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）：拟议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，可衡量地降低差异并改善整个寿命的心血管健康。该提案是由对持续差异的可修改原因的共同理解的共同理解：临床和公共卫生活动的一致性不佳；社区成功变革的能力有限；未能充分评估健康计划；和医疗保健费用上升。我们的提议建立在最近的区域发展以及达特茅斯（Dartmouth）实现最健康人群的新承诺上，并将为克服这些障碍提供新的机会。该中心最初与三个社区卫生联盟合作，将开发一个行动学习协作，该协作将使联盟能够确定其健康优先事项并确定，实施和评估干预措施。该中心利用达特茅斯（Dartmouth）在领导力和改进方面的教育计划，将制定培训计划，以增强协作成员领导和维持计划改进和进行基于社区的预防研究的能力。该中心将进行两个试点研究项目。一个是一个基于社区的参与性研究项目（请参阅伴随的研究计划），其基于成功的健康促进干预措施（Inshape），旨在防止严重精神疾病（SMI）的过早死亡和过度发病率。该项目将与新罕布什尔州曼彻斯特的联盟合作，以适应，实施和评估SMI居民，然后对社区确定的新弱势人口进行适应和评估Inshape计划。第二个项目是基于达特茅斯（Dartmouth）决定收集范围内的，患者报告的健康风险和健康状况指标的决定。该项目由达特茅斯（Dartmouth）资助，将与基恩（Keene）NH Health联盟合作，测试社区范围内的个人健康评估。通过这些项目和其他项目，达特茅斯人口健康研究中心将与社区和地区合作伙伴合作，测试针对国家健康问题的程序和政策解决方案。相关性（请参阅说明）：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。试点研究项目包括关注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。