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

项目摘要(摘要) 通过实施科学和培训实现母亲公平和转变健康 (AMETHIST@Penn) 美国国立卫生研究院实施孕产妇健康和妊娠结局人人愿景(改善)倡议 旨在降低产妇死亡率，改善孕期、围产期和产后护理，并解决这些因素 这导致了边缘化群体在结果方面的严重差距。宾夕法尼亚大学(宾夕法尼亚大学) 建议通过实施科学和技术创造实现母亲平等和转变健康的途径 培训(AMETHIST@Penn)实施科学中心以支持改善产妇保健研究 英才中心(COE)和其他中心改善调查人员，并与NIH的工作人员科学家协调， 项目工作人员以及数据创新和协调中心。AMETHIST@Penn将由MPIS Meghan领导 Lane Fall，MD，MSHP和Rebecca Hamm，MD，MSCE，他们在 实施科学(IS)和孕产妇健康。莱恩-法尔博士是宾夕法尼亚大学执行主任 伦纳德·戴维斯卫生经济研究所科学中心(PISCE@LDI)。她是一位国际名人。 公认的急性护理是独立IS研究计划的专家。她有8年的工作经验。 合作者和顾问为调查人员提供建议：选择信息系统理论、模型和框架，包括 侧重于公平；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；以及用于阐明变化的高级分析程序 机械装置。哈姆医生是一位产妇胎儿医学专家，她已经在全国范围内确立了自己的地位 在产科和IS的十字路口的研究员。他们将共同协调AMETHIST@Penn的工作， 领导一个由超过45名科学家和社区合作伙伴组成的跨学科、跨专业的小组。这个 AMETHIST@Penn Hub将由五个核心组成，每个核心有两个联合导联和2-4个核心调查员： 1)管理、领导力和评估；2)公平、社区和利益相关者参与(包括 股权咨询和监督委员会将向调查人员提供建议并追究其将股权纳入 他们的研究)；3)设计、方法和分析(包括一个包含方法、权益和 临床小组，以满足COE预期的咨询和技术援助需求)；4)政策， 传播、传播和通信(包括信息和媒体培训方面的技能培养)；以及5)培训和 能力建设(以创新的学术-社区合作伙伴培训计划和全面的 新的和已有的研究人员都有指导研究经验)。除了建立和 管理枢纽，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和 研究是产妇保健工作的多层次障碍和促进者。AMETHIST@Penn Hub 将通过促进严格的执行研究来促进公共卫生和孕产妇健康公平 以患者、社区和健康差距人群的需求和观点为中心。

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.