Chicago Chronic Condition Equity Network (C3EN)

项目总结 低收入和种族/少数民族群体多种慢性病负担的健康差距 无处不在，根源于健康的社会决定因素和以证据为基础的健康的不平等机会 在生命的关键时期提供护理服务。芝加哥地区悠久的种族隔离历史导致了 在贫困和相关的健康社会决定因素不成比例的社区， 以及难以获得高质量的卫生资源。芝加哥地区资源分配不均 导致地理上的“热点”，在那里有大量的居民患有多种心脏代谢疾病。 创新的本地解决方案是必要的，以弥合医疗系统中的差距，传统方法中的差距 提供预防和管理服务，以及传统的孤立方法产生的差距 科学。芝加哥慢性病权益网络(C3EN)将通过加强 跨社区组织、实践网络和学术研究人员的协作，通过 促进采取综合办法预防和管理多种慢性病， 考虑到心理健康、功能健康和社会生活，并支持积极寻求 跨越疾病管理、专业培训、社区和实践的界限。这个网络 将成为就如何解决差距问题多方向交流意见的沟通渠道 在社区中，以社区为基础的研究网络，其中既有试点研究，也有更大的区域研究 将进行可扩展的干预，并为新调查人员提供培训场所。我们的研究项目已经 被选中是为了展示我们对促进全面健康观点的科学主题兴趣， 认识到生理、心理和社会功能作为结果和潜力的重要性 改善健康的途径。C3EN将受益于由多个研究所和中心组成的基金会 芝加哥大学和拉什大学为开展与公众保持一致的跨学科研究奠定了基础 芝加哥地区的卫生目标、机构间合作以及培训计划的模式。我们的 中心的具体目标是：1)建立一个以芝加哥地区社区为基础的研究网络 与关键利益攸关方团体合作，包括基于社区的组织、门诊网络 实践和学术机构，以确定创新、有效和可扩展的干预措施，以减少 多种慢性病的差异；2)提供尖端研究支持和专业知识 (部门间保健、信息学、执行科学、社区资源转介软件系统、 遥感技术)，以促进在实践中进行的慢性疾病健康差异研究 网络、社区环境和家庭；以及3)通过以下方式吸引和支持多样化的新调查人员 提供教育、培训、指导、支持社区和利益相关者参与、试点拨款 资金，以及获得研究支持的机会。

PROJECT SUMMARY Health disparities in the burden of multiple chronic conditions for low-income and racial/ethnic minority groups are pervasive and have their roots in social determinants of health and unequal access to evidence-based health care services during critical periods of life. A long history of racial segregation in the Chicago region has resulted in neighborhoods that are disproportionately burdened by poverty and related social determinants of health as well as poor access to high quality health resources. Unequal distribution of resources across the Chicago region results in geographic “hotspots” where high numbers of residents suffer from multiple cardiometabolic conditions. Innovative local solutions are necessary to bridge gaps in the healthcare system, gaps in the traditional approach to delivering preventive and management services, and gaps generated by the traditional siloed approach to science. The Chicago Chronic Condition Equity Network (C3EN) will address these gaps by strengthening collaborations across community-based organizations, practice networks, and academic researchers, by promoting a comprehensive approach to the prevention and management of multiple chronic conditions that accounts for mental health, functional health and social life, and by supporting interventions that actively seek to cross boundaries of disease-specific management, professional training, community and practice. This network will be the communication channel for multi-directional exchange of ideas regarding how to address disparities in communities, the community-based research network where both pilot studies and larger regional studies of scalable interventions will take place, and the training ground for new investigators. Our research projects have been selected to demonstrate our scientific thematic interest in promoting a comprehensive view of health that acknowledges the importance of physical, psychological, and social functioning as outcomes as well as potential avenues for health improvement. The C3EN will benefit from a foundation of multiple institutes and centers at the University of Chicago and Rush that set the stage for conducting interdisciplinary research aligned with public health goals of the Chicago region, inter-institutional collaboration, and models for training programs. Our Center’s Specific Aims are: 1) To build a Chicago regional community-based research network based on collaborations with key stakeholder groups including community-based organizations, networks of ambulatory practices, and academic institutions, to identify innovative, effective, and scalable interventions that reduce disparities for multiple chronic conditions; 2) To provide cutting edge research support and expertise (intersectoral health, informatics, implementation science, community-resource referral software systems, remote sensor technology) to facilitate chronic condition health disparities research conducted across practice networks, in community settings, and in the home; and 3) To attract and support diverse new investigators by providing education, training, mentoring, support for community and stakeholder engagement, pilot grant funding, and access to research support.