Reducing Health Disparities Through Informatics

描述(由申请者提供)：在过去的十年里，通过信息学(RHeaDI)减少健康差距(RHeaDI)研究培训计划培养了一支由15名博士后和博士后级别的护士科学家组成的多元化干部队伍，以应对我国在可预见的未来面临的重大科学、健康和技术挑战和机遇。RHeaDI受训人员在主要的信息学科学会议上获得了获奖奖学金；将他们的发现转化为临床、公共卫生和政策期刊；并在服务不足的人群中促进了信息学应用的科学。以前的RHeaDI实习生现在被定位为领先研究密集型组织的护理和生物医学信息学教师。与过去相比，RHeaDI的跨学科、信息学、健康差距、循证实践和服务不足的人口等核心概念现在对联邦和其他国家战略倡议更加重要。然而，尽管采取了旨在改善健康公平和创建国家健康信息网络或网络基础设施的重大举措，以改善医疗保健、促进健康和推动生物医学发现，但健康差距仍然存在。正是护士科学家，例如那些在RHeaDI培训计划中接受教育的人，已经做好了充分准备，通过应用严格的跨学科理论和方法，在护理、健康、生物医学信息学以及传播和实施等科学领域架起桥梁，以减少健康差距，促进服务不足人群的循证实践。因此，这一竞争性更新申请的具体目标是：1)维持一个管理结构，以支持护士的跨学科研究培训，重点是利用信息学减少健康差距，并促进服务不足人群的循证实践；2)招聘和培训合格的多样化护士干部(博士前和博士后)，利用信息学开展跨学科研究，以减少健康差距，促进服务不足人群的循证实践；3)提高博士后和博士后实习生在整合信息学和传播和实施科学的理论和方法方面的知识和技能，以减少健康差距，促进服务不足人群的循证实践；以及4)在持续和年度的基础上评估培训计划的结构、过程和结果。RHeaDI实习生将包括3名博士后(2-4年的T32支持)和2名博士后实习生(2-3年的T32支持)，预计在项目期间总共有5名博士后和4名博士后。毫无疑问，对RHeaDI的需求是至关重要的，它与2011-2016年国家护理研究所战略计划的相关性很强。此外，哥伦比亚大学卓越的跨学科研究环境为实现学习目标提供了独特的资源。

DESCRIPTION (provided by applicant): Over the last decade, the Reducing Health Disparities Through Informatics (RHeaDI) research training program has prepared a diverse cadre of 15 nurse scientists at the predoctoral and postdoctoral levels to take on the major science, health, and technology challenges and opportunities that face our nation for the foreseeable future. RHeaDI trainees have produced award-winning scholarship at premier scientific conferences for informatics; translated their findings into clinical, public health, and policy journals; and advanced the science of informatics application in underserved populations. Former RHeaDI trainees are now positioned as nursing and biomedical informatics faculty in leading research-intensive organizations. The RHeaDI core concepts of interdisciplinarity, informatics, health disparities, evidence-based practice, and underserved populations are even more central to federal and other national strategic initiatives now than in the past. However, health disparities continue to exist despite significant initiative aimed at improving health equity and creating a national health information network or cyberinfrastructure that improves health care, promotes health, and advances biomedical discoveries. It is nurse scientists, such as those educated in the RHeaDI training program, who are eminently prepared to bridge the scientific domains of nursing, health, biomedical informatics, and dissemination and implementation to reduce health disparities and facilitate evidence-based practice in underserved populations through application of rigorous interdisciplinary theories and methods. Thus, the specific aims of this competitive renewal application are to: 1) Maintain an administrative structure to support interdisciplinary research training for nurses focused on the use of informatics to reduce health disparities and facilitate evidence-based practice in underserved populations; 2) Recruit and train a qualified diverse cadre of nurses (predoctoral and postdoctoral) to conduct interdisciplinary research using informatics to reduce health disparities and facilitate evidence-based practice in underserved populations; 3) Enhance the knowledge and skills of predoctoral and postdoctoral nurse trainees in the integration of theories and methods from informatics and from dissemination and implementation science to reduce health disparities and facilitate evidence-based practice in underserved populations; and 4) Evaluate the training program structures, processes, and outcomes on an ongoing and annual basis. RHeaDI trainees will include 3 predoctoral (2-4 years of T32 support) and 2 postdoctoral trainees (2-3 years of T32 support) for an anticipated total of 5 predoctoral and 4 postdoctoral trainees during the project period. There is no doubt that the need for RHeaDI is critical and its relevance to the 2011-2016 National Institute of Nursing Research Strategic Plan is strong. Moreover, the outstanding interdisciplinary research environment of Columbia University offers unique resources for achievement of study aims.