Health Services Research & Policy Training Grant

描述（由申请人提供）：罗切斯特大学（UR）社区和预防医学系卫生服务研究与政策学部（HSR）正在寻求延续其非常成功的AHRQ/ nsa支持的博士前HSR培训计划，并在1992年至2004年期间重新建立由AHRQ/ nsa资助的博士后项目。这项申请的广泛和长期目标是培训研究员发展成为成功的卫生服务研究人员所需的知识、技能和经验。该计划的基本原理是需要一支跨学科、训练有素和多样化的高铁劳动力队伍，为医疗保健政策制定者、管理人员和提供者进行研究，以改善医疗保健的获取、质量、结果、服务的使用和成本。该应用程序利用了几个优秀的犹他大学项目：5个具有强大HSR组成部分的全国知名临床部门（家庭医学、老年医学、神经病学、儿科和精神病学），美国国立卫生研究院资助的临床和转化科学研究所，以及犹他大学独特的社区卫生中心。包括健康保险公司在内的7个外部合作伙伴也包括在内。7个博士预科和4个博士后的具体目标包括严格的高铁课程，通过有针对性的研讨会和经验学习高铁技能，以及密集的研究经验，所有这些都在最先进的指导计划中。博士预科课程将是广泛的，涉及所有8个AHRQ特别研究培训目标，特别侧重于将研究转化为实践和政策（TRIPP）；病人质量;支付，市场和组织。博士后项目将重点关注TRIPP、质量改进和医疗保健差距。要求支持5个博士预科名额，每个名额为期5年（现在是这样），并招收7名博士后，一般为期3年：1年级各2名，2年级和3年级各1名，4年级各2名，5年级各1名。出于预算目的，我们假设我们将招收5名博士（入学时为PGY4）和2名博士（入学时为PGYO），但我们可以招收任何组合。拟议的培训计划与公共卫生有关，因为它将帮助AHRQ实现其使命：“为所有美国人提高医疗保健的质量、安全性、效率和有效性。”通过关注健康人2010的内容领域和AHRQ培训目标，我们的培训计划将帮助高铁员工为研究和解决关键的国家医疗保健需求做好准备。

DESCRIPTION (provided by the applicant): The Division of Health Services Research and Policy (HSR) in the Department of Community and Preventive Medicine (CPM) at the University of Rochester (UR) is seeking continuation of its highly successful AHRQ/NRSA-supported predoctoral HSR training program and re-establishment of a postdoctoral program funded by AHRQ/NRSA from 1992 to 2004. The broad, long-term objectives of this application are to train fellows to develop the knowledge, skills, and experience needed to become successful health services researchers. The rationale for the program is the need for an interdisciplinary, highly trained, and diverse HSR workforce to conduct research for healthcare policymakers, administrators, and providers that will improve healthcare access, quality, outcomes, and services use and costs. This application capitalizes on several outstanding UR programs: 5 nationally renowned clinical departments with strong HSR components (Family Medicine, Geriatrics, Neurology, Pediatrics, and Psychiatry), the NIH-funded Clinical and Translational Science Institute, and the UR's unique Center for Community Health. Seven outside partners, including health insurers, are included. The 7 predoctoral and 4 postdoctoral specific aims include rigorous HSR coursework, learning HSR skillsets through targeted workshops and experiences, and intensive research experience, all within a state-of-the-art mentoring program. The predoctoral program will be broad, addressing all 8 AHRQ Special Research Training Objectives, with special concentrations in translating research into practice and policy (TRIPP); patient quality; and payments, markets, and organization. The postdoctoral program will focus on TRIPP, quality improvement, and health care disparities. Support is requested for 5 predoctoral slots, each of which will cover 5 years (as is done now), and to admit 7 postdoctoral fellows, generally for 3 years: 2 in Year 1, 1 each in Years 2 and 3, 2 in Year 4, and 1 in Year 5. For budgetary purposes we assume we will admit 5 MDs (PGY4 at entry) and 2 PhDs (PGYO), but we could admit any combination. The proposed training program is relevant to public health because it will help AHRQ to achieve its mission: "to improve the quality, safety, efficiency, and effectiveness of healthcare for all Americans." By focusing on Healthy People 2010 content areas and AHRQ Training Objectives, our training programs will help prepare the needed HSR workforce to study and solve critical national healthcare needs.