Determining the Merit of Self-Rated Health for Risk Prediction

描述(由申请人提供)：Karen DeSalvo博士是新奥尔良杜兰大学健康科学中心的普通内科医生和初级卫生服务研究员。她的长期目标是发展独立的职业生涯，成为一名应用卫生服务研究员，专注于改善患有慢性病的弱势群体的健康结果。德萨尔沃博士制定了一份详细的三年职业发展计划，以增加她的培训和经验。这些计划包括高级课程和在成功的高级调查人员指导下的密集、有指导的研究经验。导师团队包括蒋鹤博士(主要导师)、John Peabody博士(联合导师)和Stephan Fihn博士(联合导师)。此应用程序旨在允许 DeSalvo博士成功地实现了五个职业目标：1)在指导研究项目的背景下获得设计和实施健康服务研究的经验；2)提高她在健康相关生活质量测量、高级分析技术和风险方面的研究技能 通过教学培训调整；3)培养分析大型调查数据库的专业知识，如医疗支出小组调查；4)通过与导师的密切合作，获得领导多中心、可翻译研究项目所需的研究技能和经验；5)培养学术领导技能和资质。该培训奖的研究部分将促进对衡量一般自我评估健康(GSRH)的单一问题的理解，GSRH用于风险预测，作为为卫生保健实践和政策提供信息的工具。我们评估了GSRH相对于已建立的风险预测工具的稳健性，GSRH相对于GSRH和其他风险预测工具横截面测量的变化的表现，以及弱势人群GSRH变化的决定因素。我们将使用2001年医疗支出小组调查(MEPS)的数据，该调查从具有代表性的美国人口样本(n=3.2万)中捕获GSRH、社会经济和人口变量、共同发病率以及卫生资源支出和利用。这一培训补助金研究部分的知识将产生六份计划手稿，并构成R01申请的基础，以检验使用电子健康记录收集的GSRH是有效和高效地改善对弱势群体的医疗保健服务的宝贵工具的假设。通过这一职业发展奖获得的技能将使Karen DeSalvo博士能够在专注于改善弱势群体健康的干预措施的应用卫生服务研究领域开始成功的独立职业生涯。

DESCRIPTION (provided by the applicant): Dr. Karen DeSalvo is a general internist and junior health services researcher at Tulane University Health Sciences Center in New Orleans. Her long-term goal is to develop an independent career as an applied health services researcher with a focus on improving health outcomes for disadvantaged populations with chronic disease. Dr. DeSalvo has developed a detailed 3-year career development plan to augment her training and experiences. These plans involve advanced coursework and an intensive, mentored research experience under the guidance of successful senior investigators. The mentorship team includes Dr. Jiang He (primary mentor), Dr. John Peabody (co-mentor), and Dr. Stephan Fihn (co-mentor). This application is designed to allow Dr. DeSalvo to successfully accomplish five career objectives: 1) obtain experience in the design and conduct of health services research in the context of mentored research projects; 2) advance her research skills in health related quality of life measurement, advanced analytic techniques, and risk adjustment through didactic training; 3) develop expertise in analyzing large survey databases such as the Medical Expenditure Panel Survey; 4) acquire research skills and experience necessary to lead multicenter, translatable research projects through close collaboration with mentors; 5) develop academic leadership skills and qualifications. The research component of this training award will advance the understanding of a single question measuring general self-rated health (GSRH) used in risk prediction as a tool to inform health care practice and policy. We assess the robustness of GSRH relative to established risk prediction tools, the performance of changes in GSRH relative to cross-sectional measures of GSRH and other risk prediction tools, and the determinants of changes in GSRH in disadvantaged population. We will use data from the 2001 Medical Expenditure Panel Survey (MEPS), a survey that captures GSRH, socioeconomic and demographic variables, co-morbidity, and health resource expenditures and utilization from a representative sample of the US population (n=32,000). Knowledge from the research portion of this training grant will result in six planned manuscripts and form the basis of an R01 application to test the hypothesis GSRH collected using an electronic health record is a valuable tool to effectively and efficiently improve health care delivery for disadvantaged populations. Skills acquired through this career development award will enable Dr. Karen DeSalvo to launch a successful, independent career in applied health services research focusing on interventions to improve the health of disadvantaged populations.