The Health Policy Research Consortium (HPRC) Program

描述(由申请人提供)：美国国家卫生研究院(NIH)将健康差距定义为“美国特定人群中存在的疾病和其他不利健康状况的发病率、流行率、死亡率和负担方面的差异”。现在积累的数据表明，经常被注意的差距是民族、种族和收入群体之间的差距。然而，其他因素也决定着健康结果，包括年龄、残疾、性别、地理位置、说英语的能力以及其他社会、环境和心理因素。即使是管理暴力的政策--家庭、枪支和帮派--在我们的目标地区非常普遍--也对差距产生了相当大的影响。 NIMHD致力于缩小美国社会、种族和种族群体之间的医疗保健差距的挑战。为了帮助NIMHD实现这一目标，健康研究政策联盟(HPRC)项目将建立跨学科合作中心(TCC)，利用学术机构、社区组织、提供者和政府的区域联盟专注于优先研究。该方法包括以下几个方面：(1)建立与利益攸关方的定期沟通渠道。(2)监督病人的获取。(三)发挥信息传播和技术的力量。(4)确定所选病区的具体指标。(5)定期召开会议并进行成果分析。(6)将结果上报并上传到NIMHD，供国会使用。部队派遣国将就如何将解决健康差距的证据转化为实践提供实际步骤，从而弥合监测与医疗保健提供和政策成果之间的差距。部队派遣国将特别侧重于马里兰州的乔治王子郡(PG县)，并将其范围扩大到第三区(VA、MD、DC、DE、PA和WV)内的三州--DMV(DC、MD、VA)。心脏病(CHD)是该地区受影响人群中的一种慢性疾病，也是TCC将首先研究的疾病领域。作为更大美国景观的一个缩影，这些地区将为TCC提供不同的社区，这些社区在各种疾病情况下的发病率和死亡率都较高。试点项目是美国城市地区的代表，因此，试点项目将作为一种可持续的模式轻松移植到其他少数族裔较多的城市地区，具有很高的预测可靠性。 相关性：HPRC项目将建立TCC，以审查卫生政策如何阻碍少数族裔和少数族裔获得适当和负担得起的医疗保健。TCC将通过首先在PG县研究CHD，利用信息技术在社区团体和医疗保健提供者的合作下收集有价值的数据来做到这一点。部队派遣国随后将提出政策建议，以促进减少和消除保健方面的差距。

DESCRIPTION (provided by applicant): The National Institutes of Health (NIH) defines health disparities as the "differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States." Accumulated data now shows that frequently noted disparities are those between ethnic, racial, and income groups. However other factors also determine health outcomes and include age, disability, gender, geographic location, ability to speak English and other social, environmental and psychological factors. Even policies governing violence - domestic, gun and gang, which is very prevalent in our target area - have a fairly significant impact on disparities. The NIMHD is committed to the challenge of closing the gap in health care across social, ethnic, and racial groups in the U.S. To assist NIMHD in achieving this goal, the Health Research Policy Consortium (HPRC) project will establish Transdisciplinary Collaborative Centers (TCCs) that draw upon regional coalitions of academic institutions, community organizations, providers, and government to focus on priority research. The approach includes the following: (1) Establish regular channels of communication with stakeholders. (2) Oversee patient acquisition. (3) Leverage the power of Information Communication and Technology. (4) Identify specific metrics for the chosen disease area. (5) Regularly conduct periodic meetings and produce outcome analysis. (6) Report and upload the results to NIMHD for Congress. The TCCs will provide the practical steps on how evidence for addressing health disparities could be translated into practice, thus bridging the gap between surveillance and healthcare delivery and policy outcomes. The TCCs will focus on Prince George's County (PG County), MD, in particular, and will also broaden its scope to the Tri-state - DMV (DC, MD, VA) within Region III (VA, MD, DC, DE, PA, and WV). Cardiac Heart Diseases (CHD) is a chronic condition among the affected population groups in the region and is the disease area the TCC will study first. As a microcosm of the larger American landscape the areas will provide the TCC with diverse communities that have higher rates of morbidity and mortality across a broad range of disease conditions. The Pilot program is representative of American urban areas and, as such, will allow the pilot to be easily ported as a sustainable model with high predictive reliability across other high minority urban areas. RELEVANCE: The HPRC project will establish TCCs to examine how health policies impede the access of ethnic and racial minorities to adequate and affordable health care. The TCCs will do this by first researching CHD in PG County, leveraging Information Technology to gather valuable data with the cooperation of community-based groups and healthcare providers. The TCCs will then make policy recommendations that will foster the reduction and elimination of disparities in health care.