Mentored Career Development for Child and Family Centered Outcomes Research

以儿童和家庭为中心的成果研究的指导职业发展

• 批准号: 8823755
• 负责人: JONATHAN A FINKELSTEIN
• 金额: $ 79.79万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8823755
• 关键词: Mentored; Career; Development; Child; Family

DESCRIPTION (provided by applicant): Creating a "learning health system" to improve child health will require a new generation of researchers whose work is more directly aligned with the expressed needs of patients, providers, and healthcare systems. The evidence base they create, using child (and family) centered comparative effectiveness methods, will inform decisions of patients and providers that affect not only immediate health outcomes, but also long term life course trajectories. They will also conduct research on implementation and dissemination of practices that reliably improve health and wellbeing in a wide range of contexts, in order to benefit all children, and to reduce the persistent disparities seen in child health by race, ethnicity, and social class. Our proposed career development program leverages a broad and diverse Harvard faculty with 2 decades of experience in training child health researchers, and specific experience in training investigators in methods of comparative effectiveness research in an ARHQ-funded program. It will draw from an extensive and diverse pool of applicants across many disciplines (both MD and PhD faculty), from Harvard-affiliated institutions and across the country, who seek to begin their careers with intensive mentorship and support. The program will enroll 12 scholars for 2 or 3 years of support over the 5-year project period. The program's leadership team and faculty bring particular expertise in the novel use of health information technology across platforms and organizations to facilitate learning through research. The faculty also includes national experts in health system improvement and implementation science. We will leverage all of these resources to ensure: 1) structured, robust, and tailored mentoring in methods of patient centered comparative effectiveness research, including use of patient reported outcomes measures for children; 2) parent (and patient) engagement in the development and oversight of the career development program as well as the research of each participating scholar; 3) a broad variety of health systems for children with whom relevant research can be conducted; and, 4) partnerships with nationally-regarded organizations focused on rapid implementation of changes in practice based on the best current evidence. The program will have a particular focus on research to close the gaps in health for disadvantaged populations by improving health care delivery and community-based interventions. Its leadership and structure will not only accelerate the successful research careers of the enrolled scholars, but also align those careers with the needs of patients, health care delivery systems, and communities. In so doing, these individuals will provide the evidence for shared clinical decisions and effective community-based interventions that will bring us closer to the goal of improved health for individual children and populations.

描述(申请人提供)：创建“学习健康系统”以改善儿童健康将需要新一代研究人员，他们的工作更直接地与患者、提供者和医疗保健系统的表达需求保持一致。他们使用以儿童(和家庭)为中心的比较有效性方法创建的证据基础，将为患者和提供者的决策提供信息，这些决策不仅影响当前的健康结果，而且还影响长期的生命轨迹。他们还将研究如何在广泛的背景下实施和传播可靠地改善健康和福祉的做法，以造福所有儿童，并减少因种族、族裔和社会阶层而在儿童健康方面长期存在的差距。我们建议的职业发展计划利用了广泛和多样化的哈佛教职员工，他们在培训儿童健康研究人员方面拥有20年的经验，并在ARHQ资助的项目中培训调查人员比较有效性研究方法方面的具体经验。它将从许多学科(包括医学博士和博士教师)、来自哈佛附属机构和全国各地的广泛而多样化的申请者池中挑选出来，他们寻求在密集的指导和支持下开始他们的职业生涯。该计划将招收12名学者，在5年的项目期内提供2至3年的支持。该项目的领导团队和教职员工在跨平台和组织的卫生信息技术的新颖使用方面带来了特殊的专业知识，以促进通过研究进行学习。该教员还包括卫生系统改进和实施科学方面的国家专家。我们将利用所有这些资源来确保：1)以患者为中心的比较有效性研究方法的结构化、健壮和量身定做的指导，包括对儿童使用患者报告的结果衡量标准；2)家长(和患者)参与职业发展计划的发展和监督，以及每个参与学者的研究；3)为可以进行相关研究的儿童建立广泛的卫生系统；以及4)与国家知名组织建立合作伙伴关系，专注于根据当前最好的证据在实践中迅速实施变化。该方案将特别注重研究，通过改善医疗保健提供和基于社区的干预措施，缩小弱势群体在健康方面的差距。它的领导力和结构不仅将加速被录取学者的成功研究事业，而且还将使这些事业与患者、医疗保健提供系统和社区的需求保持一致。通过这样做，这些个人将为共同的临床决定和有效的基于社区的干预提供证据，使我们更接近改善个别儿童和人口健康的目标。