COMMUNITY BASED HEALTH SERVICES RESEARCH CENTER

社区卫生服务研究中心

• 批准号: 2458464
• 负责人: CLYDE B MCCOY
• 金额: $ 113万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-30 至 2000-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2458464
• 关键词: behavioral /social science research tag; community mental health services; drug addiction; health care service evaluation; human subject

The proposed Health Services Research Center(HSRC) will conduct interdisciplinary research on critical issues of health services for chronic drug users (CDUs). The organizing theme is the integration of multidisciplinary research for effective utilization of personnel, data, and facilities to achieve optimum benefits for science, the center, and the community itself. Two foci of the center's theme are community and chronic drug users. A base of center-experienced multidisciplinary faculty and staff and an existing dynamic, supportive and collaborative environment will permit rapid expansion and development of the proposed HSRC, its administrative/shared resource core and three research components. The HSRC core will: 1) provide scientific leadership, thematic focus, and organizational foundation to develop, promote, support and sustain the center; 2) organize the center to support specific investigations that are consistent with a central yet sufficiently broad theme and generate optimum scientific and center benefits; 3) stimulate a synergism, with co resources as catalysts, that includes community linkages, individual research endeavors, and leadership for health services research field; 4) supply technology, specialized spatial analytic methods, and data to address health services questions by incorporating geographic, demographic, and ecological perspectives; 5) ensure that data are captured, managed, and analyzed in HSRC studies to expeditiously address research questions and are readily accessible for continued and secondary analyses; 6) incorporate qualitative methods in center studies and include qualitative research training for investigators and staff; 7) add training on health services research involving CDUs to existing training resources; 8) enhance continuing and stimulate new intramural and extramural research collaborations; 9) use high-technology communications tools for rapid and widespread access to and dissemination of the latest research findings; and 10) sustain high levels of research and publications productivity an,,d quality, and develop improved technologies to transfer findings to researchers, providers, and consumers. The theme encompasses questions about the organization of health care resources of Dade County, Florida, how the services system identifies, assesses and serves CDUs; CDUs' perceptions of their health care needs, how they use the existing system, barriers to access, and CDU's responses; and variability in health care access and effectiveness by ethnicity and gender. These questions are addressed by three coordinated, interrelated and interactive research components: 1) structured interviews with a stratified sample of 1800 CDUs from representative health districts, selected by GIS analysis, regarding their health care utilization experiences and records' reviews in agencies they report having used; 2) analysis of available health service resources in the geographic context of estimated populations of CDUs and interviews with health service personnel in a population-based sample of agencies' regarding their agencies policies and practices re: services to CDUs; and, 3) design and implementation of an intervention project using knowledge gained from the first two projects and targeting and randomizing subjects enrolled from project 1, investigating for effectiveness in achieving the intermediate goal of improved access/utilization and in promoting health and associated functioning, including reduced drug use and health outcomes.

拟议的卫生服务研究中心（HSRC）将进行 卫生服务关键问题的跨学科研究 慢性吸毒者（CDU）。组织的主题是整合 有效利用人员、数据、 和设施，以实现科学、中心和社会的最佳利益 社区本身。该中心主题的两个焦点是社区和 长期吸毒者。中心经验丰富的多学科基地 教职员工以及现有的充满活力、支持性和协作性的团队 环境将允许拟议项目的快速扩展和发展 HSRC、其行政/共享资源核心和三项研究 成分。 HSRC 核心将：1）提供科学领导， 主题重点和组织基础来发展、促进、 支持和维持该中心； 2）组织中心支持 与中央尚未一致的具体调查 足够广泛的主题并产生最佳的科学性和中心 好处; 3）激发协同效应，以共同资源为催化剂， 包括社区联系、个人研究努力，以及 卫生服务研究领域的领导地位； 4）供应技术， 专门的空间分析方法和数据来解决卫生服务问题 结合地理、人口和生态问题 观点； 5）确保数据的捕获、管理和分析 HSRC 研究可迅速解决研究问题并易于 可用于持续和二次分析； 6）合并 中心研究中的定性方法，包括定性研究 对调查人员和工作人员进行培训； 7）增加卫生服务培训 涉及基民盟对现有培训资源的研究； 8）增强 继续并刺激新的校内和校外研究 合作； 9）利用高科技通讯工具进行快速、有效的沟通 广泛获取和传播最新研究成果； 10) 维持高水平的研究和出版生产力 质量，并开发改进的技术，将研究结果转移到 研究人员、提供者和消费者。主题包含问题 关于佛罗里达州戴德县医疗保健资源的组织， 服务系统如何识别、评估和服务 CDU；基民盟 对他们的医疗保健需求的看法，他们如何使用现有系统， 准入障碍以及基民盟的回应；和医疗保健的可变性 按种族和性别划分的获取和有效性。这些问题是 由三项协调、相互关联和互动的研究来解决 组成部分：1) 对 1800 名分层样本进行结构化访谈 通过 GIS 分析选出来自代表性卫生区的 CDU， 关于他们的医疗保健利用经验和记录的审查 在他们报告使用过的机构中； 2）可用健康分析 估计人口地理范围内的服务资源 基于人群的 CDU 和对卫生服务人员的访谈 机构关于其机构政策和做法的样本： 为基民盟提供服务； 3) 干预措施的设计和实施 使用从前两个项目中获得的知识和目标的项目 并对从项目 1 中招募的受试者进行随机分组，调查 实现改进的中期目标的有效性 获取/利用以及促进健康和相关功能， 包括减少药物使用和健康结果。