Johns Hopkins Center for Health Disparities Solutions

项目总结 霍普金斯健康差异解决方案中心 HCHDS成立于2002年，资金来自NCMHD-EXPORT中心项目 并在2006年和2011年根据COE计划续签。我们的首要目标是成为 促进卫生公平科学的国家资源，并确定和公布 减少和消除健康差距的解决方案。总部设在卫生部 在彭博公共卫生学院的政策和管理中，我们促进和鼓励 利用世界卫生组织的资源进行健康差距研究、培训和社区参与 约翰霍普金斯大学公共卫生、医学和护理学院。 在未来五年，我们建议进行三个主要研究项目，主要是 注重人际关系和社区层面的影响。这些项目的交叉主题 项目正在探索和解决以地点为基础的决定因素对健康的影响 非洲裔美国人之间的差距。我们广义地将地点定义为物理/建造的 环境、社会文化环境和医疗保健系统。物理/建造 环境包括影响结果的背景/远端因素，例如家庭、 社区和社区层面的因素。社会文化环境包括家庭和 社区规范、社会支持、社会网络、社会联系和隔离 种族/民族、乡村、社会经济地位和语言。医疗保健系统包括 地方医疗市场特征、监管环境和政策水平的影响 各种因素。

PROJECT SUMMARY The Hopkins Center for Health Disparities Solutions The HCHDS was established in 2002 with funding from the NCMHD-EXPORT Center program and renewed under the COE program in 2006 and 2011. Our primary objective is to be a national resource for advancing the science of health equity and identifying and promulgating solutions for reducing and eliminating health disparities. Based in the Department of Health Policy and Management in the Bloomberg School of Public Health, we promote and encourage health disparities research, training and community engagement using the resources of the Johns Hopkins Schools of Public Health, Medicine and Nursing. Over the next five years we propose to conduct three major research projects that primarily focus on interpersonal and community-level influences. The cross-cutting theme for these projects is “exploring and addressing the impact of place-based determinants in health disparities among African Americans.” We define place broadly as the physical/built environment, sociocultural environment, and the healthcare system. The physical/built environments include contextual/distal factors that influence outcomes such as household, neighborhood, and community level factors. Sociocultural environment includes family and community norms, social support, social networks, social connectedness, and segregation by race/ethnicity, rurality, socioeconomic status, and language. The healthcare system includes the influence of local healthcare market characteristics, the regulatory environment, and policy level factors.