Novel population health approach to address CVD and pulmonary health disparities

描述(由申请人提供)： 这项建议是对NHLBI号召的“监测健康差距的新方法”的回应。威斯康星大学(UW)医学与公共卫生学院(SMPH)及其合作伙伴提议建立一个创新的研究网络，以监测经济和政策变化对社区心血管和呼吸健康的影响。主要重点将是根据居住地、种族/民族、性别和社会经济地位确定该州重大健康不平等的决定因素。我们将创建一个名为威斯康星州健康公平网络(WHEN)的模范信息网络，将评估威斯康星州个人和社区健康状况的独特现有资源联系起来。这些资源包括：(1)威斯康星州健康调查(SHOW)：对各州社区及其成年居民的代表性样本进行的年度调查，包括人口统计、就业、病史和健康行为、获得医疗保健的机会、生活质量以及个人体检和血液/尿液样本的数据；(2)威斯康星县健康排名：威斯康星州各县人口健康状况的年度摘要；(3)威斯康星州医疗质量合作：由医疗保健提供者组织(医生团体、健康计划、医院)组成的联盟，共享医疗质量数据；以及(4)什么管用-改善威斯康星州健康的政策和计划：可能影响健康和减少健康差距的计划和政策的概要。该项目的资金将通过增加样本规模和招募激励措施，以及在密尔沃基和麦迪逊现有的城市展览设施之外增加一个新的农村现场站来支持展览的扩大。它还将支持增加一项邮件调查，评估威斯康星州有代表性的居民的健康状况，以及每年抽样社区的公共卫生和保健领导人的访谈。将制定将上述信息来源联系起来的方法；将测试利用这一关于健康、医疗保健质量和公共卫生资源的信息网络来评估全球和地方经济的同步变化如何影响健康差距。在威斯康星州大学临床和转化研究所和威斯康星州人口健康研究所内现有的社区-学术伙伴关系的基础上，该中心将吸收社区组织和卫生专业人员参与，并将利用这些资源传播成果和确定干预战略。什么时候会对国家产生影响。它提供了一个更精细的解决办法，缺乏国家调查来充分评估在多种决定因素起作用的社区一级的健康差距。拟议的资金将利用通过UW-SMPH整合医学和公共卫生并改善人口健康的坚定承诺而开发的资源。与这一使命相一致的是，一个可持续的方案将成为解决人口健康和健康差距问题的全国独一无二的模式。 公共卫生相关性： 威斯康星州健康公平网络(WHEN)将扩大威斯康星州健康调查，这是一个人口健康监测基础设施，并将个人水平信息与其他三个组织的数据结合起来，这些组织监测威斯康星州的医疗质量、医疗成本和公共卫生政策。该网络将是一个独一无二的模型，用于确定心脏病和肺病的人口差异的原因，这两种疾病是美国最重要的死亡和残疾原因。当建立在人口健康的基础上，并通过加强公共健康和创造机会确定减少健康不平等的方案来促进国家卫生研究院的目标。

DESCRIPTION (provided by applicant): This proposal is in response to the NHLBI's call for "Novel Methods of Monitoring Health Disparities." The University of Wisconsin (UW) School of Medicine and Public Health (SMPH) and its partners propose to build an innovative research network to monitor the effects of economic and policy changes on cardiovascular and respiratory health in communities. The main focus will be to identify the determinants of the state's significant health inequities according to place of residence, race/ethnicity, gender, and socioeconomic status. We will create a model information network called the Wisconsin Health Equity Network (WHEN) by linking unique existing resources that assess the health of Wisconsin individuals and communities at multiple levels. These resources include: (1) the Survey of the Health of Wisconsin (SHOW): an annual survey of representative samples of state communities and their adult residents including data on demographics, employment, medical history and health behaviors, access to health care, quality of life, as well as an individuals' physical exam and blood/urine samples; (2) the Wisconsin County Health Rankings: an annual summary of the health status of the population in all Wisconsin counties; (3) the Wisconsin Collaborative for Health Care Quality: a consortium of health care provider organizations (physician groups, health plans, hospital) sharing health care quality data; and (4) What Works-Policies and Programs to Improve Wisconsin's Health: a compendium of programs and policies that might influence health and reduce health disparities. Funding for this program will support the expansion of the SHOW by increasing its sample size and recruitment incentives, and by adding a new rural-based field station in addition to the existing urban-based SHOW facilities in Milwaukee and Madison. It will also support the addition of a mail survey assessing health status of a representative sample of Wisconsin residents, as well as interviews with public health and health care leaders in the communities sampled each year. Methods to link the above sources of information will be developed; the use of this network of information on health, health care quality, and public health resources to assess how concurrent shifts in the global and local economy affect health disparities will be tested. Building on existing community-academic partnerships within the UW Institute for Clinical and Translational Research and the UW Population Health Institute, WHEN will engage community organizations and health professionals and will use these resources to disseminate results and identify strategies for intervention. WHEN have national implications. It provides a finer resolution lacking in national surveys to adequately assess health disparities at the community level where multiple determinants operate. The proposed funding will leverage resources developed through a strong UW-SMPH commitment to integrate Medicine and Public Health and improve population health. Consistent with this mission, a sustainable WHEN will serve as a unique-in-the-nation model for addressing population health and health disparities. PUBLIC HEALTH RELEVANCE: The Wisconsin Health Equity Network (WHEN) will expand the Survey of the Health of Wisconsin, an infrastructure for population health monitoring, and combine individual level information with data from three other organizations that monitor the quality of medical care, health care costs and public health policies in the state of Wisconsin. The Network will be a one-of-a kind model for identifying the cause of population differences in heart and lung disease, two of the most significant causes of death and disability in the United States. WHEN is built upon a population health foundation and contributes to NIH goals by enhancing public health and creating opportunities for identification of programs to reduce health inequalities.