IMPROVING OUTCOMES IN US LATINO CHILDREN

我正在申请这个为期5年的K 08指导临床科学家发展奖，以支持和促进我作为一名健康服务研究人员的发展，并加快我向独立研究者的过渡。 这个奖项将使我能够完成我在卫生服务方法的培训，并为我提供受保护的时间，以确保我的出版物和赠款的生产力在一个关键时期。 我已经开始建立自己作为一个少数民族研究人员关注的差距，在卫生保健提供和成果的儿童通过工作在3个领域：1）分析获得和质量的照顾障碍与较高的哮喘发病率在贫困和少数民族儿童哮喘;（2）改进评估哮喘发病率和危险因素的调查方法，特别关注英语/西班牙语双语所带来的挑战，以及需要纳入父母和孩子的观点，（3）回顾现有文献中关于拉丁美洲哮喘儿童哮喘发病率的差异。 在这项工作的基础上，在我的导师Robert Brook博士和Harold Morgenstern博士的指导下，我将继续发展研究事业，其长期目标是通过循证卫生保健和社区干预措施改善拉丁美洲哮喘儿童的健康结果和生活质量。这个为期5年的职业发展奖的短期目标是：1）获得护理质量、统计学、研究设计和流行病学方法方面的额外正式培训，2）完成一段时间的现有数据集分析监督经验，以提高我的分析技能并增加我的出版记录，3）提交至少2份R 01申请，以进行下一阶段的研究，4）继续发展我的研究所需的社区基础设施和研究基础设施。 我打算R 01资助研究的具体目标包括：1）制定和评估一项基于卫生保健和学校社区的综合干预措施，以确保拉丁美洲和其他哮喘儿童获得高质量的初级保健，2）确定因素，如初级保健卫生保健使用和社会人口风险的差异，与美国波多黎各、墨西哥、古巴和其他拉丁裔儿童哮喘患病率和发病率的变化有关。

I am applying for this 5-year K08 Mentored Clinical Scientist Development Award to support and facilitate my development as a health services researcher and speed my transition to an independent investigator. This award will allow me to complete my training in health services methods and provide me with the protected time to assure my publication and grant-making productivity during a pivotal period. I have begun to establish myself as a minority researcher concerned with disparities in health care delivery and outcomes in children through work in 3 areas: 1) analyzing access and quality of care barriers associated with higher asthma morbidity in poor and minority children with asthma; (2) improving survey methods for evaluating morbidity and risk factors associated with asthma, paying particular attention to challenges posed by English/Spanish bilingualism and by the need to incorporate perspectives of both parents and child, and (3) reviewing the existing literature regarding differences in asthma morbidity among Latino children with asthma. Founded on this work and with the guidance of my mentors, Dr. Robert Brook and Dr. Harold Morgenstern, I will continue to develop a research career whose long-term goal is to improve health outcomes and quality of life in Latino children with asthma through evidence-based health care and community- based interventions. The short-term objectives of this 5-year career development award are to: 1) obtain additional formal training in quality of care, statistical, study design, and epidemiological methods, 2) complete a period of supervised experience in analyses of existing datasets to enhance my analytic skills and increase my publication record, 3) submit at least 2 R01 applications to carry out the next phase of my investigations, and 4) continue to develop the community-based and research infrastructure necessary for my research. The specific aims of my intended R01 funded research include to: 1) develop and evaluate a combined health care and school community-based intervention to ensure access to high-quality primary care for Latino and other children with asthma, and 2) identify the factors, such as differences in primary care health care use and socio-demographic risks, that are associated with variations in asthma prevalence and morbidity among US children of Puerto Rican, Mexican, Cuban, and other Latino heritage.