Health Care Improvement for Aging Women

描述(由申请人提供)：到2040年，美国65岁及以上女性的数量将从2040万增加到4080万，大约翻一番。虽然妇女的寿命比男子长，但在65岁以上，妇女的残疾预期寿命是男子的两倍，她们的住院预期寿命是老年男子的3-4倍。老年女性的医疗保险支出比男性高出7%-23%，养老院支出高出60%-100%。该培训计划申请的目的是培养博士后公共卫生科学家，主要是流行病学家、卫生服务研究人员、行为科学家和学术临床医生，以产生证据，指导未来老年女性的最佳、高效和具有成本效益的卫生保健实践。该计划将设在健康研究中心，团体健康合作社(CHS/GHC)，一个国家公认的医疗保健创新领导者。该项目及其教职员工与华盛顿大学的流行病学和卫生服务系密切相关。因此，受训者将有机会获得这两个机构可用的广泛资源，包括充满活力的科学社区、正式/非正式课程作业和学位授予计划。我们建议在最初的资助期间建立最多3个博士后职位的培训计划。CHS的女性健康学院拥有丰富的研究计划，重点放在对改善老年女性健康至关重要的领域，包括：1)筛查和预防服务；2)骨骼健康；3)泌尿健康；4)更年期过渡；5)慢性病预防和管理；以及6)虚弱和残疾。23名教职教官将参加。培训方案有8个主要学习目标：1)培养界定研究问题和适当研究设计的技能；2)获得上述6个妇女健康研究重点领域的基本知识；3)获得与改善老年妇女保健有关的一个或多个研究领域的深入知识；4)完成对人体受试者的保护培训；5)获得实施研究方案的经验；6)提高科学陈述的技能；7)提高科学写作和出版的技能；8)发展拨款撰写技能。从长远来看，这一培训计划旨在培养一大批优秀的公共卫生科学家，准备对老年妇女的医疗保健服务产生重大影响。

DESCRIPTION (provided by applicant): By the year 2040, the number of women ages 65 and older in the US will approximately double from 20.4 to 40.8 million. Although women live longer than men, at every age over 65 women's disabled life expectancy is doubled that of men and their institutionalized life expectancy is 3-4 fold longer than older men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The purpose of this training program application is to prepare postdoctoral public health scientists, primarily epidemiologists, health services researchers, behavioral scientists, and academic clinicians, to produce the evidence that will guide optimum, efficient, and cost-effective healthcare practices for older women in the future. The program will be housed in the Center for Health Studies, Group Health Cooperative (CHS/GHC), a nationally recognized leader in health care innovation. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington. Trainees will thus have access to the broad range of resources available at both institutions, including an invigorated scientific community, formal/informal coursework, and degree granting programs. We propose to build the training program up to 3 postdoctoral positions in the initial funding period. Women's health faculty at CHS have a rich program of research focused in areas critically important to improving healthcare for aging women including: 1) screening and preventive services; 2) bone health; 3) urinary health; 4) the menopausal transition; 5) chronic disease prevention and management; and 6) frailty and disability. Twenty-three faculty preceptors will participate. The training program has 8 primary learning objectives: 1) Develop skills in defining research questions and appropriate study designs; 2) Acquire basic knowledge in the 6 aforementioned research focus areas in women's health; 3) Acquire in-depth expertise in one or more research domains relevant to healthcare improvement for aging women; 4) Complete training in protection of human subjects; 5) Gain experience implementing research protocols; 6) Improve skills in making scientific presentations; 7) Improve skills in scientific writing and publishing; 8) Develop skills in grant writing. Over the long term, this training program aims to build a critical mass of outstanding public health scientists prepared to have major impacts on health care delivery for aging women.