HARLEM URBAN HEALTH RESEARCH INSTITUTE

哈莱姆城市健康研究所

• 批准号: 3553738
• 负责人: Charles W. Francis
• 金额: $ 65.26万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-09 至 1997-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3553738
• 关键词: AIDS; AIDS education /prevention; African American; adolescence (12-20); adult human (21+); cardiovascular disorder; child (0-11); culture; curriculum; decision making; diagnosis; disease /disorder prevention /control; epidemiology; female; health care personnel education; health care quality; health economics; health science research; human subject; hypertension; information dissemination; injury prevention; nursing education; physicians; postgraduate education; statistics /biometry; training; tuberculosis; urban poverty area; violence

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.

我们建议建立哈莱姆医院城市卫生中心 研究所。该研究所的目标是帮助优化 城市非裔美国人对医疗资源和服务的利用 人口。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，并通过 研究临床结果如何与实践差异有关。 这些研究的结果将传达给医疗保健部门 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。这个 该中心的主题是“健康经年累月：有效和 《为哈莱姆提供适当的医疗保健》，并强调 哈莱姆区的发病率高得不成比例(如高血压和 心脏病、结核病、艾滋病、对儿童的暴力和伤害 青少年和少女怀孕)。该研究所将：(1)组建一个 研究人员队伍和发展资源团队的综合团队 以及开发、开展和传播成果研究的设施， 协助和培训其他人进行成果研究和 传播根据这些内容得出的建议和结论 活动。(二)开展医疗保障有效性研究， 医疗实践的变化，包括预防、诊断、 治疗和管理四个分领域的临床重点。(3) 在成果研究的主要领域提供技术援助， 医疗实践中的变异及其与疾病的关系分析 患者结局、文献回顾和综合(包括 元分析)、管理和分析大小数据库， 调查研究、卫生经济学、决策分析、流行病学和 生物统计学。(四)制定课程设置和培训方案 大学生、医学生和硕士生、博士生， 住院医生和研究员、护士和其他保健提供者，执业 医生、研究人员、外行和专业组织以及公众 和私人卫生机构对实施结果感兴趣 研究。(5)与地方、区域和国家数据建立联系 开展综合和协作成果研究的基础 它将提供特定于城市健康的数据 非裔美国人。(6)发展与临床的合作关系 为大量城市非裔美国人提供服务的中心 引证用于比较实践模式和临床的研究 结果。(7)与专业人士发展合作安排 由执业医生组成的组织将允许 非洲城市的实践变异和临床结果的评估 美国人和其他美国人。(8)开发和评估 传播研究成果和实践的战略 向提供者、患者和公众提出的建议是 在种族和文化上都是合适的。(九)充当他人的资源 用于信息、技术援助、培训和传播 医学效果研究中的策略。(十)继续提供便利 发展成果研究人员。