Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn)

项目概要（摘要） 通过实施科学和培训实现孕产妇公平和改变健康状况 （Amethist@Penn） 美国国立卫生研究院实施孕产妇健康和Pregnancy结果愿景为每个人（改善）倡议 旨在降低孕产妇死亡率，改善妊娠、围产期和产后护理， 这导致边缘化群体的结果存在严重差异。宾夕法尼亚大学（Penn） 建议创建“通过实施科学实现孕产妇公平和转变健康”， 培训（AMETHIST@Penn）实施科学中心，以支持改善孕产妇健康研究 卓越中心（CoEs）和其他IMPROVE研究人员，并与NIH科学家协调， 项目人员以及数据创新和协调中心。Amethist@Penn将由MPI Meghan领导 Lane Fall，医学博士，MSHP，和Rebecca哈姆，医学博士，MSCE，他们带来了互补和必要的优势， 实施科学（IS）和孕产妇健康。Lane-Fall博士是Penn Implementation的执行董事。 科学中心在伦纳德戴维斯卫生经济研究所（PISCE@LDI）。她是一个国际 公认的急性护理IS专家，拥有独立的IS研究计划。她有8年的工作经验， 合作者和顾问建议调查人员：选择IS理论，模型和框架，包括 重点是公平;执行规划和战略选择;执行成果选择; 跨多种类型和来源的数据集成;以及阐明变化的高级分析程序 机制等哈姆博士是一位产妇胎儿医学专家，她在全国范围内确立了自己的地位， 产科和IS交叉点的研究人员。他们将共同协调AMETHIST@Penn的工作， 领导着一个由45多名科学家和社区合作伙伴组成的跨学科、跨专业小组。的 AMETHIST@Penn Hub将包括5个核心，每个核心有2名共同负责人和2-4名核心研究者： 1)管理、领导力和评估; 2）公平、社区和利益相关者参与（ 公平咨询和监督委员会向调查人员提供咨询意见，并要求他们对将公平纳入 3）设计，方法和分析（包括一个顾问小组与方法，公平， 临床小组，以满足欧洲委员会预期的咨询和技术援助需求）; 4）政策， 传播和沟通（信息和媒体培训方面的技能建设）;以及5）培训和 能力建设（包括创新的学术-社区合作伙伴培训计划和全面的 为新的和已建立的研究人员提供指导的研究经验）。除了建立和 管理中心，研究目标包括对IS调查人员的前瞻性混合方法研究， 社区合作伙伴和机构，以确定基于项目的实施成功的预测因素， 产妇保健信息系统研究的多层次障碍和促进因素。The Amethist@Penn Hub 将通过促进严格的实施研究， 关注患者、社区和健康差异人群的需求和观点。

PROJECT SUMMARY (ABSTRACT) Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn) The NIH Implementing a Maternal Health and PRegnancy Outcomes Vision for Everyone (IMPROVE) initiative aims to reduce maternal mortality, improve pregnancy, perinatal and postpartum care, and to address the factors that have led to severe disparities in outcomes for marginalized groups. The University of Pennsylvania (Penn) proposes creating the Achieving Maternal Equity and Transforming Health through Implementation Science and Training (AMETHIST@Penn) Implementation Science Hub to support IMPROVE Maternal Health Research Centers of Excellence (CoEs) and other IMPROVE investigators, and to coordinate with NIH Staff Scientists, Project Staff, and the Data Innovation and Coordinating Hub. AMETHIST@Penn will be led by MPIs Meghan Lane Fall, MD, MSHP, and Rebecca Hamm, MD, MSCE, who bring complementary and necessary strengths in implementation science (IS) and maternal health. Dr. Lane-Fall is Executive Director of the Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI). She is an internationally recognized acute care IS expert with an independent IS research program. She has 8 years of experience as a collaborator and consultant advising investigators on: selection of IS theories, models, and frameworks, including those focused on equity; implementation mapping and strategy selection; implementation outcome selection; data integration across multiple types and sources; and advanced analytic procedures to elucidate change mechanisms. Dr. Hamm is a maternal fetal medicine specialist who has established herself nationally as a researcher at the crossroads of obstetrics and IS. Together they will orchestrate the work of AMETHIST@Penn, leading an interdisciplinary, interprofessional group of more than 45 scientists and community partners. The AMETHIST@Penn Hub will comprise five Cores, each with two Co-Leads and 2-4 Core Investigators: 1) Administration, Leadership, and Evaluation; 2) Equity, Community and Stakeholder Engagement (with an Equity Advisory and Oversight Board to advise and hold investigators accountable for incorporating equity into their research); 3) Design, Methods, and Analysis (including a Consultant Panel with Methods, Equity, and Clinical subpanels to meet the anticipated consultation and technical assistance needs of the CoEs); 4) Policy, Dissemination, and Communication (with skills building in messaging and media training); and 5) Training and Capacity Building (featuring an innovative academic-community partner training program and a comprehensive mentored research experience for both new and established investigators). In addition to establishing and administering the Hub, a research aim includes prospective mixed methods research on IS investigators, community partners, and institutions to characterize predictors of project-based implementation success and multilevel barriers to and facilitators of the conduct of maternal health IS research. The AMETHIST@Penn hub will advance public health and maternal health equity by facilitating rigorous implementation research that centers the needs and perspectives of patients, communities, and health disparity populations.