Rural Health Research and Delivery Core

农村卫生研究和交付核心

• 批准号: 9522091
• 负责人: Jan Kirk Carney
• 金额: $ 88.06万
• 依托单位: MAINEHEALTH
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9522091
• 关键词: Academy; Address; Adoption; Basic Science; Biostatistics Core; Caring; Chronic; Clinical; Clinical Research; Clinical Trials; Collaborations; Communication; Communities; Community Health; Community Practice; Consent; Data; Data Analyses; Data Analytics; Data Collection; Data Science; Development; Environment; Epidemiology; Fostering; Goals; Health; Health Care Research; Health Professional; Health Services Accessibility; Health Services Research; Health Status; Healthcare; Informatics; Institution; Intervention; Investigator-Initiated Research; Lead; Link; Maine; Medical center; Modeling; Morbidity - disease rate; New England; Observational Study; Occupations; Outcome; Patient Care; Patients; Pilot Projects; Population; Practice based research; Provider; Public Health; Public Policy; Qualitative Research; Relationship-Building; Research; Research Activity; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Rural; Rural Health; Science; Science Policy; Scientist; Series; Site; Standardization; Structure; Targeted Research; Testing; Training; Translating; Translational Research; Translations; Trust; Universities; Vermont; Work; base; catalyst; clinical practice; data access; data modeling; design; experience; health data; health disparity; implementation research; implementation science; improved; innovation; mortality; population health; public health research; research in practice; research to practice; rural area; tool; translational pipeline; translational scientist

PROJECT SUMMARY Rural areas of Northern New England suffer from disparities in health status, health care access and clinical outcomes that lead to increased morbidity and mortality. Compounding this problem, rural providers and populations are seriously under-represented in clinical trials and health services research activities. Improving population health depends on successful translation of findings from basic science to clinical research, and subsequently to broader adoption through implementation science and public policy. This translational spectrum requires strong connections to clinical practice, not only as a testing ground for innovative ideas, but also as an environment in which real-world problems can be identified, characterized and brought forward as targets for research. The broad goal of the Rural Health Research and Delivery (RHRD) Core is to develop and support a partnership between academic institutions and rural practices in Northern New England to successfully carry out clinical and translational research. To achieve this goal we will engage in a series of activities designed to: 1) create a bi-directional partnership between academic centers and rural practices in order to stimulate research ideas, facilitate clinical and translational research, and test strategies to improve health; 2) develop the infrastructure to support research in rural practices; and 3) enhance research capacity through improved data access, data standardization, and, in collaboration with the Clinical Research Design, Epidemiology, and Biostatistics Core (CRDEB), provide training and access to state-of-the art observational and clinical research methodologies. These aims will be supported by strategies to engage rural practices in the research enterprise and in relationships with academic research partners in a team science and cooperative extension model approach. This includes the creation of innovative new research professional positions in Maine and Vermont, Practice-based Research Catalysts, who will facilitate communication and relationship building between academy and community, and will support the development and implementation of research projects. We will also develop formal and informal opportunities for researchers from academic centers and public/community health professionals to meet and work with rural clinicians, and collect qualitative data from rural clinicians and their practice organizations to understand the potential benefits and perceived barriers of participating in clinical and translational research. Finally, we will expand Northern New England providers' participation in the Observational Health Data, Science and Informatics platform, an innovative community of clinicians, researchers and data scientists committed to improving data comparability and robust research methodologies for observational and other clinical research. The activities of the RHRD core will involve collaboration with all of the other cores in this proposal. In particular, there will be activities in partnership with the CRDEB, Pilot Projects, and Professional Development Cores.

项目摘要 新英格兰北部的农村地区遭受健康状况，医疗保健和临床的差异 导致发病率和死亡率增加的结果。复杂这个问题，农村提供商和 在临床试验和卫生服务研究活动中，人群的人口严重不足。改进 人口健康取决于从基础科学研究到临床研究的成功转化，以及 之后通过实施科学和公共政策更广泛地采用。这种翻译 Spectrum需要与临床实践的牢固联系，不仅是创新思想的测试场 同样是一个可以确定，表征和提出为现实世界问题的环境 研究目标。农村健康研究与分娩（RHRD）核心的广泛目标是发展和 支持新英格兰北部的学术机构与农村实践之间的伙伴关系 成功进行临床和转化研究。为了实现这一目标，我们将参与一系列 旨在：1）在学术中心与农村实践之间建立双向合作伙伴关系的活动 为了刺激研究思想，促进临床和转化研究，并测试策略以改进 健康; 2）开发基础设施以支持农村实践的研究； 3）增强研究能力 通过改进的数据访问，数据标准化以及与临床研究设计合作， 流行病学和生物统计学核心（CRDEB）提供了培训并获得最先进的观察 和临床研究方法。这些目标将得到参与农村实践的策略的支持 研究企业以及与团队科学领域的学术研究合作伙伴的关系以及 合作扩展模型方法。这包括创建创新的新研究专业人员 缅因州和佛蒙特州的职位，基于实践的研究催化剂，他们将促进交流和 学院与社区之间建立关系，并将支持发展和实施 研究项目。我们还将为学者的研究人员开发正式和非正式的机会 中心和公共/社区卫生专业人员与农村临床医生见面和合作，并收集 来自农村临床医生及其实践组织的定性数据，以了解潜在的收益和 参与临床和转化研究的感知障碍。最后，我们将扩展北部新的 英格兰提供商参与观察健康数据，科学和信息学平台，这是一个 致力于改善数据可比性的临床医生，研究人员和数据科学家的创新社区 以及针对观察和其他临床研究的强大研究方法。 RHRD的活动 核心将涉及本提案中与所有其他核心的合作。特别是，会有活动 与CRDEB，试点项目和专业发展核心合作。