Patient-Centeredness in Care of Vulnerable Populations

描述(由申请人提供)：该职业发展计划的目标是促进应聘者发展为卫生服务研究和卫生政策的领导者，重点关注弱势群体在医疗质量和以患者为中心方面的差异。基于她在内科医学、生物伦理学和卫生政策方面的背景，候选人建议在授奖期间通过以下方式培养更多技能：1)旨在扩大她的方法技能的课程工作；2)与多学科赞助团队的互动，包括卫生服务研究(Daniel Ford博士)、患者与医生沟通(Debra Roter博士)、跨文化沟通(Lisa Cooper博士)和生物伦理学(Ruth Faden博士)；以及3)一系列受监督的研究项目。 这些研究项目的具体目的是：1)评估患者识字对患者参与护理和医患沟通的影响；2)测试易受不良人际治疗影响的多维模型，并评估缓和脆弱性与不良人际治疗之间关系的保健系统特征；3)开发一种从患者角度衡量文化能力的工具。选择研究项目是为了使她精通各种方法，包括进行和分析随机对照试验、分析医疗支出小组调查(MEP)，以及仪器开发/心理测试。在颁奖期的最后阶段，候选人计划制定一份赠款提案，以评估少数民族的文化能力、医疗质量和健康结果之间的关系。 作为医学助理教授，她将在约翰霍普金斯医学院和公共卫生学院进行这项研究，这两所学院为卫生服务研究提供了广泛的资源，并为学习提供了丰富的智力环境。

DESCRIPTION (provided by the applicant): The goal of this career development program is to facilitate the candidate's development as a leader in health services research and health policy focused on disparities in healthcare quality and patient-centeredness for vulnerable populations. Building on her background in internal medicine, bioethics and health policy, the candidate proposes to develop additional skills over the course of the award period through: 1) coursework designed to expand her methodological skills; 2) interaction with a multidisciplinary sponsorship team, including experts in health services research (Dr. Daniel Ford), patient-physician communication (Dr. Debra Roter), cross-cultural communication (Dr. Lisa Cooper) and bioethics (Dr. Ruth Faden); and 3) a series of supervised research projects. The specific aims of these research projects are: 1) to evaluate the impact of patient literacy on patient participation in care and patient-physician communication; 2) to test a multidimensional model of vulnerability to poor interpersonal treatment and to evaluate health care system features that moderate the relationship between vulnerability and poor interpersonal treatment; and 3) to develop an instrument measuring cultural competence from the patient's perspective. The research projects were chosen so that she would become proficient with a variety of methodologies, including the conduct and analysis of a randomized controlled trial, analysis of the Medical Expenditure Panel Survey (MEPS), and instrument development/psychometric testing. In the final stages of the award period, the candidate plans to develop a grant proposal to evaluate the relationship between cultural competence, the quality of healthcare, and health outcomes for ethnic minorities. As Assistant Professor of Medicine, she will conduct this research within the Johns Hopkins Schools of Medicine and Public Health which offer extensive resources for health services research and provide a rich intellectual environment for learning.