HSR&D Research Career Scientist Award

高铁

• 批准号: 10699417
• 负责人: STEPHANIE L TAYLOR
• 金额: --
• 依托单位: VA GREATER LOS ANGELES HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-10-01 至 2028-09-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699417
• 关键词: Anxiety; Area; Award; Bible; Caring; Clinical; Coin; Collaborations; Complementary Health; Complementary Medicine; Complex; Congresses; Cost Analysis; Dissemination and Implementation; Effectiveness; Evaluation; Faculty; Feeling suicidal; Fostering; Foundations; Funding; Geography; Health; Health Policy; Health Service Area; Health Services; Health Services Research; Healthcare; Healthcare Systems; Homogeneously Staining Region; Integrative Medicine; International; Intervention; Interview; Journals; Lead; Leadership; Letters; Los Angeles; Medical; Medicine; Mental Depression; Mentors; Methods; Natural Language Processing; Pain; Paper; Patient-Centered Care; Peer Review; Persons; Policies; Policy Maker; Postdoctoral Fellow; Publications; Publishing; Quality of Care; Reporting; Research; Research Personnel; Role; Safety; Sampling; Scholarship; Scientist; Services; Shapes; Techniques; Training; Training Programs; United States National Institutes of Health; Universities; Veterans; Work; career; cost effectiveness; editorial; effectiveness evaluation; effectiveness research; ethnic disparity; evidence base; experience; faculty mentor; health management; implementation barriers; implementation research; improved; indexing; informant; innovation; lecturer; lectures; multilevel analysis; operation; patient safety; pragmatic trial; professor; program dissemination; programs; racial disparity; safety practice; sound; stem; whole health

As a sociomedical scientist, health services researcher, and implementation scientist, I have 20+ years’ experience and have been consistently VA funded with over $13 million as PI or Co-PI to lead complex and impactful research in: 1) geographic correlates of health/healthcare, 2) patient safety, and 3) complementary and integrative health (CIH) therapy effectiveness and implementation. I use advanced methods such as multi- level modeling, geospatial techniques, natural language processing, and pragmatic trials. My CIH research of the past decade has solidified my national and international stature within and beyond VA. For example, the NIH considers me one of the few people internationally at the intersection of implementation and CIH. CIH is a key VA “Whole Health” component and part of many top VA priorities. My work is often used to inform Congress and has substantially shaped VA healthcare nationally. As such, I was given the 2019 HSR&D Health Services Impact award. I currently am PI of two major research and evaluation initiatives totaling almost $9 million, one being a center with 9 projects. These ten current studies and projects stem mostly from one of my five most important studies. The resulting paper, “What Should Health Care Systems Consider When Implementing Complementary and Integrative Health…” was the third most cited paper in 2019 in the leading CIH journal, Journal of Integrative and Complementary Medicine (JICM). VA Office of Patient Centered Care’s (OPCC&CT, the VA Office guiding CIH/Whole Health policy) frequently uses it when shaping policy, referring to it as their “implementation bible”. My current “APPROACH” trial for which I am Co-PI (with Dr. Steve Zeliadt, VA Puget Sound), is an HSR&D Merit for a six-year, $4.3 million pragmatic trial. This high-profile study includes nine Co-Is from four VAs to longitudinally examine the effectiveness of CIH therapies among the largest-ever sample of CIH recipients (5,600+) and is conducted in partnership with the OPCC&CT. The other nine projects stemming from that key 2019 paper are part of the Complementary and Integrative Health Evaluation Center (CIHEC), for which I am PI. CIHEC is a large-scale QUERI Partnered Evaluation Initiative co-funded by OPCC&CT for six years (funded in 2017, renewed every two years for $3.5 million to-date). As CIHEC’s Director, I have overseen 22 Co-Is and staff in nine VAs to conduct nine CIH projects. All are done in collaboration with OPCC&CT to help guide their national strategy, support evidence-based CIH implementation, and respond to Congress. Their papers and reports have been the subject of briefings to Congresspersons, Congressional commissions, and VA leadership, and have been featured in ORD and HSR&D publications circulated to VACO. I have published 35 peer-reviewed papers in the past 3 years, 60% as first or senior author and 77% in higher quality journals, with an h-index of 29 and an i10-index of 51. My most important CIH-related paper is the above 2019 paper and my most important patient safety paper is, “What Context Features Might be Important Determinants of the Effectiveness of Patient Safety Practice Interventions?”. Published in the prestigious BMJ Quality & Safety in 2011, it was Editor’s Choice, and has been cited 185 times. I am an Associate Editor and on the editorial board for the leading CIH journal, JICM, and have served as Guest Editor Medical Care twice. In the past three years, I have had 26 VA mentees and collaborated with 101 investigators, most from 10 VAs or universities, and have given many invited national and local lectures to VA clinicians and national leadership and external briefings to 8 Congresspersons or Congressional staffers. For the past three years, I served as the Los Angeles (LA) HSR&D Associate Director (until 2021) and served on four LA VA committees, four local VA postdoctoral programs, and 23 VA and non-VA service activities. At UCLA, I am Adjunct Professor in two departments, Medicine, and Health Policy and Management. I am the VA Director of the UCLA Los Angeles Area Health Services Research Training Program and am faculty mentor in a second UCLA program.

作为一名社会医学科学家，卫生服务研究员和实施科学家，我有20多年的 经验丰富，并一直作为PI或Co-PI获得超过1300万美元的VA资助，以领导复杂的 有影响力的研究：1）健康/医疗保健的地理相关性，2）患者安全，3）互补性 和综合健康（CIH）治疗的有效性和实施。我使用先进的方法，如多- 水平建模，地理空间技术，自然语言处理，和务实的审判。我的CIH研究 过去的十年巩固了我在弗吉尼亚州内外的国家和国际地位。比如说 NIH认为我是国际上为数不多的在实施和CIH交叉点的人之一。CIH是 一个关键的VA“整体健康”的组成部分和许多顶级VA优先事项的一部分。我的工作经常被用来告知 国会，并在全国范围内实质性地塑造了VA医疗保健。因此，我获得了2019年HSR&D健康 服务影响力奖。 我目前是两个主要的研究和评估计划的PI，总额近900万美元，其中一个是一个中心， 9个项目。这十个当前的研究和项目主要来自我的五个最重要的研究之一。 由此产生的论文，“医疗保健系统在实施补充和 综合健康......”是2019年CIH领先期刊《综合健康杂志》（Journal of Integrative Health）中引用次数第三多的论文。 补充医学（JICM）VA以患者为中心的护理办公室（OPCC&CT，VA办公室指导 CIH/整体健康政策）在制定政策时经常使用它，将其称为“实施 圣经”。我目前的“方法”试验，我是共同PI（与史蒂夫Zeliadt博士，VA普吉特湾），是一个 HSR&D Merit进行了为期六年、价值430万美元的务实试验。这项备受瞩目的研究包括来自四个国家的九个合作伙伴， VA在有史以来最大的CIH样本中纵向检查CIH治疗的有效性 接受者（5，600+），并与OPCC&CT合作进行。其他九个项目 从2019年的关键论文是补充和综合健康评估中心（CIHEC）的一部分， 我是PI。CIHEC是由OPCC&CT共同资助的大型QUERI合作评估计划， 六年（2017年供资，每两年更新一次，迄今为止为350万美元）。作为CIHEC的董事，我 监督22名社区主任和9个虚拟资产管理局的工作人员，以开展9个社区健康项目。所有这些都是与 OPCC&CT帮助指导其国家战略，支持基于证据的CIH实施，并应对 国会他们的文件和报告一直是向国会议员、 这些经验已在向VACO分发的ORD和HSR&D出版物中得到介绍。 在过去的3年里，我发表了35篇同行评议的论文，其中60%是第一或高级作者，77%是高级作者。 高质量期刊，h指数为29，i10指数为51。我最重要的CIH相关论文是 在2019年的论文中，我最重要的患者安全论文是，“什么背景特征可能很重要 患者安全实践干预措施有效性的决定因素？"。发表在著名的BMJ 在2011年的《质量与安全》中，它是编辑的选择，被引用了185次。我是一名副编辑， CIH领先期刊JICM的编辑委员会，并曾两次担任客座编辑Medical Care。在 在过去的三年里，我有26个VA学员，并与101名调查人员合作，大多数来自10个VA或 大学，并给了许多邀请国家和地方讲座VA临床医生和国家领导人 并向8名国会议员或国会工作人员进行外部简报。在过去的三年里，我担任了 洛杉矶（LA）HSR&D副总监（至2021年），并在四个LA VA委员会，四个当地VA委员会任职 博士后项目，以及23 VA和非VA服务活动。在加州大学洛杉矶分校，我是兼职教授， 部门，医学，卫生政策和管理。我是加州大学洛杉矶分校洛杉矶的退伍军人事务部主任 地区卫生服务研究培训计划和上午教师导师在第二个加州大学洛杉矶分校的计划。