EXPORT Center for Health Disparities in Smaller Cities

描述（由申请人提供）：拟议工作的基本基础是，小城市和城镇的少数民族和弱势群体社区与大城市的社区在重要方面存在差异。虽然威胁这两类社区的保健问题有很多重叠之处，但保健差距的程度和性质以及地方政府可能采取或已经尝试采取的补救措施都有很大不同。我们认为，其结果是，他们得到的服务较少，健康状况较差，需要针对其独特地位要求的方案。拟议的工作旨在确定这一论点是否正确，并在此假设的基础上，启动试点项目，以确定他们的具体问题和要求，并寻求针对纽约人所谓的北部社区的独特地位的补救措施。这项申请的一个重要目标是在奥尔巴尼大学建立能力，通过研究、社区外展和分布在奥尔巴尼大学多个单位的现有专业知识来解决少数民族健康状况和健康差距问题，并通过将它们全部集中在一个屋檐下，将协同建设能力；2)与服务于阿姆斯特丹和纽约奥尔巴尼的少数民族和弱势社区的社区团体建立了密切的伙伴关系。有了这笔赠款，奥尔巴尼大学将准备申请一项中心赠款（P20或P60），以便将其工作范围扩大到纽约州北部较小城市的少数民族社区。

DESCRIPTION (provided by applicant): The fundamental basis for the proposed work is that communities of minorities and disadvantaged persons in smaller cities and towns differ in important ways from those in very large cities. Although there are substantial overlaps in the health problems threatening both types of communities, there are significant differences in the extent and character of health disparities, and in the remedies that are possible or have been attempted by local governments. The result, we contend, is that they are less well served, less healthy, and in need of programs that address the requirements of their unique position. The proposed work seeks to determine if this contention is true, and, based on the assumption that it is, to launch pilot programs to determine their specific problems and requirements, and to seek remedies tailored to the unique position of what New Yorkers call upstate communities. An important goal of this application is to build capacity at the University at Albany to address the problems of minority health status and health disparities through research, community outreach, existing expertise that is distributed across multiple units at the University at Albany, and that by bringing them all under one roof, will synergistically build capacity; and, 2) existing, close partnerships with community groups serving the minority and disadvantaged communities in Amsterdam and Albany New York. With this grant, the University at Albany will be ready to apply for a center grant {P20 or P60) to extend the scope of its work to the upstate New York minority communities in smaller cities.