Sinai diabetes center

西奈糖尿病中心

• 批准号: 10649981
• 负责人: Jackie Jacobs
• 金额: $ 49.94万
• 依托单位: SINAI HEALTH SYSTEM, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10649981
• 关键词: Sinai; diabetes; center

PROJECT SUMMARY Sinai Chicago (Sinai) is Illinois’ largest private safety-net healthcare system, serving predominantly low-income communities of color with large Medicaid-eligible populations in Chicago. In response to high diabetes rates and community calls for coordinated, multidisciplinary diabetes care, Sinai designed the Center for Diabetes and Endocrinology (the Center) which launched in 2020. The Center uses a comprehensive model with streamlined services to address the full spectrum of patient medical and non-medical needs. We propose a convergent mixed-methods optimization study to determine the appropriateness and fidelity of three intervention components of a team- based care model for patients served by the Center to define the ideal sequence for improving patient outcomes. Grounded in qualitative methodology and guided by a sequential multiple assignment randomized trial (SMART), we propose evaluating the appropriateness of novel intervention enhancements (Aim 1); measuring fidelity of new intervention enhancements (Aim 2); comparing the effectiveness and determining optimization of intervention enhancements (Aim 3). We will evaluate Aim 1 via key stakeholder interviews and focus groups. We will analyze Aims 2 and 3 by conducting descriptive statistics on all variables, giving special attention to outlier values. We will also run bivariate and multivariate analyses across variables of interest and time points to determine the optimal sequence of intervention activities. We will disseminate our learnings broadly to key stakeholders through community forums, peer-reviewed publications and presentations. Our multi-disciplinary team has a wealth of experience in health services programming as well as research and evaluation. We propose a 3 year, $1.5 million project from March 2023 to February 2026.

项目摘要 西奈芝加哥（Sinai）是伊利诺伊州最大的私人安全网医疗保健系统， 主要是有色人种的低收入社区，有大量符合医疗补助条件的人口 在芝加哥。为了应对高糖尿病发病率和社区协调的呼吁， 多学科糖尿病护理，西奈半岛设计了糖尿病中心， 内分泌（中心）于二零二零年推出。该中心采用综合 模式，提供精简的服务，以解决全方位的病人医疗和 非医疗需求。我们提出了一个收敛的混合方法优化研究， 确定团队的三个干预组成部分的适当性和忠诚度- 基于中心服务的患者的护理模式，以定义理想的序列 从而改善患者结果。以定性方法为基础， 序贯多分配随机试验（SMART），我们建议评估 新的干预措施的适当性（目标1）;衡量新的 加强干预（目标2）;比较有效性并确定 优化干预措施（目标3）。我们将通过密钥评估目标1 利益相关者访谈和焦点小组。我们将分析目标2和3， 对所有变量进行描述性统计，特别注意离群值。我们将 还可以在感兴趣的变量和时间点上进行双变量和多变量分析 确定干预活动的最佳顺序。我们将传播我们的 通过社区论坛、同行评审， 出版物和介绍。我们的多学科团队拥有丰富的经验 在卫生服务规划以及研究和评估方面。我们建议3 一年，从2023年3月到2026年2月的150万美元项目。