Patient-Centeredness in Care of Vulnerable Populations

描述（由申请人提供）：该职业发展计划的目标是促进候选人作为卫生服务研究和卫生政策领导者的发展，重点关注弱势群体的医疗质量和以患者为中心的差异。根据她在内科学、生物伦理学和卫生政策方面的背景，候选人建议在获奖期间通过以下方式发展其他技能：1）旨在扩大其方法技能的课程; 2）与多学科赞助团队互动，包括卫生服务研究专家（丹尼尔福特博士）、医患沟通（黛布拉·罗特博士）、跨文化沟通（丽莎库珀博士）和生物伦理学（露丝·法登博士）; 3）一系列监督研究项目。 这些研究项目的具体目标是：1）评估患者识字对患者参与护理和患者-医生沟通的影响; 2）测试脆弱性的多维度模型，以应对不良人际关系治疗，并评估医疗保健系统功能，调节脆弱性和不良人际关系治疗之间的关系;（3）从患者的角度开发一种测量文化能力的工具。研究项目的选择，使她将成为精通各种方法，包括随机对照试验的进行和分析，医疗支出小组调查（MEPS）的分析，和仪器开发/心理测试。在奖励期的最后阶段，候选人计划制定一个赠款提案，以评估文化能力，医疗保健质量和少数民族健康结果之间的关系。 作为医学助理教授，她将在约翰霍普金斯医学院和公共卫生学院进行这项研究，该学院为卫生服务研究提供了广泛的资源，并为学习提供了丰富的知识环境。

DESCRIPTION (provided by the applicant): The goal of this career development program is to facilitate the candidate's development as a leader in health services research and health policy focused on disparities in healthcare quality and patient-centeredness for vulnerable populations. Building on her background in internal medicine, bioethics and health policy, the candidate proposes to develop additional skills over the course of the award period through: 1) coursework designed to expand her methodological skills; 2) interaction with a multidisciplinary sponsorship team, including experts in health services research (Dr. Daniel Ford), patient-physician communication (Dr. Debra Roter), cross-cultural communication (Dr. Lisa Cooper) and bioethics (Dr. Ruth Faden); and 3) a series of supervised research projects. The specific aims of these research projects are: 1) to evaluate the impact of patient literacy on patient participation in care and patient-physician communication; 2) to test a multidimensional model of vulnerability to poor interpersonal treatment and to evaluate health care system features that moderate the relationship between vulnerability and poor interpersonal treatment; and 3) to develop an instrument measuring cultural competence from the patient's perspective. The research projects were chosen so that she would become proficient with a variety of methodologies, including the conduct and analysis of a randomized controlled trial, analysis of the Medical Expenditure Panel Survey (MEPS), and instrument development/psychometric testing. In the final stages of the award period, the candidate plans to develop a grant proposal to evaluate the relationship between cultural competence, the quality of healthcare, and health outcomes for ethnic minorities. As Assistant Professor of Medicine, she will conduct this research within the Johns Hopkins Schools of Medicine and Public Health which offer extensive resources for health services research and provide a rich intellectual environment for learning.