Training in Child Health Services Research and Implementation Science

儿童健康服务研究和实施科学培训

• 批准号: 8890096
• 负责人: JONATHAN A FINKELSTEIN
• 金额: $ 33.17万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-30 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8890096
• 关键词: Training; Child; Health; Services; Research

DESCRIPTION (provided by applicant): Meeting the current challenges of the US health care system for children will require novel and wide-ranging action-oriented research to improve the effectiveness, efficiency, and equity of health care. This renewal application harnesses the expertise of a dedicated, diverse, and experienced faculty with an 18-year history of leading successful AHRQ-funded post-doctoral NRSA training programs focused specifically on pediatric health services research. We now propose to substantially augment our current program (including its faculty, partnerships with families and health system stakeholders, and curriculum) to specifically focus on implementation science and reduction of health disparities. We will continue the core programmatic collaborations among Boston Children's Hospital, the Mass General Hospital for Children, and the Department of Population Medicine at Harvard Medical School. In addition, we will fully engage a new partner-the Institute of Healthcare Improvement-which will bring its internationally-recognized expertise in care improvement and implementation science to our trainees through curricular enhancements and research opportunities. Additional partnerships will include the National Institute for Children's Healthcar Quality for large-scale, ongoing projects dedicated to reducing health care disparities; diverse care delivery systems including local community health centers; the Harvard Medical School Center for Primary Care; and health insurers. We will also develop novel ways to include the voices of patients and parents in our training by incorporating them as program advisors and designing structured interactions of trainees with a newly formed parent resource group to ensure parent and patient perspectives in trainees' research. The program will support 7 stipends per year (4 first-year, and 3 second-year continuing postdoctoral fellows in the first year) to create a critical mass of trainees across subspecialties, areas of research, and methodological domains. In addition to participating in closely mentored research, each trainee will successfully complete the requirements of an MPH from the Harvard School of Public Health for core skills of biostatistics and epidemiology, and participate in advanced health services research methods training including a newly developed curriculum of improvement science and implementation science methods. An already well-developed program infrastructure and system for close tracking of trainees' progress will ensure the continuation of our record of graduating individuals who will lead relevant, applied health services research that translates into both improved care and health outcomes for the children we serve.

描述（由申请人提供）：满足美国儿童医疗保健系统目前的挑战将需要新颖和广泛的行动导向的研究，以提高医疗保健的有效性，效率和公平性。该更新应用程序利用了一个专门的，多样化的，经验丰富的教师的专业知识，具有18年的领先成功的AHRQ资助的博士后NRSA培训计划的历史，专门专注于儿科健康服务研究。我们现在建议大幅增加我们目前的计划（包括其教师，与家庭和卫生系统利益相关者的伙伴关系，以及课程），以专门关注实施科学和减少健康差距。我们将继续波士顿儿童医院、麻省儿童综合医院和哈佛医学院人口医学系之间的核心项目合作。此外，我们将充分参与一个新的合作伙伴-医疗保健研究所-这将带来其在护理改善和实施科学的国际公认的专业知识，我们的学员通过课程的改进和研究机会。其他伙伴关系将包括国家儿童保健质量研究所，致力于减少医疗保健差距的大规模持续项目;包括当地社区卫生中心在内的多样化护理提供系统;哈佛医学院初级保健中心;以及健康保险公司。我们还将开发新的方法，将患者和家长的声音纳入我们的培训中，将他们作为项目顾问，并设计学员与新成立的家长资源小组的结构化互动，以确保家长和患者的观点在学员的研究中。该计划将支持每年7津贴（4第一年，3第二年继续博士后研究员在第一年），以创造跨亚专业，研究领域和方法领域的学员的临界质量。除了参与密切指导的研究，每个学员将成功完成从公共卫生的生物统计学和流行病学的核心技能的哈佛学校的公共卫生硕士的要求，并参加先进的卫生服务研究方法培训，包括改进科学和实施科学方法的新开发的课程。一个已经开发完善的计划基础设施和系统，密切跟踪学员的进展将确保我们的毕业生谁将导致相关的，应用卫生服务研究，转化为改善护理和健康结果为我们所服务的儿童记录的延续。