COMMUNITY BASED HEALTH SERVICES RESEARCH CENTER

拟建的医疗服务研究中心(HSRC)将进行 卫生服务关键问题的跨学科研究 慢性吸毒者(CDU)组织的主题是融合 多学科研究，有效利用人员、数据、 和设施，以实现科学、中心和 社区本身。中心主题的两个焦点是社区和 长期吸毒者。中心经验丰富的多学科基地 教职员工和现有的充满活力、支持和协作的 环境将允许拟议的快速扩张和发展 HSRC、其管理/共享资源核心及其三项研究 组件。HSRC的核心将：1)提供科学领导， 主题重点和组织基础，以开发、推广、 支持和支持中心；2)组织中心支持 与中央调查一致的具体调查 足够宽泛的主题，产生最佳的科学性和中心性 利益；3)激发协同效应，以CO资源为催化剂， 包括社区联系，个人研究努力，以及 领导卫生服务研究领域；4)提供技术， 专门的空间分析方法和数据，以解决卫生服务 通过将地理、人口和生态结合起来提出问题 透视；5)确保在中捕获、管理和分析数据 HSRC研究，以迅速解决研究问题，并随时 可供继续和二次分析使用；6)合并 中心研究中的定性方法，包括定性研究 对调查人员和工作人员进行培训；7)增加关于保健服务的培训 研究CDU对现有培训资源的影响；8)增强 继续并促进新的校内外研究 协作；9)使用高科技通信工具实现快速和 广泛获取和传播最新研究成果； 和10)保持高水平的研究和出版生产力 A、d、d质量，并开发改进的技术以将结果转移到 研究人员、供应商和消费者。主题围绕着问题 关于佛罗里达州戴德县医疗资源的组织， 服务系统如何识别、评估和服务CDU；CDU 对他们的医疗保健需求的看法，他们如何使用现有系统， 获取障碍和基民盟的应对措施；以及医疗保健的可变性 按族裔和性别分列的机会和效力。这些问题是 由三项相互协调、相互关联和互动的研究解决 组成部分：1)分层样本为1800人的结构化访谈 来自具有代表性的卫生区的疾病预防控制中心，通过地理信息系统分析选择， 关于他们的卫生保健利用经验和记录的回顾 在他们报告使用过的机构中；2)可用健康状况分析 年估计人口的地理范围内的服务资源 CDU和对卫生服务人员的访谈以人群为基础 机构关于其机构政策和做法的样本如下： 向CDU提供服务；以及，3)设计和实施干预措施 使用从前两个项目中获得的知识并确定目标的项目 并对从项目1中登记的受试者进行随机调查 在实现改进的中期目标方面的有效性 在促进健康和相关职能方面， 包括减少药物使用和健康结果。

The proposed Health Services Research Center(HSRC) will conduct interdisciplinary research on critical issues of health services for chronic drug users (CDUs). The organizing theme is the integration of multidisciplinary research for effective utilization of personnel, data, and facilities to achieve optimum benefits for science, the center, and the community itself. Two foci of the center's theme are community and chronic drug users. A base of center-experienced multidisciplinary faculty and staff and an existing dynamic, supportive and collaborative environment will permit rapid expansion and development of the proposed HSRC, its administrative/shared resource core and three research components. The HSRC core will: 1) provide scientific leadership, thematic focus, and organizational foundation to develop, promote, support and sustain the center; 2) organize the center to support specific investigations that are consistent with a central yet sufficiently broad theme and generate optimum scientific and center benefits; 3) stimulate a synergism, with co resources as catalysts, that includes community linkages, individual research endeavors, and leadership for health services research field; 4) supply technology, specialized spatial analytic methods, and data to address health services questions by incorporating geographic, demographic, and ecological perspectives; 5) ensure that data are captured, managed, and analyzed in HSRC studies to expeditiously address research questions and are readily accessible for continued and secondary analyses; 6) incorporate qualitative methods in center studies and include qualitative research training for investigators and staff; 7) add training on health services research involving CDUs to existing training resources; 8) enhance continuing and stimulate new intramural and extramural research collaborations; 9) use high-technology communications tools for rapid and widespread access to and dissemination of the latest research findings; and 10) sustain high levels of research and publications productivity an,,d quality, and develop improved technologies to transfer findings to researchers, providers, and consumers. The theme encompasses questions about the organization of health care resources of Dade County, Florida, how the services system identifies, assesses and serves CDUs; CDUs' perceptions of their health care needs, how they use the existing system, barriers to access, and CDU's responses; and variability in health care access and effectiveness by ethnicity and gender. These questions are addressed by three coordinated, interrelated and interactive research components: 1) structured interviews with a stratified sample of 1800 CDUs from representative health districts, selected by GIS analysis, regarding their health care utilization experiences and records' reviews in agencies they report having used; 2) analysis of available health service resources in the geographic context of estimated populations of CDUs and interviews with health service personnel in a population-based sample of agencies' regarding their agencies policies and practices re: services to CDUs; and, 3) design and implementation of an intervention project using knowledge gained from the first two projects and targeting and randomizing subjects enrolled from project 1, investigating for effectiveness in achieving the intermediate goal of improved access/utilization and in promoting health and associated functioning, including reduced drug use and health outcomes.