A Transdisciplinary Approach to the Evaluation of Social Determinants of Health s

评估健康社会决定因素的跨学科方法

• 批准号: 8307239
• 负责人: MICHAEL F DULIN
• 金额: $ 35.14万
• 依托单位: CAROLINAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8307239
• 关键词: Accident and Emergency department; Age; American; Area; Clinic; Clinical Data; Communities; Community Health; Community Health Services; Community Hospitals; Community Surveys; Country; County; Crime; Data; Data Collection; Databases; Development; Disadvantaged; Effectiveness of Interventions; Ethnic Origin; Evaluation; Family Practice; Food; Gender; Geographic Information Systems; Goals; Hazardous Substances; Health; Health Food; Health Personnel; Health Services; Health Services Accessibility; Healthcare; Healthcare Systems; Hispanics; Hospitalization; Hospitals; Housing; Immigrant; Improve Access; Individual; Intervention; Lead; Life; Low income; Maps; Modeling; Neighborhoods; North Carolina; Outcome; Pattern; Policies; Population; Primary Health Care; Process; Provider; Public Hospitals; Qualitative Methods; Qualitative Research; Quality of life; Race; Recording of previous events; Recreation; Research; Research Methodology; Research Technics; Resources; Risk; School Nursing; Schools; Services; Social Network; Socioeconomic Status; Surveys; System; Transportation; Universities; Vulnerable Populations; billing data; community based participatory research; demographics; density; design; effective intervention; experience; health care service utilization; health disparity; improved; innovation; low socioeconomic status; medical specialties; member; metropolitan; novel; novel strategies; practice-based research network; research study; residence; skills; social; social health determinants; therapy design; tool

Project Summary Individual and community health is adversely impacted by disparities in health outcomes for disadvantaged and vulnerable populations. Understanding the underlying causes of health disparities is an essential step in developing interventions designed to ameliorate them and subsequently improve overall community health. This study will examine multiple social determinates that can cause disparities including: deprived neighborhood conditions, inefficient social networks, low socioeconomic status, the presence of hazardous materials in or near a neighborhood, and the lack of access to primary care services with the goal of developing novel and innovated approached to improving community health. First, our collaborative team will look for associations between these social determinants and rates of hospitalizations, emergency department (ED) use, and ED use for primary care treatable or preventable conditions. Second, geospatial models will be developed using both hospital and community level data that will identify local areas where interventions to improve disparities would have the greatest impact. Third, the associations between social determinants and health outcomes as well as the geospatial models will be validated using community surveys and qualitative methods. Fourth, our community's rapidly growing and underserved Hispanic immigrant population will be the target of an intervention informed by the research process and designed, deployed, and evaluated using the geospatial tools and qualitative research findings. The purpose of this intervention will be to reduce health disparities by improving access to and utilization of primary care and preventative services. This project will occur within a primary care practice-based research network using key principles of community-based participatory research. An advisory board of community members, key stakeholders, primary care providers, and research team members will guide the process to assure that all findings are relevant and applicable to the targeted community. All findings will be disseminated through partnering organizations within the research network and will be made available for all community members to assist in the procurement of additional resources and to broaden the scope of the intervention to include all community members that suffer from health disparities.

项目摘要 个人和社区的健康受到健康结果差异的不利影响， 弱势和弱势群体。了解健康差距的根本原因是一个 制定旨在改善这些问题并随后全面改善 社区健康。本研究将探讨可能导致差异的多种社会决定因素，包括： 贫困的邻里条件，低效的社交网络，低社会经济地位， 社区内或附近的危险材料，以及缺乏初级保健服务， 开发新颖和创新的方法来改善社区健康。首先，我们的合作团队将 寻找这些社会决定因素与住院率、急诊室 (ED)使用，以及艾德用于初级保健可治疗或可预防的病症。其次，地理空间模型将 利用医院和社区层面的数据制定，以确定需要采取干预措施的地方， 改善差距将产生最大的影响。第三，社会决定因素与 健康结果以及地理空间模型将使用社区调查和定性 方法.第四，我们社区快速增长和服务不足的西班牙裔移民人口将成为 通过研究过程了解干预目标，并使用 地理空间工具和定性研究结果。这种干预的目的将是减少健康 通过改善获得和利用初级保健和预防服务的机会，消除不平等。 该项目将发生在一个基于初级保健实践的研究网络中， 社区参与式研究。由社区成员、主要利益相关者、主要 护理提供者和研究小组成员将指导这一过程，以确保所有发现都是相关的， 适用于目标社区。所有调查结果都将通过区域内的伙伴组织传播。 研究网络，并将提供给所有社区成员，以协助采购 增加资源并扩大干预范围，将所有遭受苦难的社区成员纳入其中 健康差距。