Disparities in Diabetes Care: Health Plan Focus and Physician Responsiveness

糖尿病护理的差异：健康计划的重点和医生的反应

• 批准号: 7880572
• 负责人: Connie Mah Trinacty
• 金额: $ 15.34万
• 依托单位: HARVARD PILGRIM HEALTH CARE, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7880572
• 关键词: Disparities; Diabetes; Care; Health; Plan

DESCRIPTION (provided by applicant): Connie Mah Trinacty, PhD, is a health services researcher committed to a research career investigating strategies to address health disparities in care and outcomes for chronically ill patients. A K01 award will build upon a strong foundation of prior training and research, and provide necessary advanced education and experience through a multidisciplinary team of expert mentors and advisors and the outstanding resources of Harvard University. Valuable exploratory research experience will be gained in learning how organizational processes, actions, and structure in two large, differently structured health plans influence the adoption and sustainability of initiatives to address disparities (i.e., race/ethnicity, income, education) among their diabetes members. In recent years, health care disparities and quality improvement have become high priority research areas. In spite of increasing attention on addressing disparities, few empirical studies demonstrate sustainable success in reducing disparities in quality of care and outcomes for vulnerable diabetes populations. The influence of health systems in efforts to reduce disparities is not well understood, particularly in managed care organizations. The proposed research will identify and explore key health plan organizational factors (e.g., quality measurement process, product development and marketing strategies, participation in national disparities collaboratives) that may affect disparities; assess how well commonly used performance measures reflect underlying disparities in health care quality and outcomes among diabetes patients; and evaluate how providers' awareness and responsiveness to systems-based quality initiatives may impact differences in patient management. Through a mixed-methods approach to understand the complexity of health plan system structures and processes by which system-wide initiatives are implemented, this research program may shed light on why current efforts in eliminating existing disparities fail to realize their potential. In addition, this program will provide the foundation for Dr. Trinacty's transition to an independent investigator in the field of health disparities, with a focus on the linkages between systems, providers, and initiatives to reduce disparities for diabetes patients.

描述（由申请人提供）：Connie Mah Trinacty博士是一名健康服务研究人员，致力于研究职业研究策略，以解决长期患者的护理和成果的健康差异。 K01奖将建立在先前培训和研究的强大基础上，并通过由专家导师和顾问以及哈佛大学的杰出资源组成的多学科团队提供必要的高级教育和经验。有价值的探索性研究经验将在学习两种大型，结构化的健康计划中如何在其糖尿病成员中如何应对解决差异（即种族/种族，收入，教育）的倡议的采用和可持续性。近年来，医疗保健差异和质量改善已成为高优先研究领域。尽管人们越来越关注解决差异，但很少有实证研究表明，在降低脆弱糖尿病人群的护理质量和结果方面的差异方面取得了可持续的成功。卫生系统在减少差异的努力中的影响尚不清楚，尤其是在托管护理组织中。拟议的研究将确定并探索可能影响差异的关键健康计划组织因素（例如，质量测量过程，产品开发和营销策略，参与国家差异协作）；评估常用的绩效措施如何反映糖尿病患者的医疗保健质量和结果的潜在差异；并评估提供商对基于系统的质量计划的意识和反应能力如何影响患者管理的差异。通过采用混合方法的方法来了解实施全系统倡议的健康计划系统结构和过程的复杂性，该研究计划可以阐明为什么当前消除现有差异的努力未能意识到其潜力。此外，该计划将为Trinacty博士向健康差异领域的独立研究者的过渡提供基础，重点是系统，提供者和倡议之间的联系，以减少糖尿病患者的差异。