Design and Evaluation for Equity Core

股权核心设计与评估

• 批准号: 10693142
• 负责人: Mohammed Kumail Ali
• 金额: $ 11.9万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-16 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693142
• 关键词: Address; Applications Grants; Blood Vessels; Cardiology; Caring; Clinical; Clinical Medicine; Collaborations; Communities; Complement; Consultations; Data; Data Analytics; Data Set; Databases; Decision Making; Detection; Diabetes Mellitus; Diabetes prevention; Diagnosis; Discipline of Nursing; Disparity population; Dissemination and Implementation; Economics; Effectiveness; Endocrinology; Engineering; Epidemiology; Equity; Ethics; Evaluation; Event; Evidence based intervention; Familiarity; Federal Government; Funding; Geographic Locations; Geriatrics; Goals; Grant; Guidelines; Health; Health Disparities Research; Health Services; Health Services Research; Health system; Healthcare; Incidence; Infrastructure; Institution; Internships; Intervention; Investments; Journals; K-Series Research Career Programs; Life; Link; Local Government; Manuscripts; Medicine; Mentors; Metabolic; Methodology; Methods; Minority; Morbidity - disease rate; Outcome; Pathway interactions; Persons; Pilot Projects; Play; Policies; Policy Research; Population; Population Heterogeneity; Populations at Risk; Prevention; Prevention program; Preventive; Preventive service; Primary Care; Procedures; Publishing; Quality of Care; Recommendation; Reporting; Research; Research Design; Research Personnel; Resources; Role; Science; Services; Severity of illness; Structure; Students; Surveys; System; Target Populations; Translating; Translational Research; Translations; Underrepresented Minority; Universities; Variant; burden of illness; care costs; catalyst; comorbidity; comparative effectiveness; cost effective; cost effectiveness; design; diabetes management; diabetes risk; disparity elimination; disparity gap; experience; gaps in access; geographic disparity; health care service utilization; health disparity; health equity; health record; implementation efforts; implementation framework; implementation science; improved; improved outcome; innovation; learning progression; minority investigator; multi-component intervention; multidisciplinary; patient oriented; personalized approach; population based; pragmatic trial; prevent; programs; provider behavior; social determinants; statistics; success; symposium; tool; training opportunity; translational potential; translational scientist; uptake

CORE B: PROGRAM SUMMARY / ABSTRACT While there has been much progress in building the evidence to prevent diabetes and its complications, and notable improvements in quality of care and incidence of vascular complications among people with diagnosed diabetes over the past 30 years, there is a large unfinished agenda. Identification of people at risk for and with diabetes, and uptake of prevention programs are suboptimal; and more can be done to achieve recommended care goals and reduce morbidity, especially among minorities and vulnerable subpopulations. Translation research, especially health and preventive services research, design, and evaluation can help close gaps equitably by helping identify how to tailor implementation efforts to better suit target populations and by generating policy-, program-, and practice-oriented data to inform investments in diabetes. Though there is plentiful demand in the Southeastern U.S., availability of relevant expertise is limited and fragmented, which is a barrier for aspiring junior and underrepresented minority (URM) investigators. Core B (Design and Evaluation for Equity) of the Georgia Center for Diabetes Translation Research (GCDTR) is poised to fill this void by facilitating access to local, regional, and national datasets (Aim 1); offering accessible, cohesive, and multi-disciplinary methodological, analytical, and strategic expertise in diabetes translation research (Aim 2); and helping link research with opportunities for translation and implementation (Aim 3). Core B's collective expertise, networks and partnerships, and access to key databases that are in high demand make it well-suited for stimulating high-quality diabetes translation research and uptake among a wide array of stakeholders (academics, health care, non- and for-profit organizations, and local and federal government). In its first 4 years, Core B has developed a strong culture of multi-disciplinarity, collegiality, continuous learning, and leverage. Building on these successes, Core B will continue its focus on prioritizing support for junior and URM investigators. The Core is well-integrated with other GCDTR Cores and Programs and embodies the same ethos of promoting equity at our institutions, our membership, and in our research. Core Experts will continue to engage in the GCDTR's catalyst and dissemination activities (Pilot and Feasibility and Enrichment Programs) and complement the other Cores. Core B Experts will be accessible and active with simple operating and reporting structures that facilitate more effective and cost-effective science. Core B has expertise in health services and disparities research, clinical medicine (primary care, geriatrics, endocrinology, preventive cardiology), nursing, systems design, statistics, analytics, epidemiology, engineering, management, and economics. Continuing to leverage Core B's collective expertise and resources offers an expedient and efficient opportunity to advance the field, promoting equity for the increasingly diverse population in the Southeastern U.S., and informing local initiatives to improve metabolic health in the region.

核心B：数据摘要/摘要 虽然在建立预防糖尿病及其并发症的证据方面取得了很大进展， 在诊断为糖尿病的患者中，护理质量和血管并发症的发生率显著改善 在过去的30年里，糖尿病有一个很大的未完成的议程。确定有感染和感染艾滋病毒风险的人 糖尿病和预防计划的吸收是次优的;可以做更多的工作来实现推荐的目标。 （b）确保实现保健目标和降低发病率，特别是在少数群体和弱势亚群体中。翻译 研究，特别是卫生和预防服务的研究、设计和评估有助于缩小差距 帮助确定如何使执行工作更适合目标人群， 生成政策，计划和实践导向的数据，为糖尿病投资提供信息。虽然有 美国东南部需求旺盛，相关专门知识的可用性有限且分散， 有抱负的初级和代表性不足的少数民族（URM）研究人员的障碍。核心B（设计和 格鲁吉亚糖尿病转化研究中心（GCDTR）的公平性评估）正准备填补这一空白。 通过促进对本地、区域和国家数据集的访问（目标1）而无效;提供可访问、有凝聚力且 糖尿病翻译研究的多学科方法，分析和战略专业知识（目标2）; 并帮助将研究与翻译和实施的机会联系起来（目标3）。核心B的集体 专门知识、网络和伙伴关系以及能够进入需求量很大的关键数据库，使其非常适合 促进高质量的糖尿病翻译研究和广泛的利益相关者之间的吸收 （学术界、医疗保健、非营利和营利组织以及地方和联邦政府）。在其第一个4 多年来，核心B已经形成了一种强大的多学科文化，合议，不断学习， 杠杆在这些成功的基础上，核心B将继续重点优先支持初级和统一资源管理 investigators.核心与其他GCDTR核心和程序集成良好，并体现了相同的 在我们的机构，我们的会员和我们的研究中促进公平的精神。核心专家将继续 参与GCDTR的催化剂和传播活动（试点、可行性和充实 程序），并补充其他核心。核心B专家将通过简单的 运作和报告结构，以促进更有效和更具成本效益的科学。核心B具有 卫生服务和差距研究，临床医学（初级保健，老年病学，内分泌学， 预防心脏病学），护理，系统设计，统计，分析，流行病学，工程，管理， 和经济学。继续利用核心B的集体专业知识和资源， 有效的机会，以推动该领域，促进公平的日益多样化的人口在 美国东南部，并为当地改善代谢健康的举措提供信息。