REDUCING DISPARITIES IN HEALTH FOR VULNERABLE POPULATIONS IN NH & VT (CATEGORY 2)

减少新罕布什尔州弱势群体的健康差距

• 批准号: 7921047
• 负责人: ELLIOTT S FISHER
• 金额: $ 80.18万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7921047
• 关键词: REDUCING; DISPARITIES; HEALTH; VULNERABLE; POPULATIONS

DESCRIPTION (provided by applicant): The mission of the proposed Dartmouth Population Health Research Center (DPHRC) is to work with community and state partners to measurably reduce disparities and improve cardiovascular health across the lifespan. The proposal is motivated by a shared understanding of modifiable causes of persistent disparities: poor alignment of clinical and public health activities; limited community capacity to lead successful change; failure to adequately evaluate health programs; and rising health care costs. Our proposal builds on recent regional developments and Dartmouth's new commitment to achieve the healthiest population possible and will create a novel opportunity to overcome these barriers. Working initially with three community health coalitions, the Center will develop an action learning collaborative that will enable coalitions to determine their health priorities and identify, implement and evaluate interventions. Drawing on Dartmouth's educational programs in leadership and improvement, the Center will develop training programs to strengthen collaborative members' capacity to lead and sustain program improvements and to conduct community-based prevention research. The Center will carry out two pilot research projects. One is a community-based participatory research project (see accompanying research proposal) that builds on a successful health promotion intervention (InSHAPE) designed to prevent premature mortality and excess morbidity among persons with serious mental illness (SMI). The project will work with the coalition in Manchester, NH to adapt, implement and evaluate the InSHAPE program first for residents with SMI and then for a new vulnerable population identified by the community. The second project builds on Dartmouth's decision to collect system-wide, patient-reported health risk and health status measures. This project, funded by Dartmouth, will work with the Keene, NH health coalition to test community-wide collection of individual health appraisals. Through these and other projects, the Dartmouth Population Health Research Center will work with community and regional partners to test programmatic and policy solutions to national health problems. RELEVANCE (See instructions): The proposed Prevention Research Center will support local and regional efforts in Vermont and New Hampshire to better integrate research, educational, clinical and public health programs to improve cardiovascular health and reduce disparities in vulnerable populations. The pilot research project includes a focus on persons with serious mental illness and residents of high-risk neighborhoods in Manchester, NH.

描述（由申请人提供）：拟建的达特茅斯人口健康研究中心 (DPHRC) 的使命是与社区和州合作伙伴合作，显着减少差异并改善整个生命周期的心血管健康。该提案的动机是对持续差异的可改变原因的共同理解：临床和公共卫生活动不一致；社区领导成功变革的能力有限；未能充分评估卫生计划；以及不断上涨的医疗费用。我们的提案建立在最近的地区发展和达特茅斯对实现尽可能最健康的人口的新承诺的基础上，并将创造一个克服这些障碍的新机会。该中心最初将与三个社区卫生联盟合作，开发一个行动学习协作项目，使联盟能够确定其卫生优先事项并确定、实施和评估干预措施。该中心将借鉴达特茅斯领导力和改进方面的教育计划，制定培训计划，以加强合作成员领导和维持计划改进以及开展基于社区的预防研究的能力。该中心将开展两个试点研究项目。其中一个是基于社区的参与性研究项目（参见随附的研究提案），该项目建立在成功的健康促进干预措施（InSHAPE）的基础上，旨在防止严重精神疾病（SMI）患者过早死亡和发病率过高。该项目将与新罕布什尔州曼彻斯特的联盟合作，首先针对患有 SMI 的居民，然后针对社区确定的新的弱势群体，调整、实施和评估 InSHAPE 计划。第二个项目建立在达特茅斯决定收集全系统、患者报告的健康风险和健康状况指标的基础上。该项目由达特茅斯学院资助，将与新罕布什尔州基恩健康联盟合作，测试社区范围内个人健康评估的收集。通过这些和其他项目，达特茅斯人口健康研究中心将与社区和区域合作伙伴合作，测试国家健康问题的规划和政策解决方案。相关性（参见说明）：拟议的预防研究中心将支持佛蒙特州和新罕布什尔州的地方和区域努力，以更好地整合研究、教育、临床和公共卫生计划，以改善心血管健康并减少弱势群体的差异。该试点研究项目的重点是患有严重精神疾病的人和新罕布什尔州曼彻斯特高风险社区的居民。