Examining the Integration of Hospitals, Public Health, and Social Services to Target the Social Determinants of Health Using Patient-Centered and Comparative Effectiveness Research Methods

使用以患者为中心的比较有效性研究方法，检查医院、公共卫生和社会服务的整合，以针对健康的社会决定因素

• 批准号: 9917686
• 负责人: Rachel A. Hogg
• 金额: $ 11.68万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9917686
• 关键词: Examining; Integration; Hospitals; Public; Health

Abstract This is an application for a K01 award for Dr. Rachel Hogg, an Assistant Professor at the University Of Kentucky College Of Health Sciences. Dr. Hogg is establishing herself as a young investigator who uses Patient Centered Outcomes Research (PCOR) and Comparative Effectiveness Research (CER) methods to examine the effect models of clinical and community collaboration around the health-related social determinants of health have on improved health care quality and reduced hospitalizations and readmissions. This K01 award will provide Dr. Hogg with the support necessary to achieve the following goals: (1) develop expert knowledge in the types of models being used to integrate clinical and community organizations to address not only health care, but also the health-related social determinants of health, (2) establish herself as an independent researcher with mastery of using advanced Comparative Effectiveness Research methods to determine effect heterogeneity in how clinical-community models address diverse population needs, and (3) To secure R01 level funding using the Public Health and Social Service Sensitive Admission Measures as an outcome. Dr. Hogg has assembled a mentoring team comprised of primary mentor, Dr. Glen Mays, and Co- Mentors, Drs. Patrick Kitzman, Danielle Varda, and Mark Williams. Addressing the health-related social determinants of health has emerged as a leading strategy to combat the increasing economic and financial burden of preventable hospitalizations and readmissions. Dr. Hogg’s study will use a mixed methods approach to examine in greater detail the models being used across the US to integrate public health and social services with clinical care provided in hospitals as a mechanism to target the social, behavioral, and environmental factors that contribute to hospitalizations and readmissions (Aims 1 and 2). Dr. Hogg’s project will also engage patients, caregivers, and community stakeholders to determine the extent to which patient, caregiver, and provider experiences with health care are influenced by the surrounding delivery systems for public health and social services (Aim 3). The findings will cumulate in a template model that will be proposed for pilot testing as part of a R01 application to be submitted before the end of the K award.

抽象的 这是英国大学助理教授 Rachel Hogg 博士的 K01 奖学金申请 肯塔基健康科学学院。霍格博士正在将自己定位为一名年轻的调查员，她使用 以患者为中心的结果研究 (PCOR) 和比较有效性研究 (CER) 方法 检查围绕健康相关社会问题的临床和社区合作的效果模型 健康决定因素提高了医疗保健质量并减少了住院和再入院率。 该 K01 奖项将为 Hogg 博士提供实现以下目标所需的支持：(1) 开发 用于整合临床和社区组织的模型类型的专业知识 不仅解决卫生保健问题，还解决与健康相关的健康社会决定因素，(2) 将自己定位为 一位独立研究人员，精通使用先进的比较有效性研究方法 确定临床社区模型如何满足不同人群需求的效果异质性，以及 (3) 使用公共卫生和社会服务敏感准入措施作为保障 R01 级资金 结果。 Hogg 博士组建了一个由主要导师 Glen Mays 博士和副导师组成的指导团队。 导师，博士。帕特里克·基茨曼、丹妮尔·瓦尔达和马克·威廉姆斯。 解决与健康相关的健康社会决定因素已成为一项主导战略 应对可预防的住院和再入院带来的日益增加的经济和财政负担。博士。 霍格的研究将使用混合方法来更详细地检查跨领域使用的模型 美国将公共卫生和社会服务与医院提供的临床护理相结合，作为一种机制 针对导致住院和再入院的社会、行为和环境因素 （目标 1 和 2）。霍格博士的项目还将让患者、护理人员和社区利益相关者参与进来 确定患者、护理人员和提供者的医疗保健体验受以下因素影响的程度 公共卫生和社会服务的周边交付系统（目标 3）。调查结果将累积成 模板模型将作为在 R01 申请之前提交的 R01 申请的一部分而提议进行试点测试 K奖结束。