Advancing Geriatrics Infrastructure & Network Growth

描述（由申请人提供）：本申请响应PAR-13-287（跨学科老龄化研究发展的网络和基础设施支持）。我们建议将HMO研究网络与Claude D.胡椒老年美国人独立中心（OAIC;又名胡椒中心）创建一个国家资源，以培育和推进一个跨学科的研究议程，重点是老年人与多种慢性病（MCC）。我们在这项计划下的具体目标是：（1）合作开发一个框架和程序，以加强现有的HMORN数据基础设施，以推进对患有MCC的老年人的跨学科研究;（2）支持优化HMORN和OAIC资源的跨学科试点项目，并促进HMORN和OAIC调查人员之间的合作，以解决与数据有效性，相对有效性，健康结果，健康差距，以及患有MCC的老年人的护理费用。这些项目将有助于进一步确定现有数据的充分性，确定和优先考虑额外的数据需求，并为干预措施奠定基础，以保护和恢复患有MCC的老年人的功能;（3）确定和指导来自HMORN和OAIC的初级教师，重点研究患有MCC的老年人;以及（4）向更大的科学界传播与老年人MCC科学相关的跨学科研究方法和发现。这些协同目标利用OAIC积累的老龄化研究专业知识，以及HMORN的大量患者群体，电子健康记录数据和嵌入式医疗保健提供系统研究人员的骨干，以创建一个独特的国家资源，该资源将：（1）鼓励，促进和支持可以解决与MCC老年人相关的最重要问题的研究;（2）增加关于如何最好地使用来自多个不同医疗机构的电子健康记录系统中的数据的知识;（3）促进来自不同学科的研究人员之间的合作，并吸引，指导和发展来自这些领域的初级教师;以及（4）传播关于患有MCC的老年人的研究结果，这些结果将转化为更高质量和更具成本效益的护理。

DESCRIPTION (provided by applicant): This application responds to PAR-13-287 (Network and Infrastructure Support for Development of Interdisciplinary Aging Research). We propose to bridge the HMO Research Network with the Claude D. Pepper Older Americans Independence Centers (OAICs; aka Pepper Centers) to create a national resource to nurture and advance an interdisciplinary research agenda focused on older adults with multiple chronic conditions (MCCs). Our specific aims under this initiative are: (1) to collaboratively develop a framework and procedures to enhance the existing HMORN data infrastructure to advance interdisciplinary research on older adults with MCCs; (2) to support interdisciplinary pilot projects that optimize HMORN and OAIC resources and foster collaboration between HMORN and OAIC investigators to address questions relevant to data validity, comparative effectiveness, health outcomes, health disparities, and costs of care in older persons with MCCs. These projects will serve to further define the adequacy of available data, identify and prioritize additional data needs, and lay the groundwork for interventions to preserve and recover function in older adults with MCCs; (3) to identify and mentor junior faculty from the HMORN and OAICs with a research focus on older adults with MCCs; and (4) to disseminate interdisciplinary research approaches and findings relating to the science of MCCs in older adults to the larger scientific community. These synergistic aims leverage the accumulated aging research expertise of the OAICs together with the HMORN's large patient populations, electronic health record data, and cadre of embedded healthcare delivery system researchers to create a unique national resource that will: (1) encourage, facilitate, and support research that can address the most important questions relevant to older persons with MCCs; (2) increase knowledge about how best to use data found in electronic health record systems from multiple, diverse healthcare organizations; (3) promote collaboration among researchers from different disciplines, and engage, mentor, and develop junior faculty from across these fields; and (4) disseminate findings from research on older persons with MCCs that will translate into the delivery of higher quality and more cost-effective care.