The Primary Care Medical Home and Preventive Service Use in Latino Immigrants

拉丁裔移民的初级保健医疗之家和预防服务的使用

• 批准号: 8509207
• 负责人: John Heintzman
• 金额: $ 14.82万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-10 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8509207
• 关键词: Primary; Care; Medical; Home; Preventive

DESCRIPTION (provided by applicant): CANDIDATE: I am proposing to study how certain features of the Primary Care Medical Home (PCMH) impact the utilization of recommended preventive health services by Latino Immigrants. I will build upon my broad clinical and health policy background, using expert mentors and local research training opportunities to develop into an independent health services researcher. RESEARCH FOCUS: Latino immigrants, a rapidly growing segment of our population, underutilize routine preventive health care. Some features of the PCMH have been associated with increased utilization in some vulnerable populations, but little objective, multi-facility data exists to address the effects of these changs on Latino immigrants. The Oregon Community Health Information Network (OCHIN) is a multiple-facility linked electronic medical record that contains data capable of filling this knowledge gap. This proposal expands on existing PCMH research, and proposes to use the OCHIN Electronic Health Record (EHR) data to evaluate the association between certain PCMH principles and preventive service use in Latino immigrants. TRAINING GOALS: My training goals include (1) developing his skills in research design, analysis, and interpretation with a focus on the use of large databases to study vulnerable populations and 2) expanding my knowledge and experience in the strategies for and practice of health disparities research. ENVIRONMENT: I will undergo his career development in the Department of Family Medicine at Oregon Health Science University and through the Oregon Clinical and Translational Research Institute, two organizations with significant and longstanding resources for early-career researchers. METHODS: (1) Cross-sectional analysis of Latino immigrants in the OCHIN EHR data and their rates of utilization of lipid screening, cervical cancer screening, and pneumococcal vaccination. (2) Retrospective cohort analysis of the association between certain features of the PCMH and these preventive services in Latino immigrants. OUTCOMES: I will measure the rates of preventive service use in Latino immigrants cared for in OCHIN clinics and compare these to rates of other populations in OCHIN. I will test how select features of the PCMH will affect the rate of utilization of lipid screening, cervical cancer screening, and pneumococcal vaccination in Latino immigrants.

描述（由申请人提供）：候选人：我建议研究初级保健医疗之家（PCMH）的某些特征如何影响拉丁裔移民推荐的预防保健服务的利用。我将利用专家导师和本地研究培训机会来建立在广泛的临床和卫生政策背景的基础上，将其发展成为独立的卫生服务研究员。研究重点：拉丁裔移民是我们人口迅速增长的一部分，使常规的预防性医疗保健不足。 PCMH的某些功能与某些脆弱人群中的利用率增加有关，但是几乎没有目的，多物种数据来解决这些歧义对拉丁裔移民的影响。俄勒冈州社区健康信息网络（Ochin）是一种链接的电子病历，其中包含能够填补这一知识差距的数据。该提案扩展了现有的PCMH研究，并建议使用Ochin电子健康记录（EHR）数据来评估拉丁裔移民中某些PCMH原则和预防服务使用之间的关联。培训目标：我的培训目标包括（1）发展他在研究设计，分析和解释方面的技能，重点是使用大型数据库研究脆弱人群，2）扩大我在健康差异研究策略和实践中的知识和经验。环境：我将在俄勒冈健康科学大学的家庭医学系以及俄勒冈州的临床和转化研究所，两个组织为早期研究人员提供大量资源。方法：（1）Ochin EHR数据中拉丁裔移民的横断面分析及其对脂质筛查，宫颈癌筛查和肺炎球菌疫苗的利用率。 （2）对PCMH的某些特征与拉丁裔移民中这些预防服务之间关联的回顾性队列分析。结果：我将衡量在Ochin诊所所照顾的拉丁裔移民中使用预防服务的速度，并将其与Ochin其他人群的比率进行比较。我将测试PCMH的精选特征将如何影响拉丁裔移民中脂质筛查，宫颈癌筛查和肺炎球菌疫苗的利用率。