HARLEM URBAN HEALTH RESEARCH INSTITUTE

我们建议建立哈莱姆城市健康中心医院 院 研究所的目标是帮助优化 城市非裔美国人医疗资源和服务的利用 人口数量。 这一目标将通过检查可变性来实现 存在于当前的医疗实践和服务提供中， 调查临床结果如何与实践差异相关。 这些研究的结果将传达给卫生保健部门 提供者，以便最成功和有效的临床和 组织战略可能会更快地取代劣势战略。 的 该中心的主题是“健康贯穿时代：有效和 为哈莱姆提供适当的保健”，并强调了 哈莱姆发病率高得不成比例（如高血压和 心脏病、肺结核、艾滋病、暴力和伤害儿童， 青少年和少女怀孕）。 研究所将：（1）召集一个 研究人员骨干，并建立一个综合的资源小组 以及开发、开展和传播成果研究的设施， 协助和培训他人进行成果研究， 传播由此产生的建议和结论 活动(2)对医疗保健的有效性进行研究， 医疗实践的变化，包括预防，诊断， 在临床重点的四个子领域的治疗和管理。（三） 在成果研究的主要领域提供技术援助， 分析医疗实践中的变化及其与 患者结局、文献综述和综合（包括 元分析），管理和分析大型和小型数据库， 调查研究、卫生经济学、决策分析、流行病学和 生物统计学(4)制定课程和建立培训方案， 大学生、医学生、硕士生和博士生， 居民和研究员，护士和其他医疗服务提供者， 医生、研究人员、非专业和专业组织以及公众 和私人医疗机构， research. (5)与地方、区域和国家数据建立联系 进行综合和协作成果研究的基础 这将提供城市健康的具体数据， 非裔美国人(6)发展与临床的合作关系 中心，为大量的城市非洲裔美国人在几个 引用进行比较实践模式和临床的研究 成果。(7)与专业人员建立合作安排 由执业医师组成的组织， 评估非洲城市地区的实践差异和临床结局- 美国人和其他美国人。(8)开发和评估 传播研究结果和做法的战略 向提供者、患者和公众提出的建议， 在种族和文化上是合适的。(9)作为他人的资源 信息、技术援助、培训和传播 医疗效果研究的策略。(10)推动继续 发展成果研究人员。

We propose the establishment of the HARLEM HOSPITAL CENTER URBAN HEALTH INSTITUTE. The goal of the Institute will be to help optimize the utilization of medical resources and services in urban African-American populations. This goal will be approached by examining the variability that exists in current medical practice and services provision and by investigating how clinical outcomes may be related to practice variation. The findings of these studies will be communicated to health care providers so that the most successful and effective clinical and organizational strategies may more rapidly replace inferior ones. The Theme of the Center is "Health Through the Ages: Effective and Appropriate Health Care for Harlem" and stresses health problems whose incidence is disproportionately high in Harlem (such as hypertension and heart disease, tuberculosis, AIDS, violence and injury to children and adolescents, and teenage pregnancy). The Institute will: (1) Assemble a cadre of researchers and develop an integrated group of resource teams and facilities to develop, conduct and disseminate outcomes research, assist and train others in the conduct of outcomes research and disseminate recommendations and findings evolving out of these activities. (2) Conduct research on the effectiveness of medical care and the variations in medical practices, including prevention, diagnosis, treatment and management in four sub-areas of clinical emphasis. (3) Provide technical assistance in the major areas of outcomes research, analysis of variations in medical practice and their association with patient outcomes, literature review and synthesis (including meta-analysis), management and analysis of large and small data bases, survey research, health economics, decision analysis, epidemiology and biostatistics. (4) Develop curricula and establish training programs for college students, medical students and masters and doctoral candidates, residents and fellows, nurses and other health providers, practicing physicians, researchers, lay and professional organizations and public and private health agencies in interested in conducting outcomes research. (5) Establish linkages with local, regional and national data bases for the conduct of integrated and collaborative outcomes research which will provide data specific to the health of urban African-Americans. (6) Develop cooperative relationships with clinical centers which serve large numbers of urban African-Americans in several cites for the conduct of studies comparing practice patterns and clinical outcomes. (7) Develop cooperative arrangements with professional organizations composed of practicing physicians which would allow assessment of practice variations and clinical outcomes in urban African- American and other American populations. (8) Develop and evaluate strategies for the dissemination of research findings and practice recommendations to providers, patients and the public which are ethnically and culturally appropriate. (9) Serve as a resource to others for information, technical assistance, training and dissemination strategies in medical effectiveness research. (10) Facilitate continued development of outcomes researchers.