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）的某些功能如何影响拉丁美洲移民对推荐的预防性卫生服务的利用。我将建立在我广泛的临床和卫生政策背景，利用专家导师和当地的研究培训机会，发展成为一个独立的卫生服务研究员。研究重点：拉丁美洲移民，我们人口中快速增长的一部分，未充分利用常规预防性医疗保健。PCMH的一些功能与一些弱势群体的利用率增加有关，但几乎没有客观的多设施数据来解决这些变化对拉丁美洲移民的影响。俄勒冈州社区健康信息网络（OCHIN）是一个多设施链接的电子病历，其中包含能够填补这一知识空白的数据。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）数据来评估某些PCMH原则和拉丁裔移民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弱势群体，2）扩大我在健康差异研究策略和实践方面的知识和经验。环境：我将在俄勒冈州健康科学大学家庭医学系和俄勒冈州临床和转化研究所（这两个组织为早期职业研究人员提供了重要和长期的资源）了解他的职业发展。方法：（1）OCHIN EHR数据中拉丁裔移民的横断面分析及其脂质筛查、宫颈癌筛查和肺炎球菌疫苗接种的利用率。(2)回顾性队列分析的某些功能之间的关联PCMH和这些预防服务的拉丁美洲移民。结果：我将测量在OCHIN诊所接受治疗的拉丁美洲移民的预防服务使用率，并将其与OCHIN中其他人群的使用率进行比较。我将测试PCMH的选择功能将如何影响拉丁美洲移民的脂质筛查，宫颈癌筛查和肺炎球菌疫苗接种的利用率。