Center for Improving Care Delivery for the Aging (CICADA)

为美国老年人提供高质量、可获得和负担得起的医疗保健是 他们的健康、幸福、功能和独立性。然而，随着慢性病负担的增加，快速增长 考虑到医疗费用和医疗服务的分散，美国老年人越来越发现- 高质量的医疗服务是不可用的、可获得的或负担不起的。美国的医疗保健系统不是 旨在满足美国老年人的基本健康需求。此外，健康的坚持性 美国的差异，尤其是少数族裔老年人的差异表明，卫生系统功能障碍影响了这一点 人口不成比例。迫切需要重新组织和调整卫生保健提供的方向，以 协调护理；随着人口老龄化保持和提高生活质量；解决不平等和健康问题 实施新的支付模式，奖励护理的价值而不是护理的数量。 卫生服务研究(HSR)研究卫生保健的组织、融资和提供， 提供对解决护理质量、可获得性、可负担性和公平性问题至关重要的证据基础。 高铁对于确定和实施解决方案以改善目前医疗保健的缺陷至关重要 分娩，因此，老年美国人的健康和福祉。作为一门学科，高铁一直是一块基石 确定和解决保健和保健提供方面的差距。 少数族裔调查人员在高铁中的代表性不足，黑人和西班牙裔仅占 分别占高铁员工总数的6.9%和3.7%。然而，代表不足的高铁研究人员带来了必不可少的 不同的视角，往往是个人经历，以了解社会，经济，政治， 以及卫生和保健方面种族和民族差异的环境决定因素。此外， 根据联邦少数民族健康办公室的数据，在研究中代表性不足导致对 卫生研究以及缺乏与文化相适应的理论、模式和方法。因此， 培养一支有代表性的研究队伍，能够开展应对挑战的研究 面对我们老龄化的人口，特别是老龄化方面的差距，是绝对优先的。 为了满足这一需求，我们建议成立改善老年人护理服务中心(蝉)，一个 宾夕法尼亚大学少数民族老龄化研究资源中心(RCMAR)。蝉 旨在培训来自高铁跨学科背景的新兴科学家 因为它适用于美国老年人，特别是少数族裔老年人最紧迫的问题。改正 来自高铁代表性不足的背景的研究人员对于寻找创新的公共卫生至关重要 解决方案，创建稳健的学习环境，并建立实施创新所需的信任 少数族裔人口的解决方案。

Delivering high-quality, accessible, and affordable health care to older Americans is fundamental to their health, wellbeing, function, and independence. Yet, with a growing chronic disease burden, rapid growth of health care costs, and fragmentation of care delivery, aging Americans are increasingly finding that high- quality care is not available, accessible, or affordable. The health care system in the United States (US) is not organized to address the fundamental health needs of older Americans. Moreover, the persistence of health disparities in the US, particularly for minority elders, suggests that health system dysfunction affects this population disproportionately. There is a critical need to reorganize and reorient health care delivery to coordinate care; maintain and improve quality of life as populations age; address inequities and health disparities; and implement new models of payment rewarding the value of care rather than the volume of care. Health services research (HSR) studies the organization, financing, and delivery of health care, providing an evidence base that is central to addressing issues of care quality, access, affordability, and equity. HSR is critical to identifying and implementing solutions to improve the current shortcomings of health care delivery and, thus, the health and wellbeing of aging Americans. As a discipline, HSR has been a cornerstone of identifying and addressing disparities in health and health care delivery. Minority investigators are underrepresented in HSR, with Blacks and Hispanics accounting for only 6.9% and 3.7%, respectively, of the HSR workforce. Yet underrepresented HSR researchers bring essential diverse perspectives and, often, personal experiences to bear in understanding the social, economic, political, and environmental determinants of racial and ethnic disparities in health and health care. Furthermore, according to the federal Office of Minority Health, underrepresentation in research leads to underfunding of health research as well as a lack of culturally appropriate theories, models, and methodologies. Thus, developing a representative cadre of researchers who can undertake studies that address the challenges facing our aging population and, in particular, disparities in aging, is an absolute priority. To address this need, we propose the Center for Improving Care Delivery for the Aging (CICADA), a Resource Center for Minority Aging Research (RCMAR) at the University of Pennsylvania (Penn). CICADA aims to train emerging scientists from underrepresented backgrounds in the interdisciplinary science of HSR as it applies to the most pressing issues for aging Americans, particularly minority elders. Redressing researchers from backgrounds underrepresentation in HSR is critical to finding innovative public health solutions, creating a robust learning environment, and developing the trust needed to implement innovative solutions in minority populations.