COMMUNITY BASED HEALTH SERVICES RESEARCH CENTER

卫生服务研究中心（HSRC）将开展 跨学科研究的卫生服务的关键问题， 慢性吸毒者（CDU）。组织主题是整合 多学科研究，以有效利用人员，数据， 和设施，以实现科学，中心， 社区本身。该中心的两个重点是社区和 长期吸毒者中心经验丰富的多学科基地 教师和工作人员和现有的动态，支持和协作 环境将允许快速扩张和发展的建议 HSRC，其行政/共享资源核心和三个研究 件. HSRC核心将：1）提供科学领导， 专题重点和组织基础，以发展、促进、 支持和支持中心; 2）组织中心支持 具体调查与一个中央的，但 主题足够广泛，产生最佳科学性和中心性 3）以一氧化碳资源为催化剂， 包括社区联系，个人研究努力， 医疗服务研究领域的领导地位; 4）供应技术， 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 5）确保数据在以下环境中被捕获、管理和分析： HSRC研究，以迅速解决研究问题，并随时 可用于持续和二次分析; 6）纳入 中心研究中的定性方法，包括定性研究 对研究人员和工作人员进行培训; 7）增加卫生服务培训 * 利用现有培训资源开展课程编写股参与的研究; 8）加强 继续和促进新的校内和校外研究 9）使用高科技通信工具， 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物生产力 提高质量，并开发改进的技术，以将研究结果转让给 研究人员、供应商和消费者。主题包括问题 关于佛罗里达戴德县医疗资源的组织， 服务系统如何识别、评估和服务课程编写单位;课程编写单位的 他们对医疗保健需求的看法，他们如何使用现有系统， 获得的障碍和基民盟的反应;以及医疗保健的可变性 按种族和性别划分的获取机会和有效性。这些问题都是 通过三项协调、相互关联和互动的研究加以解决 组成部分：1）结构化访谈，分层抽样1800人 通过GIS分析选择的代表性卫生区的CDU， 关于他们的卫生保健利用经验和记录的审查 在他们报告使用过的机构中; 2）分析现有的健康状况 服务资源的地理范围内的估计人口 在一个基于人口的社区中， 各机构关于其机构政策和做法的样本，涉及： 为课程编写股提供服务; 3）设计和实施干预措施 项目利用前两个项目获得的知识， 并对从项目1招募的受试者进行随机化， 实现中期目标的成效 获取/利用和促进健康及相关功能， 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.