Examining provider bias in an underserved dental patient population: Improving health equity through a Dental School Practice-based Research Network (dsPBRN)

项目总结 医疗保健的不平等和不平等是全国性的问题。打造新一代临床医生 科学家为推进健康公平和缩小差距，提供临床和研究至关重要 从卫生公平的角度进行培训。医疗保健公平问题需要通过 提供者在真实世界的患者护理环境中的参与度。以病人为本的发展 临床牙科教育项目中的研究网络(PBRN)活动提供了潜在的 用于有意义的研究，以及建立一种文化，支持更广泛和更多样化的 未来从业者将以更大的公平能力参与基于社区的PBRN 在他们的实践和研究活动中都有考虑。为了建设这种未来的能力，大学 马里兰州巴尔的摩大学(UMB)和霍华德大学(HU)的合作伙伴关系 在我们的临床牙科教育环境中培养科学研究和协作的文化 通过各机构之间的共享优势和协同效应来定义科学伙伴关系，以建立 以临床实践为基础的研究中的基础性教育经验，鼓励更多 充满活力、多样化和包容性的临床医生科学家/从业者，并收集特定数据进行检查 种族偏见对我们两个学术口腔健康中心临床护理的影响。为了实现这些目标， 我们将整合四个方案组成部分：1)建立特定于方案的教育途径 在为学生和教职员工进行的临床和实践研究中，包括对 医疗保健服务提供者之间的差异和公平意识。2)发挥机构间优势 通过计划指导、教育、指导、 和校本实践研究活动。3)发展跨机构的辅导伙伴关系 HU与UMB的教职员工和学生之间的合作，促进双向参与(合作)。4) 开展PBRN研究，提供以临床实践为基础的研究经验 种族偏见与提供符合学生和教职员工经验的牙科保健之间的联系 以及在这个项目中的培训。我们的研究假设是种族偏见对护理服务的提供产生了负面影响 适用于学术牙科临床环境中的黑人(与白人)患者。以实践为基础的研究项目 Proposed将研究牙科学生的内隐/外显偏见与 常驻提供者，在两个不同的、服务不足的患者群体中提供护理指标 城市牙科学校，UMB和HU。该项目的成功完成将解决健康问题 并通过牙科教育护理计划扩大PBRN的覆盖范围。

PROJECT SUMMARY Health care disparities and inequities are national problems. To build the next generation of clinician scientists to advance health equity and reduce disparities, it is critical to provide clinical and research training through the lens of health equity. Healthcare equity concerns need to be addressed through the providers’ engagement in real-world patient care environments. The development of patient-based research network (PBRN) activities within clinical dental educational care programs offers the potential for meaningful research as well as building a culture supporting a broader and more diverse cohort of future practitioners to participate in community based PBRNs with greater capacity for equity considerations in both their practice and research activities. To build this future capacity, the University of Maryland Baltimore (UMB) and the Howard University (HU) are partnered with the shared goals to foster a culture of scientific inquiry and collaboration within our clinical dental education environments with scientific partnerships defined by shared strengths and synergies across institutions, to build foundational educational experiences in clinical practice-based research that encourage a more energized, diverse, and inclusive clinician scientist/practitioner, and to collect specific data examining the effects of racial bias on clinical care in our two academic oral health centers. To achieve these goals, we will integrate four programmatic components: 1) To establish program-specific educational pathways in clinical and practice-based research for students and faculty that include an understanding of healthcare disparities and equity awareness among providers. 2) To utilize inter-institutional strengths to build collaborative engagement opportunities through programmatic guidance, education, mentoring, and school-based practice research activities. 3) To develop inter-institutional mentoring partnerships between HU and the UMB faculty and students that foster bidirectional engagement (collaboration). 4) To develop a PBRN study providing clinical practice-based research experiences examining associations of racial bias with provision of dental care that align with student and faculty experiences and training in this program. Our study hypothesis is that racial biases negatively impact care delivery for Black (vs. White) patients in academic dental clinical settings. The practice-based research project proposed will examine the associations between implicit/explicit biases among dental student and resident providers with delivery of care metrics across diverse, underserved patient populations in two urban dental schools, UMB and HU. Successful completion of the project will address the health disparities and expand the reach of PBRN through dental education care programs.