Rural Health Research and Delivery Core

农村卫生研究和交付核心

• 批准号: 10205090
• 负责人: Jan Kirk Carney
• 金额: $ 89.13万
• 依托单位: MAINEHEALTH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-03 至 2022-08-04
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10205090
• 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; Data Scientist; Development; Environment; Epidemiology; Fostering; Goals; Health; Health Care Research; Health Professional; Health Services Research; Health Status; Informatics; Infrastructure; 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 Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Rural; Rural Health; Science; Science Policy; Scientist; Series; Site; Structure; Targeted Research; Testing; Training; Translating; Translational Research; Translations; Trust; Universities; Vermont; Work; base; catalyst; clinical practice; data access; data modeling; data standards; design; experience; health care availability; 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 北方新英格兰的农村地区在健康状况、卫生保健获得和临床治疗方面存在差异。 导致发病率和死亡率增加的结果。使这一问题更加复杂的是，农村供应商和 在临床试验和保健服务研究活动中，人口的代表性严重不足。改善 人口健康取决于将基础科学成果成功转化为临床研究成果， 随后通过实施科学和公共政策得到更广泛的采用。这种平移 频谱需要与临床实践的紧密联系，不仅是创新思想的试验场， 也是一个环境，在这个环境中，现实世界的问题可以被识别、表征和提出， 研究的目标。农村保健研究和提供核心的广泛目标是发展和 支持北方新英格兰学术机构和农村实践之间的伙伴关系， 成功开展临床和转化研究。为了实现这一目标，我们将采取一系列 活动旨在：1）在学术中心和农村实践之间建立双向伙伴关系， 为了激发研究思路，促进临床和转化研究，并测试策略，以提高 卫生; 2）发展基础设施，支持农村实践研究; 3）提高研究能力 通过改进数据访问、数据标准化，并与临床研究设计合作， 流行病学和生物统计学核心（CRDEB），提供培训和获得最先进的观察 和临床研究方法。这些目标将得到战略的支持， 研究企业，并与学术研究合作伙伴在一个团队的科学和 合作扩展模型方法这包括创造创新的新的研究专业 在缅因州和佛蒙特州的职位，基于实践的研究催化剂，谁将促进沟通和 学院和社区之间的关系建设，并将支持发展和实施 的研究项目。我们还将为来自学术界的研究人员提供正式和非正式的机会。 中心和公共/社区卫生专业人员会见并与农村临床医生合作，并收集 农村临床医生及其实践组织的定性数据，以了解潜在的好处， 参与临床和转化研究的感知障碍。最后，我们将扩大北方新 英格兰供应商参与观察性健康数据，科学和信息学平台， 由临床医生、研究人员和数据科学家组成的创新社区，致力于提高数据可比性 以及用于观察和其他临床研究的强大研究方法。生殖健康权利和民主组织的活动 核心将涉及与本提案中所有其他核心的协作。特别是，将在以下方面开展活动： 与CRDEB，试点项目和专业发展核心的伙伴关系。