eCapicity for Trauma Information Systems and Research Education (eCATIS)

描述（申请人提供）：在全球卫生研究和中低收入国家机构的研究培训中扩大使用信息和通信技术的最有效方法，是提供教育计划，结合先进和有效的培训，在低成本的信息和通信技术和研究方法嵌入在一个全面的实际应用，学员可以立即看到的好处，这样的技术。在世界上伤害是最大的疾病负担的地区，伤害造成的死亡人数超过艾滋病、疟疾和结核病的总和，为这些地区开发创伤信息系统具有改变全球公共卫生模式的巨大潜力。为此，匹兹堡大学联合起来创建了一个专家团队，为创伤信息系统和研究教育（eCATIS）建立电子能力。加强为中低收入国家开发创伤信息技术的电子能力，是了解伤害程度和疾病负担的一个基本和迫切需要的步骤。这些信息对于设计和实施公共卫生干预措施、分配资源和回答与中低收入国家环境有关的研究问题至关重要。我们设计了一个指导性的计划，学员将根据自己的需求开发TIS的“实践经验”，同时将此经验作为案例研究，为他们提供ICT设计，要求和实施的基础知识，并结合应用研究方法培训。该计划确保了教学和实习学习机会之间的最佳平衡和丰富的教育体验。我们将采用分阶段的培训方法，从哥伦比亚开始（第一年） 然后，逐步参与培训培训员课程，并与来自哥伦比亚的受训人员合作，向巴拉圭的一个偏远地点转让知识并扩大TIS的使用（第二年）。在最后阶段（第三年），受训人员现在是培训员，他们将在第二个偏远地点（危地马拉）重复这些活动。该应用程序旨在利用 通过与D43“哥伦比亚全球卫生信息学培训（ITGH）”和D43“国际合作创伤和伤害研究培训资助”的直接联系，我们目前和以前的福格蒂国际中心研究和研究培训赠款建立了研究能力。这项申请是由匹兹堡大学（美国宾夕法尼亚州匹兹堡）的研究人员合作提交的;不列颠哥伦比亚省大学外科系（加拿大）、丰达西翁医疗技术基金会（哥伦比亚内瓦）、临床信息与研究中心（阿根廷罗萨里奥）和俄勒冈州健康与科学大学（美国俄勒冈州波特兰）。哥伦比亚、巴拉圭和危地马拉是这项研究培训计划的目标国家。该项目的另一个好处是提供创伤信息系统，该系统能够收集与当地伤害流行病学有关的数据，并为设计伤害预防措施、质量和环境保护提供基础。 改善计划和促进研究工作，以满足中低收入国家关于创伤/伤害护理的最紧迫的问题。目前大多数中低收入国家的创伤中心都没有这方面的信息，这种信息的缺乏是全世界中低收入国家发展综合创伤系统的主要障碍。该建议的跨国方面符合该计划的基本目标之一，即通过电子通信和数据共享活动建立、促进和加强合作和网络，以实现交叉培训、相互学习和知识进步的目的。

DESCRIPTION (provided by applicant): The most effective method to expand the use of information and communication technologies (ICT) in global health research and research training for low and middle income country (LMIC) institutions, is to offer and educational program that combines advanced and efficient training in low cost ICT and research methods embedded in a comprehensive practical application where trainees can immediately see the benefits of such technique. Developing a trauma information systems for regions in the world where injury is a the greatest burden of disease as injuries kills more patients than AIDS, malaria and tuberculosis all combined, has the extraordinary potential of changing a paradigm in global public health. For this reason the University of Pittsburgh has joined forces to create a team of experts to build eCapacity for trauma information systems and research education (eCATIS). Enhancing eCapacity to develop trauma information technologies for LMICs is a fundamental and critically needed step towards understanding the magnitude of injury and the burden of disease. Such information is pivotal to design and implement public health interventions, allocate resources, and answer research questions relevant to the environment in LMICs. We designed an instructive program, where trainees will have "hands on experience" in developing a TIS according to their own needs while simultaneously using this experience as the case studies to provide them with the fundamentals of ICTs design, requirements, and implementation combined with applied research methods training. This program ensures an optimal balance and an enriching educational experience between didactic and practicum learning opportunities. We will utilize a staged training approach, starting in Colombia (year one) to then progressively engage in a train the trainer curricula and work in concert with trainees from Colombia to transfer knowledge and expand the use of a TIS to a remote site in Paraguay (year two). In the final stage (year three), the trainees are now the trainers and they will replicte the activities in a second remote site (Guatemala) The University of Pittsburgh has an extensive record of international training collaborations in Latin America. This application aims to leverage the research capacity established by our current and former Fogarty International Center research and research training grants through direct links with a D43 "Informatics Training for Global Health (ITGH) in Colombia," and a D43, "International Collaborative Trauma and Injury Research Training Grant". This application is being submitted by a collaboration of investigators from the University of Pittsburgh (Pittsburgh, Pennsylvania, U.S.A.); the University of British Columbia Department of Surgery (Canada); Fundacion Meditech (Neiva, Colombia); Centro de Informatica e Investigacion Clinica [CIIC] (Rosario, Argentina); and Oregon Health & Science University [OHSU] (Portland, Oregon, U.S.A.). Colombia, Paraguay, and Guatemala are the countries targeted for this research training program. An additive benefit of this project will be the delivery of trauma information systems capable of gathering data relevant to the local epidemiology of injury and providing the basis for designing injury prevention initiatives, quality improvement programs and facilitating research endeavors to meet LMICs' most pressing questions regarding trauma/injury care. This information is not currently available in most LMIC trauma centers, and this lack of information represents the main obstacle for comprehensive trauma systems development in LMICs worldwide. The transnational aspects of this proposal are in accordance with one the underlying objectives of this program which is to create, foment and enhance collaborations and networks through electronic communication and data sharing activities for cross training purposes, mutual learning and knowledge advancement.