MENTORING PERINATAL EPIDEMIOLOGY & HEALTH CARE RESEARCH

围产期流行病学指导

• 批准号: 6536305
• 负责人: DOUGLAS K RICHARDSON
• 金额: $ 0.16万
• 依托单位: BETH ISRAEL DEACONESS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-05-04 至 2002-09-18
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6536305
• 关键词: biomedical facility; educational resource design /development; epidemiology; health care quality; health care service evaluation; health science research support; health services research tag; human subject; infant mortality; information systems; library; neonatal intensive care; outcomes research; patient oriented research; perinatal; role model; satisfaction

DESCRIPTION: (Provided by Applicant) This proposal seeks five years of support for Douglas K. Richardson, M.D., M.B.A. on a Midcareer Investigator Award in Patient-Oriented Research. The program offers a unique combination of a mid-career clinical investigator who has a demonstrated passion for mentoring, a well-established research training program, and the intellectually rich environment at Harvard School of Medicine. Dr. Richardson is a clinical neonatologist, and an established, internationally recognized researcher. The applicant's area of expertise, perinatal health services research, is both central to the national goals for improving the health of women and children, and is seriously under-supplied with well-trained clinical investigators. Dr. Richardson's primary focus has been documenting the marked variations in mortality, morbidity and resource use among neonatal intensive care units (NICUs). Dr Richardson and his colleagues developed and validated the now standard measure of illness severity in NICUs. More recently, the applicant has been expanding his studies to multi-hospital networks, as well as analyzing the policy implications of de-regionalization of perinatal care. In the process, the applicant has mentored 32 individuals in first-authored articles and/or abstracts, including clinical fellows, instructors and assistant professors, nurse researchers, and medical and/or graduate students. In addition, this investigator and his colleagues have an excellent track record in recruiting and training under-represented minorities. Specific aims are for research and mentoring respectively: 1) to develop benchmarks and measurement tools for quality improvement interventions in NICUs; and 2) to build the research infrastructure, by creating a research laboratory to benefit fellows and junior faculty researchers. The research plan entails: 1) a major effort funded by the Agency for Health Care Research and Quality (AHRQ)to define more flexible outcome markers for intermediate care (Level II) NICUs, including intermediary outcomes (growth, complications, illness states, hospital readmissions), care process (completed immunizations and neurosensory screens) and parental satisfaction; and 2) pilot studies in two multi-hospital networks to extend these findings into real-life health care settings. The mentoring plan entails: a) providing trainees a stable, high-level analytic capacity; b) ensuring computing and network access; c) acquiring a library of data sources; d) developing new programs for other types of trainees; and e) providing longer-term career support through research "tune-ups." Dr. Richardson will continue his active and productive mentoring of junior researchers.

描述：（由申请人提供）本提案寻求五年的 支持道格拉斯K.理查森，医学博士，M.B.A.一个职业生涯中期的调查员 以患者为导向的研究奖。 该计划提供了一个独特的组合 一个职业生涯中期的临床研究者， 指导，一个完善的研究培训计划，和 在哈佛医学院的丰富的知识环境。 理查森医生 是一位临床病理学家，也是一位国际公认的 研究员 申请人的专业领域，围产期保健服务 研究，是改善健康的国家目标的核心， 妇女和儿童，并严重缺乏训练有素的临床 investigators. 理查森博士的主要工作是记录被标记者 新生儿重症监护病房死亡率、发病率和资源使用情况的变化 护理单位（NICU）。 理查森博士和他的同事们开发并验证了 这是现在NICU中疾病严重程度的标准衡量标准。 最近的 申请人一直在扩大他的研究，以多医院网络，以及 分析了围产期护理去区域化的政策含义。 在这个过程中，申请人已经指导了32个人的第一作者， 文章和/或摘要，包括临床研究员、讲师和 助理教授、护士研究人员和医学和/或研究生。 此外，这位调查员和他的同事有一个很好的跟踪 在招募和培训代表性不足的少数民族方面的记录。 具体目标 分别用于研究和指导：1）制定基准， NICU质量改进干预措施的测量工具;以及2） 建立研究基础设施，通过创建研究实验室， 使研究员和初级研究人员受益。 该研究计划包括：1）由卫生署资助的重大努力 护理研究和质量（AHRQ），以定义更灵活的结果标记， 中级护理（二级）NICU，包括中间结果（增长， 并发症、疾病状态、再入院）、护理过程（完成 免疫接种和神经感觉筛查）和父母满意度;以及2） 在两个多医院网络中进行试点研究，以将这些发现扩展到 现实生活中的医疗环境。 辅导计划包括：a）提供 学员稳定，高水平的分析能力; B）确保计算和 网络访问; c）获取数据源库; d）开发新的 为其他类型的受训人员提供的方案;以及e）提供较长期的职业生涯 通过研究“调整”提供支持。“理查森博士将继续他的积极 和对初级研究人员的富有成效的指导。