A Community Collaborative Effort to Reduce the Burden of Heart Disease in A Safe*

描述（由申请人提供）：这项工作的总体目标是加强社区组织，安全网提供者和基于任务的学术合作伙伴的伙伴关系，以开发社区和文化定制的健康信息技术（HIT）的使用，以减少南洛杉矶心脏病的负担。该合作伙伴关系，南洛杉矶医疗保健领导圆桌会议，是一个致力于并积极通过合作，战略规划，共享资源，问责制和透明度来改善南洛杉矶居民的整体健康的团体。拟议的工作将由圆桌会议的两名成员领导，一名社区首席调查员，一名社区卫生理事会执行主任。(CHC)，该组织是圆桌会议的孵化器，也是查尔斯·R.德鲁医学和科学大学。这两个组织都在制定具体目标和申请赠款方面提供了大量投入，确保圆桌会议的审议意见被纳入其中，圆桌会议除社区和学术代表外，还包括安全网保健提供者，采用社区伙伴的“社会变革模式”方法运作。具体目标1：使用符合基于社区的前瞻性研究（CBPR）原则的“社会变革模型”，设计一种新的医疗保健干预措施，以减少南洛杉矶的心脏病差异，该干预措施：a）建立在现有的循证指南基础上，B）结合使用健康信息技术，c）根据独特的文化背景进行协作调整 通过社区参与来满足社区的医疗资源需求。具体目标二：合作试点测试实施的可行性，以及使用这种社区定制干预措施的潜在影响，以解决建议的心脏病指南与改善健康差异社区的健康结果之间的差距。 相关性：我们的需求评估和试点干预的结果将支持更好地了解这个社区的心脏病负担。最终，我们希望这一努力将成为未来社区学术伙伴关系的典范，旨在弥合临床科学和改善公共卫生结果之间的翻译差距。

DESCRIPTION (provided by applicant): The overarching goal of this effort is to enhance a partnership of community-based organizations, safety net providers, and mission-based academic partners to develop a community and culturally tailored use of health information technology (HIT) to reduce the burden of heart disease in South Los Angeles. The partnership, the South Los Angeles Healthcare Leadership Roundtable, is a group committed and motivated to improve the overall health of South Los Angeles residents through collaboration, strategic planning, shared resources, accountability, and transparency. The proposed effort will be lead by two members of the Roundtable, a community principal investigator, the executive director of Community Health Councils, Inc. (CHC), which served as the incubator for the Roundtable and an academic principal investigator from Charles R. Drew University of Medicine and Science. Both have substantial input in the development of the specific aims and grant application ensuring that the Roundtable's deliberations are incorporated into it. The Roundtable, which includes safety net healthcare providers in addition to community and academic representation, has operated using the community partner's "Model for Social Change" approach. Specific Aim 1: To use a 'Model for Social Change' consistent with Community-Based Participatory Research (CBPR) principles to design a novel healthcare intervention to reduce heart disease disparities in South Los Angeles that: a) builds upon existing evidence-based guidelines, b) incorporates the use of health information technology, and c) is collaboratively tailored to the unique cultural and healthcare resource needs of the community through community engagement. Specific Aim 2: To collaboratively pilot test the feasibility of implementation, and the potential impact of usig this community-tailored intervention to address the gap between recommended heart disease guidelines and improved health outcomes in communities suffering from health disparities. RELEVANCE: Our findings from the needs assessment and pilot intervention will support a greater understanding of the burden of heart disease in this community. Ultimately, we hope that this effort will serve as a paradigm for future community-academic partnerships in other settings aimed at bridging translational gaps between clinical science and improved public health outcomes.