权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Racial Disparities in Multiple Sclerosis: Quality of Care and Patient Experiences

多发性硬化症的种族差异：护理质量和患者体验

基本信息

批准号：
10199971
负责人：
Jagriti Jackie Bhattarai
金额：
$ 19.19万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-23 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10199971
关键词：
Address Adherence Affect Area Biometry Brain Caring Cognition Collaborations Communication Data Data Collection Decision Making Development Disease Disease Outcome Documentation Environment Epidemiology Focus Groups Frequencies Future Goals Health Health Care Costs Health Psychology Health system Image Incidence International Intervention Interview Knowledge Lesion Literature Measures Medical Mentored Patient-Oriented Research Career Development Award Mentorship Methods Mission Monitor Multiple Sclerosis Neurologic Neurological outcome Neurologist Not Hispanic or Latino Optic Nerve Oral Outcome Patient Care Patient-Focused Outcomes Patients Population Positioning Attribute Process Provider Public Health Schools Quality of Care Questionnaires Race Recommendation Reporting Research Research Activity Research Methodology Research Personnel Resources Site Sleep Specialist Spinal Cord Training United States National Institutes of Health Universities Visit Washington Writing advanced disease base burden of illness career career development cohort compliance behavior design disability disparity reduction early experience experience follow-up health care disparity health care quality health disparity health equity improved improved outcome innovation medical schools medication safety minority health mood symptom mortality nervous system disorder patient engagement patient health information patient oriented patient population patient-clinician communication precision medicine prospective provider behavior racial difference racial disparity racial health disparity reduce symptoms research and development satisfaction shared decision making skills

项目摘要

PROJECT SUMMARY/ABSTRACT The proposed K23 award include one of the first comprehensive, mixed method studies of racial disparities in medical care for non-Hispanic blacks (NHBs) and non-Hispanic whites (NHWs) with multiple sclerosis (MS) and will provide the necessary support for Dr. Bhattarai, an early stage investigator, to obtain mentorship and training to reach her LONG-TERM GOAL of becoming an independent researcher and leading expert in understanding and addressing racial disparities in MS. There is a great need for additional researchers like Dr. Bhattarai who are dedicated to this line of research considering that NHBs fare markedly worse outcomes than NHWs and recent studies have shown a higher incidence of MS in NHBs compared to NHWs. Although MS has long been considered to be a disease that largely affects NHWs, findings such as these are worrisome because less than 1% of the MS literature has focused on NHBs. Racial disparities in healthcare are pervasive and research on other patient populations reveals disparities that arise from lower quality of care. The proposed project will involve medical chart reviews of prospectively collected patient data at two leading MS Centers in the US to quantify disparities in (AIM 1) quality of health care of NHBs and NHWs and (AIM 2) patient adherence to recommended plan of MS care in NHBs and NHWs. A convergent parallel mixed method, cross-sectional design will be employed to better understand patient perspectives on the critical aspects of MS care for AIM 3, which will involve data collection using established quantitative measures of patient experience and satisfaction with MS care, in- depth patient interviews, and focus groups stratified by race. We expect this research to advance the current state of research on MS by delivering high-quality data on racial disparities in MS care, which will provide the rationale for future R01 proposals that will focus on the development of innovative solutions to address the inequities in the MS population. The proposed career development and research plan directly address the mission of the NIMHD: "to reduce disparities and improve minority health" and the NIH's initiative on workforce diversity. Dr. Bhattarai will leverage the unparalleled resources at the Johns Hopkins School of Medicine and the Bloomberg School of Public Health to meet her career development goals to: (1) attain advanced training in epidemiological, biostatistical, and mixed research methods; (2) develop expertise in understanding and addressing health disparities in the MS population; and (3) enhance scientific writing, oral presentation, and collaboration skills. Dr. Bhattarai has strategically assembled an exemplary mentorship team of Drs. Ellen Mowry, Lisa Cooper, and Mary Catherine Beach—world renowned experts in the areas of MS, racial health disparities, and patient-provider communication—and a carefully-selected training plan of research activities, didactics, formal coursework, and scientific engagements. These factors, joined with the first-class training environment at Johns Hopkins, make Dr. Bhattarai an ideal candidate who is well-positioned to succeed.

项目总结/文摘