Chicago Chronic Condition Equity Network (C3EN)

项目摘要 低收入和种族/少数民族群体在多种慢性病负担方面的健康差异 普遍存在，其根源在于健康的社会决定因素和获得循证健康的机会不平等 生命关键时期的护理服务。芝加哥地区长期以来的种族隔离造成了 在贫困和相关社会健康决定因素负担过重的社区， 以及难以获得高质量的卫生资源。整个芝加哥地区的资源分配不均 导致地理上的“热点”，其中大量居民患有多种心脏代谢疾病。 创新的地方解决方案是必要的，以弥合医疗保健系统中的差距，传统方法中的差距 提供预防和管理服务的能力，以及传统的孤立做法所产生的差距， 科学芝加哥慢性病公平网络（C3 EN）将通过加强 社区组织、实践网络和学术研究人员之间的合作， 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，并通过支持积极寻求 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进行多方向交流的沟通渠道 在社区，以社区为基础的研究网络， 将采取可扩展的干预措施，并为新的调查人员提供培训。我们的研究项目有 被选中是为了展示我们对促进全面健康观的科学主题兴趣， 承认身体、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。C3 EN将受益于多个研究所和中心的基础， 芝加哥大学和拉什大学为开展跨学科研究奠定了基础， 芝加哥地区的健康目标、机构间合作和培训计划模式。我们 中心的具体目标是：1）建立一个芝加哥区域社区为基础的研究网络， 与主要利益攸关方团体合作，包括社区组织、流动医疗网络、 实践和学术机构，以确定创新，有效和可扩展的干预措施， 多种慢性病的差异; 2）提供尖端的研究支持和专业知识 （部门间卫生、信息学、实施科学、社区资源查询软件系统， 遥感技术），以促进跨实践进行的慢性病健康差异研究 网络，在社区设置，并在家里;和3）吸引和支持不同的新的调查人员， 提供教育、培训、指导、支持社区和利益攸关方参与、试点赠款 资金和获得研究支持。

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.