Reducing Health Disparities Through Informatics

描述（由申请人提供）：在过去的十年中，通过信息学减少健康差距（RHeaDI）研究培训计划已经培养了15名具有博士前和博士后水平的护士科学家，以承担我们国家在可预见的未来面临的主要科学，健康和技术挑战和机遇。RHeaDI的学员在信息学领域的重要科学会议上获得了获奖奖学金；将他们的发现发表在临床、公共卫生和政策期刊上；并推动了信息学在服务不足人群中的应用。以前的RHeaDI学员现在被定位为领先的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、健康差异、循证实践和服务不足人群等核心概念现在对联邦和其他国家战略举措更加重要。然而，尽管采取了旨在改善卫生公平和建立国家卫生信息网络或网络基础设施的重大举措，以改善卫生保健、促进健康和推进生物医学发现，但卫生差距仍然存在。护士科学家，比如那些在RHeaDI培训项目中受过教育的人，他们已经做好了充分的准备，可以在护理、健康、生物医学信息学、传播和实施等科学领域之间建立桥梁，通过应用严格的跨学科理论和方法，减少健康差距，并促进在服务不足的人群中进行循证实践。因此，这一竞争性更新申请的具体目标是：1)维持一个行政结构，以支持护士的跨学科研究培训，重点是使用信息学来减少健康差距，并促进服务不足人群的循证实践；2)招募和培训合格的多样化护士骨干（博士前和博士后），利用信息学进行跨学科研究，以减少健康差距，促进服务不足人群的循证实践；3)提高博士前和博士后护士培训生在整合信息学和传播与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；对培训项目的结构、流程和结果进行持续的和年度的评估。RHeaDI将培养3名博士预科生（2-4年T32支持）和2名博士后（2-3年T32支持），预计项目期间将培养5名博士预科生和4名博士后。毫无疑问，对RHeaDI的需求是至关重要的，它与2011-2016年国家护理研究战略计划的相关性很强。此外，哥伦比亚大学优秀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.