A health services research training program in CAM for a naturopathic physician

自然疗法医师 CAM 健康服务研究培训计划

• 批准号: 7614789
• 负责人: Kimberly Michelle Tippens
• 金额: $ 6.47万
• 依托单位: NATIONAL UNIVERSITY OF NATURAL MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7614789
• 关键词: Achievement; Address; Affect; Area; Biometry; Caring; Characteristics; Chronic Disease; Client satisfaction; Communities; Community Healthcare; Comparative Study; Complementary and alternative medicine; Data; Data Analyses; Decision Making; Diabetes Mellitus; Effectiveness; Epidemic; Epidemiology; Evaluation; Foundations; Future; Generations; Goals; Grant; Health; Health Personnel; Health Promotion; Health Services; Health Services Research; Healthcare; Healthy People 2010; Individual; Integrated Health Care Systems; Knowledge; Life Style; Literature; Low income; Master of Public Health; Measures; Medical; Mentors; Methods; Minority; Mission; Naturopathy; Non-Insulin-Dependent Diabetes Mellitus; Numbers; Observational Study; Oregon; Outcome; Patients; Physicians; Pilot Projects; Policy Maker; Population; Preparation; Prevention; Prevention approach; Process; Provider; Public Health; Qualitative Methods; Research; Research Design; Research Methodology; Research Personnel; Research Training; Safety; Science; Services; Survey Methodology; Surveys; System; Testing; Training; Training Programs; Uninsured; United States Agency for Healthcare Research and Quality; Universities; base; burden of illness; care systems; career; comparative; cost; data management; design; disorder prevention; health disparity; improved; innovation; interest; model development; post-doctoral training; programs; satisfaction; service utilization; skills

DESCRIPTION (provided by applicant): Naturopathic care places emphasis on prevention and holistic lifestyle changes, presenting an attractive alternative to conventional care for the management of many illnesses. Surprisingly, comparative data on processes of care and outcomes provided by naturopathic versus allopathic providers are lacking. Evaluation of naturopathic management of chronic disease is needed, particularly in communities with limited access to other providers. Diabetes is a major epidemic and low-income and minority populations are disproportionately affected by the burden of this disease. There is great need for expanded health services and disparities research in this area. Proposed is a rigorous post-doctoral training program in health services and disparities research for a naturopathic physician. The goals of the proposed training are to; (1) cultivate skills for a naturopathic physician researcher in health services and disparities research methodology, and (2) build the scientific foundation for a program of research evaluating the content, costs and outcomes of naturopathic diabetes care. The specific aims are to: (1) Acquire knowledge in the principles of health services and disparities research through Master of Public Health coursework, (2) Develop skills in the fundamental aspects of health services and disparities research in CAM through mentored trainin, and (3) Conduct a mixed methods (quantitative + qualitative) pilot study examining the content of type 2 diabetes (T2DM) care provided by naturopathic and allopathic physicians, employing a triangulated approach to define and compare the content of care. In addition, a patient survey designed to characterize the patient populations in both settings will be refined and validated for use in future studies. Data gathered from this survey will reveal salient characteristics of the patient populations which may influence access, service utilization, and satisfaction, thus building a foundation for a naturopathic health services research career. In line with the mission of the AHRQ, this program of research investigates naturopathic care as a means to improve the quality, safety, efficiency, and effectiveness of health care delivered in low-income and uninsured populations at the community level, and is in line with NCCAM's mission towards the health promotion and disease prevention initiatives of "Healthy People 2010." PUBLIC HEALTH RELEVANCE: National initiatives have recognized the need to train CAM researchers in health services and disparities research. Diabetes is an enormous public health problem, and necessitates research on innovative approaches to prevention and management. The proposed training addresses these needs and will result in research findings that greatly contribute to the naturopathic evidence base.

描述（由申请人提供）：自然疗法护理强调预防和整体生活方式的改变，为许多疾病的管理提供了传统护理的有吸引力的替代方案。令人惊讶的是，缺乏自然疗法与对抗疗法提供者提供的护理过程和结果的比较数据。 需要对慢性病的自然疗法管理进行评估，特别是在其他提供者有限的社区。糖尿病是一种主要的流行病，低收入和少数民族人口受到这种疾病负担的不成比例的影响。非常需要扩大这一领域的卫生服务和差距研究。建议是一个严格的博士后培训计划，在卫生服务和差异研究的自然疗法医生。拟议培训的目标是：（1）培养自然疗法医生研究人员在卫生服务和差异研究方法方面的技能，以及（2）为评估自然疗法糖尿病护理的内容，成本和结果的研究计划建立科学基础。具体目标是：（1）通过公共卫生硕士课程获得卫生服务和差异研究原则方面的知识，（2）通过指导培训发展CAM中卫生服务和差异研究基本方面的技能，以及（3）进行混合方法（定量+定性）试点研究，检查自然疗法和对抗疗法医生提供的2型糖尿病（T2DM）护理内容，采用三角法界定和比较护理内容。此外，将对旨在描述两种情况下患者人群特征的患者调查进行完善和验证，以用于未来的研究。 从这项调查收集的数据将揭示患者人群的显着特点，可能会影响访问，服务利用率和满意度，从而建立一个自然疗法的健康服务研究事业的基础。根据AHRQ的使命，这项研究计划调查自然疗法护理作为一种手段，以提高低收入和无保险人群在社区一级提供的医疗保健的质量，安全性，效率和有效性，并符合NCCAM的使命对健康促进和疾病预防的倡议“健康的人2010年。" 公共卫生相关性：国家倡议已经认识到有必要在卫生服务和差异研究方面培训CAM研究人员。糖尿病是一个巨大的公共卫生问题，需要研究预防和管理的创新方法。拟议的培训解决了这些需求，并将导致研究结果，大大有助于自然疗法的证据基础。