship, and community engagement to establish a Center for Rural Health Care Delivery Science; (2) Enhance the transition of early- career clinician-scientists into independent researchers through strong research support and dedicated mentoring; (3) Assure accountability and achievement of milestones through the implementation of a rigorous program evaluation plan; and (4) Leverage shared resources to support the Center for Rural Health Care Delivery Science as a self-sustaining scientific community. The proposed Center will bring an innovative and impactful approach to rural health care delivery research by focusing on the fundamental causes of rural health disparities across systems and processes, as well as addressing barriers that impede disease detection, access to care, and management of health conditions that are particularly prevalent in rural populations. The initial four Research Project Leaders will address disease prevention and screening (Project 1), digital health technologies for disease management (Project 2), as well as socio-economic factors and health policy that impact the management of complex conditions (Project 3) and the provision of end-of-life care (Project 4). The Center's Scientific Cores will support the Center by: (1) Strengthening methodology for mechanistic studies in rural populations; and (2) Providing needed resources for expanding and strengthening critical relationships between researchers and key stakeholders via community-based participatory research. COBRE funding, coupled with substantial institutional funding and a commitment to hire additional faculty members during Phase I, will provide an outstanding foundation for the development of a vibrant Center. In summary, the proposed Center will support the establishment of a self-sustaining, multidisciplinary research program in rural health care delivery science at D-HH.

项目摘要/摘要 生物医学研究卓越（COBRE）提案中心建立了一个农村健康中心 达特茅斯 - 希区柯克健康（D-HH）的护理科学是最农村学术医疗中心之一 在美国。近20％的美国人居住在非大都市地区，健康状况较差 结果，但是对农村医疗保健的研究受到相对较小相关的挑战的限制 和地理分散的人群。因此，我们的中心将专注于理解和 解决与农村地区提供医疗保健相关的挑战，重点是社区 - 参与研究的方法。该毛绒的总体目标是建立一项多学科研究 农村卫生保健提供科学计划，并提供专家指导和基础设施来培训和 在过渡到独立研究人员时，支持大量的早期临床医生临床医生 致力于减少农村社区的医疗保健差异。为了实现这一目标，中心将 追求以下四个具体目标：（1）整合研究专业知识，指导和社区 参与建立农村医疗保健提供科学中心； （2）增强早期的过渡 职业临床医生科学家通过强大的研究支持和专门的研究人员进入独立研究人员 指导； （3）通过实施严格的实施来确保责任和实现里程碑 计划评估计划； （4）利用共享资源来支持农村医疗保健中心 作为一个自我维持的科学界的传递科学。拟议中心将带来创新的， 通过关注农村健康的基本原因，对农村卫生保健提供研究有影响力的方法 跨系统和过程之间的差异，并解决阻碍疾病检测的障碍 在农村人群中尤其普遍的健康状况，获得护理和管理。这 最初的四个研究项目领导者将解决疾病预防和筛查（项目1），数字健康 疾病管理技术（项目2），以及社会经济因素和健康政策 影响复杂条件的管理（项目3）和提供寿命终止护理（项目4）。这 中心的科学核心将通过以下方式支持该中心：（1）加强方法论 农村人口； （2）提供所需的资源来扩大和加强关键关系 研究人员和主要利益相关者之间通过基于社区的参与性研究。毛绒资金， 加上大量机构资金，并承诺在 第一阶段将为开发充满活力的中心提供出色的基础。总而言之， 拟议的中心将支持在农村建立自我维持的多学科研究计划 D-HH的医疗保健分娩科学。