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（CPM）系卫生服务研究和政策（HSR）部门正在寻求继续其非常成功的AHRQ/NRSA支持的博士前HSR培训计划，并重新建立由AHRQ/NRSA资助的博士后计划，从1992年到2004年。该应用程序的广泛，长期的目标是培养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个跨学科，训练有素，多样化的HSR劳动力进行研究，为医疗保健政策制定者，管理者和供应商，将改善医疗保健的可及性，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UR计划：5个全国知名的临床部门，具有强大的HSR组件（家庭医学，老年医学，神经病学，儿科和精神病学），NIH资助的临床和转化科学研究所，以及UR独特的社区健康中心。包括健康保险公司在内的七个外部伙伴也包括在内。7个博士前和4个博士后的具体目标包括严格的HSR课程，通过有针对性的研讨会和经验学习HSR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。博士前课程将是广泛的，解决所有8个AHRQ特别研究培训目标，特别集中在转化为实践和政策的研究（TRIPP）;病人质量;和支付，市场和组织。博士后计划将专注于TRIPP，质量改进和医疗保健差距。要求支持5个博士前职位，每个职位将覆盖5年（如现在所做的那样），并录取7名博士后研究员，通常为期3年：第1年2名，第2年和第3年各1名，第4年2名，第5年1名。出于预算的目的，我们假设我们将承认5个MD（入职时为PGY 4）和2个博士（PGYO），但我们可以承认任何组合。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：“提高所有美国人医疗保健的质量、安全、效率和有效性。“通过关注健康人2010内容领域和AHRQ培训目标，我们的培训计划将有助于准备所需的HSR劳动力，以研究和解决关键的国家医疗保健需求。

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.