Intermountain Child Health Services Research Consortium

目前提供的医疗保健质量与可以提供给美国人口的医疗保健质量之间存在显著差距。人们对儿童保健服务的了解要少于对成人保健服务的了解。有特殊卫生保健需要的儿童比没有慢性病的儿童使用更多的卫生保健资源，由于卫生保健质量和提供的不同，使他们面临更高的问题风险。目前在山间西部支助的保健服务研究很少，在儿童保健服务研究方面几乎没有正在进行的项目。我们建议开发一个基础设施，以产生和支持西部山间地区的儿童健康服务研究项目。这项工作将包括三项相关活动：1)通过七个拥有大量资源并致力于改善儿童保健的组织之间的合作，发展山间儿童保健服务研究联盟；2)实施教师发展计划，为教师和其他从事儿童健康服务研究的人员提供准备和指导；3)开展一项研究，比较儿科住院医师系统与传统护理对CSHCN在初级儿童医疗中心住院治疗结果的影响。合作者包括：犹他大学儿科和普通儿科分部；初级儿童医疗中心；医疗补助和犹他州卫生部CSHCN局；犹他州儿科实践研究网络；以及哈佛儿童健康服务研究奖学金项目。儿童保健服务研究实验室是一个不可分割的组成部分，它利用学生研究助理按照PI制定的模式进行研究。山间联盟的长期目标是建立一个成功的、正在进行的儿童保健服务合作研究项目，以改善本地区所有儿童的保健质量和服务，重点是儿童健康和健康护理。

Significant gaps exist between the quality of health care being delivered and that which could be delivered to the U.S. population. Less is known about pediatric health services than about those for adults. Children with special health care needs (CSHCN) use significantly more health care resources than children without chronic conditions, putting them at higher risk for problems due to variations in health care quality and delivery. Very little health services research is currently supported in the Intermountain West, and virtually no projects are ongoing in children health services research. We propose to develop an infrastructure to generate and support a child health service research program for the Intermountain West. This effort will consist of 3 related activities: 1) Developing the Intermountain Consortium for Child Health Services Research through collaboration among seven organizations with significant resources and commitment to improving health care for children; 2) Implementing a Faculty Development Program to prepare and mentor faculty and others for careers in child health services research; and 3) Conduct a study comparing the impact of a pediatric hospitalist system with traditional care on outcomes for CSHCN admitted to Primary Children's Medical Center. The collaborators include: the Department of Pediatrics and Division of General Pediatrics of the University of Utah; Primary Children's Medical Center; Medicaid and the Bureau of CSHCN of the Utah Department of Health; the Utah Pediatric Practice-Based Research Network; and the Harvard Pediatric Health Services Research Fellowship Program. An integral component is the Child Health Services Research Laboratory, using student research assistants in a model developed by the PI. The long-term goal of the Intermountain Consortium is to establish a successful on-going collaborative child health services research program improving the quality and delivery of health care for all children in our region, with emphasis on CSHCN.