Patient Oriented Research in Vulnerable Populations with Skin Disease

项目摘要/摘要 这项提案的首要目标是改善对患有皮肤病的弱势人群的护理， 包括：a)老年人；b)种族和少数民族。对于老年皮肤病患者，我们将重点关注 关于用药模式，以确定可能突出最佳用药机会的无法解释的变化 开药方的做法。对于少数族裔患者，我们将特别关注护理模式和 化脓性汗腺炎(HS)患者未满足的需求。这份K24提案增加了我目前的研究 通过扩大我对弱势群体护理的研究重点，我的投资组合。 这项提案的指导目标与研究目标是一致的。拟议的研究提供了 为学员提供定量和定性数据收集和分析方面的实践研究培训经验， 并将为学员的K、T和R申请提供初步数据。这个应用程序提出了三个 在我的长期研究目标中进行增量研究，以改善弱势群体的健康 通过我自己的研究和培训了一批不同的以患者为导向的研究人员。 该项目直接建立在我之前的研究基础上，并利用了现有的网络、协作和 接触行为科学和老年病学、社交媒体和技术领域的领导者。 拟议研究的具体目标是：1)确定以下人群的护理和用药模式 老年皮肤病患者，2)更好地了解种族护理和用药模式， 化脓性汗管炎患者的种族和性别，以及3)了解未满足的需求 以确定改善其生活质量(QOL)的机会。这项研究将 采用混合方法。目标1和目标2将通过分析来自大型国家 数据集，包括与联邦医疗保险和国家门诊有关的健康和退休调查(HRS) 医疗保健调查(NAMCS)。对于目标3，我们将利用定性的方法，进行重点小组和 与HS社区的领导人进行认知性访谈。 这个奖项将确保我有足够的保护时间来充分支持我的受训者，特别是那些来自 传统上在医学界代表性较低的背景。我受过流行病学和皮肤科的双重训练 在以病人为中心的皮肤科研究方面有丰富的经验，使我成为一名成功的 对皮肤病研究中的各种主题感兴趣的学员的导师。这样做的长期目标是 研究是为了扩大我们对患有皮肤病的脆弱人群的护理知识，以便我们能够 改善这些患者的生活质量，优化皮肤科护理。这辆K24将给我带来 有机会扩大我在这些主题上的指导和研究，并允许我培训下一代 皮肤病研究人员热衷于改善弱势群体的生活。

Project Summary/Abstract The overarching goal of this proposal is to improve the care of vulnerable populations with skin disease, including: a) the elderly, and b) racial and ethnic minorities. For elderly patients with skin disease, we will focus on patterns of medication use, to identify unexplained variations that might highlight opportunities for optimal prescribing practices. For racial and ethnic minority patients, we will focus specifically on care patterns and unmet needs of patients with Hidradenitis Suppurativa (HS). This K24 proposal adds to my current research portfolio by expanding my research focus on the care of vulnerable populations. The mentorship goals of this proposal are aligned with the research aims. The proposed studies provide hands-on research training experiences in quantitative and qualitative data collection and analysis for mentees, and will produce preliminary data for mentees' K, T, and R applications. This application proposes three incremental studies in my long-term research objective to improve the health of vulnerable populations with skin disease through my own research and through training a diverse group of patient-oriented researchers. The project builds directly on my previous research and leverages existing networks, collaborations and access to leaders in behavioral science and geriatrics, social media and technology. The specific aims of the proposed research are: 1) to determine patterns of care and medication use among elderly patients with skin disease, 2) to better understand patterns of care and medication use by race, ethnicity and gender among patients with Hidradenitis Suppurativa, and 3) to understand the unmet needs of patients with HS in order to identify opportunities for improving their quality of life (QoL). This research will employ a mixed-methods approach. Aims 1 and 2 will be achieved by analyzing the data from large national datasets, including the Health and Retirement Survey (HRS) linked to Medicare and the National Ambulatory Medical Care Survey (NAMCS). For Aim 3, we will utilize a qualitative approach, conducting focus groups and cognitive interviews with leaders in the HS community. This award will ensure that I have sufficient protected time to fully support my mentees, particularly those from backgrounds traditionally underrepresented in medicine. I am dually trained in epidemiology and dermatology and have extensive experience with patient-oriented research in dermatology, enabling me to be a successful mentor for trainees interested in a variety of topics in dermatologic research. The long-term goal of this research is to expand our knowledge on the care of vulnerable populations with skin disease, so that we can improve the quality of life and optimize dermatologic care of these patients. This K24 will give me the opportunity to expand my mentoring and research on these topics and allow me to train the next generation of dermatologic researchers passionate about improving the lives of vulnerable populations.