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Duke Center for REsearch to AdvanCe Healthcare Equity (REACH EQUITY)

杜克大学促进医疗保健公平研究中心 (REACH EQUITY)

基本信息

批准号：
10630608
负责人：
KIMBERLY S. JOHNSON
金额：
$ 120万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-25 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10630608
关键词：
AIDS/HIV problem Academic Medical Centers Address African American population Award Behavior Caring Clinical Collaborations Communication Communities Development Diabetes Mellitus Diagnosis Disease Ensure Faculty Funding Goals Health Health Care Costs Health Disparities Research Health Services Accessibility Health system Healthcare Healthcare Systems Heart Diseases Hispanic Populations Income Insurance Intervention Intervention Studies Knowledge Lead Leadership Life Cycle Stages Malignant Neoplasms Medical Students Mental disorders Mentors Minority Morbidity - disease rate National Institute on Minority Health and Health Disparities Outcome Patient Preferences Patient-Centered Care Patients Process Provider Publishing Quality of Care Reproducibility Research Research Personnel Research Project Grants Research Support Resources Scientific Advances and Accomplishments Series Students Testing Training Training Programs Training and Education Underrepresented Minority Work career development clinical encounter disparity reduction early-career faculty education research effective intervention ethnic health disparity evidence base experience graduate student health care delivery health care disparity health care quality health care settings health disparity health equity promotion health training improved minority investigator minority patient mortality next generation programs racial and ethnic racial and ethnic disparities racial disparity racial health disparity role model shared decision making social determinants undergraduate student voucher

项目摘要

ABSTRACT—Overall Racial and ethnic health disparities are ubiquitous, lead to excess morbidity and mortality, and are associated with substantial healthcare costs. These disparities are present even among those with similar access to care, suggesting that providers and health systems (as indicated in the NIMHD framework) are important contributors to health disparities. Yet most studies of interventions to reduce disparities have focused on changing patient behavior and knowledge, leaving substantial gaps in the evidence base of effective interventions to reduce disparities in healthcare delivery. In this application, we propose The Duke Center for REsearch to AdvanCe Healthcare Equity. REACH Equity will address gaps in current disparities' research by focusing on the quality of healthcare delivery in the clinical encounter—a setting where racial and ethnic disparities in care are well-documented. The overall theme of REACH Equity is to: develop and test interventions that reduce racial and ethnic disparities in health by improving the quality of patient-centered care in the clinical encounter through better provider communication, high quality interpersonal processes of care, and shared decision making. Rather than focusing on a single disease, REACH Equity will support research which is applicable to and can be replicated across diagnoses, settings of care, stages of illness, and throughout the life course. The Specific Aims of REACH Equity are to: (1) Create an umbrella for the integration of transdisciplinary health disparities research that extends across the campus and health system. (2) Catalyze and support a program of relevant, rigorous, reproducible research related to the Center's theme. (3) Develop the next generation of transdisciplinary health disparities investigators through a research education and training pipeline program which includes undergraduates, medical and graduate students, postdoctoral trainees, and early-career faculty. (4) Diversify the health disparities research workforce by intentionally identifying, mentoring, and developing underrepresented minority (URM) investigators, leaders, and role models. (5) Develop reciprocal partnerships which facilitate community and stakeholder engagement in the Center and ensure widespread dissemination of research findings. REACH Equity will leverage the vast resources of a large health system, nationally ranked training programs, research-intensive academic medical center, and community stakeholder partnerships, to advance scientific knowledge which will have a real-world impact on racial and ethnic disparities in patient-centered care and ultimately health outcomes. The Center will also address national priorities in training health disparities investigators and increasing diversity in the research workforce.

摘要——总体种族和民族健康差异普遍存在，导致发病率和死亡率过高，并且与巨额医疗费用相关。这些差异甚至存在于那些获得类似护理的机会，表明提供者和卫生系统（如 NIMHD 中所示）框架）是造成健康差异的重要因素。然而大多数干预研究减少差异的重点是改变患者的行为和知识，留下大量的减少医疗保健服务差异的有效干预措施的证据基础存在差距。在此申请中，我们向 AdvanCe Healthcare 提议设立杜克大学研究中心公平。 REACH Equity 将通过关注质量来解决当前研究中的差距临床遭遇中的医疗服务提供的影响——在护理方面存在种族和民族差异的环境有据可查。 REACH Equity 的总体主题是：开发和测试干预措施通过提高以患者为中心的护理质量，减少健康方面的种族和民族差异通过更好的提供者沟通、高质量的人际流程来进行临床接触的关怀和共同决策。 REACH Equity 不会关注单一疾病，而是支持适用于并可在诊断、护理环境中复制的研究，疾病的各个阶段以及整个生命过程。 REACH Equity 的具体目标是： (1) 创建一个整合保护伞跨学科的健康差异研究延伸到整个校园和卫生系统。 (2) 促进和支持与中心相关的、严格的、可重复的研究计划主题。 (3) 通过以下方式培养下一代跨学科健康差异调查人员研究教育和培训管道计划，包括本科生、医学和研究生、博士后实习生和早期职业教师。 (4) 健康差异多样化通过有意识别、指导和培养代表性不足的少数群体来培养研究人员 (URM) 调查员、领导者和榜样。（五）发展互惠伙伴关系社区和利益相关者参与中心并确保广泛传播研究结果。 REACH Equity 将利用大型卫生系统的大量资源，全国排名的培训项目、研究密集型学术医疗中心和社区利益相关者伙伴关系，以推进科学知识，这将对现实世界产生影响以患者为中心的护理和最终健康结果方面的种族和民族差异。该中心将还解决培训健康差异调查员和增加卫生多样性方面的国家优先事项研究人员。

项目成果

期刊论文数量（70）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Interventions to promote dementia knowledge among racial/ethnic minority groups: A systematic review.

DOI：
10.1111/jgs.17495
发表时间：
2022-03
期刊：
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
影响因子：
6.3
作者：
Huggins, Lenique K. L.;Min, Se Hee;Dennis, Chelsea-Ann;Ostbye, Truls;Johnson, Kimberly S.;Xu, Hanzhang
通讯作者：
Xu, Hanzhang

Factors associated with racial differences in all-cause 30-day readmission in adults with cardiovascular disease: an observational study of a large healthcare system.

DOI：
10.1136/bmjopen-2021-051661
发表时间：
2022-11-24
期刊：
BMJ OPEN
影响因子：
2.9
作者：
Farmer, Heather R.;Xu, Hanzhang;Granger, Bradi B.;Thomas, Kevin L.;Dupre, Matthew E.
通讯作者：
Dupre, Matthew E.

Effectiveness of Telemedicine Visits in Reducing 30-Day Readmissions Among Patients With Heart Failure During the COVID-19 Pandemic.

DOI：
10.1161/jaha.121.023935
发表时间：
2022-04-05
期刊：
JOURNAL OF THE AMERICAN HEART ASSOCIATION
影响因子：
5.4
作者：
Xu, Hanzhang;Granger, Bradi B.;Drake, Connor D.;Peterson, Eric D.;Dupre, Matthew E.
通讯作者：
Dupre, Matthew E.

Regional Variations in Rehabilitation Outcomes of Adult Patients With Traumatic Brain Injury: A Uniform Data System for Medical Rehabilitation Investigation.

DOI：
10.1016/j.apmr.2020.07.011
发表时间：
2021-01
期刊：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
影响因子：
4.3
作者：
Oyesanya, Tolu O.;Moran, Tim P.;Espinoza, Tamara R.;Wright, David W.
通讯作者：
Wright, David W.

Linking Physical Activity to Personal Values: Feasibility and Acceptability Randomized Pilot of a Behavioral Intervention for Older Adults with Osteoarthritis Pain.

将身体活动与个人价值观联系起来：针对患有骨关节炎疼痛的老年人进行行为干预的可行性和可接受性随机试点。

DOI：
10.21203/rs.3.rs-1182374/v1
发表时间：
2022
期刊：
Research square
影响因子：
0
作者：
Vilardaga,JenniferCPlumb;Kelleher,Sarah;Diachina,Allison;Riley,Jennie;Somers,Tamara
通讯作者：
Somers,Tamara