Health Services Research & Policy Training Grant

描述(由申请人提供)：罗切斯特大学(UR)社区与预防医学系卫生服务研究与政策司(HSR)正在寻求继续其非常成功的由AHRQ/NRSA支持的博士后HSR培训计划，并重新建立由AHRQ/NRSA资助的1992-2004年博士后计划。这项应用的广泛、长期目标是培训研究员，以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员工队伍，为医疗政策制定者、管理人员和提供者进行研究，以改善医疗保健的获取、质量、结果以及服务使用和成本。该应用程序利用了几个优秀的UR项目：拥有强大的HSR组件的5个全国知名的临床科室(家庭医学、老年病学、神经病学、儿科和精神病学)、NIH资助的临床和翻译科学研究所，以及UR独特的社区卫生中心。包括健康保险公司在内的7家外部合作伙伴也包括在内。7个博士后和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，所有这些都在一个最先进的指导计划中。博士前课程将是广泛的，涉及所有8个AHRQ特别研究培训目标，特别集中在将研究转化为实践和政策(TRIPP)；患者质量；以及支付、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。请提供5个博士后名额，每个名额为期5年(如现在所做的那样)，并招收7名博士后研究员，一般为期3年：1年级2名，2年级和3年级各1名，4年级2名，5年级1名。出于预算目的，我们假设我们将招收5名博士后(入学时为PGY4)和2名博士后(PGYO)，但我们可以接纳任何组合。拟议的培训计划与公共卫生相关，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、效率和有效性。”通过专注于2010年健康人培训内容领域和AHRQ培训目标，我们的培训计划将有助于为所需的高铁员工做好准备，以研究和解决关键的国家医疗需求。

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.