UCSF Older Americans Independence Center

项目摘要：OAIC总体情况 UCSF OAIC的主题是“预测，结果和改善晚年残疾：重点是 弱势群体”。UCSF OAIC支持跨学科的研究人员社区 他们的发现增强了我们对残疾的理解，特别是在那些有医疗和社会问题的人中， 漏洞我们的OAIC将脆弱性概念化为医疗脆弱性和 我们已经表明，医疗和社会脆弱性是密不可分的。 OAIC一直是UCSF的激励力量，与其他UCSF中心建立联盟。我们有 将核心老年医学概念应用于肿瘤学等广泛学科的弱势老年人， 手术我们在社会和医疗脆弱性相互作用方面的工作使我们更好地理解了 如何满足识字率低、无家可归或被监禁的老年人的需求。我们 对指导的奉献导致了许多GEMSSTAR和Beeson奖。 在下一个周期，我们将建立在我们的跟踪记录，支持职业学者和飞行员获奖者谁 参与创新项目，重点关注老年人复杂的医疗和（或）社会脆弱性。 我们会继续找出导致残疾风险增加的因素，以及对残疾人士有不良影响的因素。 老年残疾人的生活质量，我们将制定改善这些结果的战略。我们两 资源核心将促进广泛的临床和成果研究。我们的数据和分析核心 将促进使用高质量的数据来源，这对弱势群体的残疾研究特别有用。 老年人，并将提供统计咨询。我们脆弱的老龄化招聘和保留核心 将支持在传统上难以招募和保留研究的老年人群中进行新的研究， 在我们已经发展的能力的基础上，让无家可归、认知受损、无家可归和低收入的人参与进来， 识字的老年人以及养老院、安全网医院和教养所的老年人。 UCSF的OAIC的首要目标是培养一种以使命为导向的卓越文化， 致力于改善有残疾或有残疾风险的弱势老年人的生活质量。我们有五个目标： 1.催化研究弱势老年人在加州大学旧金山分校作为一个枢纽，带来 学者们聚集在一起，利用资源。 2.提供对数据资源的核心访问、统计支持以及招募和留住弱势群体的专业知识 老年人的主题，以刺激对残疾的新研究。 3.支持试点研究，加速科学和导致研究资金在晚年残疾。 4.确定老龄化研究的未来领导者，并为他们提供职业发展资金和指导。 5.发展一个领导和行政结构，促进跨学科合作，使 OAIC大于其各部分之和。

Project Summary: Overall OAIC The UCSF OAIC theme is “Predictors, Outcomes, and Amelioration of Late-life Disability: A Focus on Vulnerable Populations.” The UCSF OAIC has supported an interdisciplinary community of investigators whose discoveries have enhanced our understanding of disability, especially in those with medical and social vulnerabilities. Our OAIC conceptualizes vulnerability as a complex interplay of both medical vulnerability and social vulnerability, and we have demonstrated that medical and social vulnerabilities are inextricably linked. The OAIC has been a galvanizing force at UCSF, forging alliances with other UCSF centers. We have applied core geriatric concepts to vulnerable older adults in a wide range of disciplines such as oncology and surgery. Our work on the interaction of social and medical vulnerability has led to a better understanding of how to address the needs of older adults who have low literacy, are homeless, or are incarcerated. Our dedication to mentoring has led to many GEMSSTAR and Beeson Awards. During the next cycle we will build on our track record, supporting career scholars and pilot awardees who are engaged in innovative projects that focus on older persons’ complex medical and/or social vulnerabilities. We will continue to identify factors that increase the risk of developing disability and that adversely affect quality of life of disabled older adults, and we will develop strategies to improve these outcomes. Our two resource cores will catalyze a wide spectrum of clinical and outcomes research. Our Data and Analysis Core will facilitate the use of high quality data sources that are particularly useful for disability research in vulnerable older persons and will provide statistical consultation. Our Vulnerable Aging Recruitment and Retention Core will support new research among older populations that are traditionally difficult to enroll and retain in studies, building on the capacity we have developed to engage homebound, cognitively impaired, homeless, and low- literacy older adults as well as elders in nursing homes, safety net hospitals, and correctional facilities. The overriding goal of UCSF’s OAIC is to foster a mission-driven culture of excellence grounded in a commitment to improving quality of life for vulnerable older adults with or at risk for disability. We have 5 aims: 1. Catalyze research on disability in vulnerable older persons at UCSF by serving as a hub that brings together scholars and leverages resources. 2. Provide core access to data resources, statistical support, and expertise enrolling and retaining vulnerable older subjects in order to stimulate new research on disability. 3. Support pilot studies that accelerate science and lead to research funding in late life disability. 4. Identify future leaders of aging research and support them with career development funding and mentoring. 5. Develop a leadership and administrative structure that spurs interdisciplinary collaboration, making the OAIC greater than the sum of its parts.