Infrastructure Development and Health Research

描述(由申请人提供)：这笔赠款将支持研究基础设施的发展，包括数据库、研究方法和合作工作关系，这些基础将为持续、可持续的研究和有效战略提供基础，以解决蒙大拿州和怀俄明州美洲印第安人的重大健康问题。除了作为这一应用的一个主要组成部分的机构研究基础设施开发外，还将进行两项单独的调查员研究。第一个重点是研究确定影响乳腺癌和宫颈癌筛查的因素，跟踪异常发现，并制定和实施一项试点计划，以增加接受筛查测试的美国印第安人妇女的比例。第二项研究设计和测试了一项对有资格使用IHS服务的美国印第安人的调查结果的报告方法，该调查收集了他们对医疗保健过程和经验的体验和满意度的信息。该项目的目标是设计、实施和评估一个由部落成员和IHS管理人员和提供者参与的结构化程序的有效性，以便根据通过消费者调查确定的优先问题，共同制定改进业绩的战略。 蒙大拿州-怀俄明州部落首领委员会、黑山州立大学和黑山美国印第安人健康中心(MT-WY TLC、BHSU和BHCAIH)开发了一种创新的伙伴关系方法，以响应AHRQ少数民族研究基础设施支持计划的申请请求。这笔赠款的具体目标包括：1)建立进行中的少数族裔健康研究、评估和计划所需的研究基础设施；2)制定有针对性的研究议程，解决传统上确定的优先健康问题；以及在MT-WY TLC、BHSU和BHCAIH内发展能力，以实施这一研究议程；以及3)在部落和三个组织之间发展有效的合作关系，这将成为联合研究计划的长期伙伴关系的基础，以确定、评估和实施解决美洲印第安人健康问题的战略。

DESCRIPTION (PROVIDED BY APPLICANT): This grant would support the development of the research infrastructure, including data bases, research methodologies, and collaborative working relationships that will provide the foundation for ongoing, sustainable research and effective strategies for addressing the significant health issues of American Indians in Montana and Wyoming. In addition to the Institutional Research Infrastructure Development that is a major component of this application; two individual investigator research studies will be conducted. The first focuses on research to identify factors affecting breast and cervical cancer screening and follow-up of abnormal findings and development and implementation of a pilot program to increase the proportion of American Indian women who receive screening tests. The second research study designs and tests a methodology for reporting results of a survey of American Indians eligible to use IHS services that collects information on their experiences and satisfaction with process and experiences with health care. The objective of the project is to design, implement, and evaluate the effectiveness of a structured process involving Tribal members and IHS managers and providers to jointly develop strategies for performance improvement based on priority issues that are identified through the consumer survey. The Montana-Wyoming Tribal Leaders Council, Black Hills State University, and the Black Hills Center for American Indian Health (MT-WY TLC, BHSU, and BHCAIH) have developed an innovative partnership approach to respond to the AHRQ Minority Research Infrastructure Support Program Request for Applications. The specific goals of this grant include: 1) establishment of the research infrastructure necessary for conduct of ongoing minority health research, evaluation, and programs; 2) development of a targeted research agenda, addressing Tribally identified priority health issues; and development of capacity within the MT-WY TLC, BHSU, and BHCAIH to implement this research agenda; and 3) development of effective collaborative relationships between the Tribes and the three organizations that will form the basis for a long-term partnership for joint research programs to identify, assess, and implement strategies that address health issues of American Indians.