Health Care Improvement for Aging Women

描述（由申请人提供）：到2040年，美国65岁及以上的女性人数将从2040万增加到4080万。虽然妇女的寿命比男子长，但在65岁以上的每一个年龄段，妇女的残疾预期寿命都是男子的两倍，她们在机构中的预期寿命比老年男子长3-4倍。老年妇女的医疗保健支出比男子高7-23%，养老院支出比男子高60-100%。该培训计划应用程序的目的是准备博士后公共卫生科学家，主要是流行病学家，卫生服务研究人员，行为科学家和学术临床医生，以产生证据，指导未来老年妇女的最佳，有效和具有成本效益的医疗保健实践。该计划将被安置在健康研究中心，团体健康合作社（CHS/GHC），在医疗保健创新的国家公认的领导者。该计划及其教师与华盛顿大学的流行病学和卫生服务部门密切相关。因此，学员将有机会获得广泛的资源，在这两个机构，包括一个独立的科学界，正式/非正式的课程，和学位授予计划。我们建议在初始资助期内建立多达3个博士后职位的培训计划。CHS的妇女健康学院有丰富的研究计划，重点关注对改善老年妇女医疗保健至关重要的领域，包括：1）筛查和预防服务; 2）骨骼健康; 3）泌尿健康; 4）更年期过渡; 5）慢性病预防和管理;和6）虚弱和残疾。23名教师将参加。该培训计划有8个主要学习目标：1）发展确定研究问题和适当研究设计的技能; 2）获得上述6个妇女健康研究重点领域的基本知识; 3）获得与老年妇女保健改善相关的一个或多个研究领域的深入专业知识; 4）完成保护人类受试者的培训; 5）获得实施研究方案的经验; 6）提高科学报告的技能; 7）提高科学写作和出版的技能; 8）发展赠款写作的技能。从长远来看，该培训计划旨在培养一批优秀的公共卫生科学家，为老年妇女的医疗保健提供重大影响。

DESCRIPTION (provided by applicant): By the year 2040, the number of women ages 65 and older in the US will approximately double from 20.4 to 40.8 million. Although women live longer than men, at every age over 65 women's disabled life expectancy is doubled that of men and their institutionalized life expectancy is 3-4 fold longer than older men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The purpose of this training program application is to prepare postdoctoral public health scientists, primarily epidemiologists, health services researchers, behavioral scientists, and academic clinicians, to produce the evidence that will guide optimum, efficient, and cost-effective healthcare practices for older women in the future. The program will be housed in the Center for Health Studies, Group Health Cooperative (CHS/GHC), a nationally recognized leader in health care innovation. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington. Trainees will thus have access to the broad range of resources available at both institutions, including an invigorated scientific community, formal/informal coursework, and degree granting programs. We propose to build the training program up to 3 postdoctoral positions in the initial funding period. Women's health faculty at CHS have a rich program of research focused in areas critically important to improving healthcare for aging women including: 1) screening and preventive services; 2) bone health; 3) urinary health; 4) the menopausal transition; 5) chronic disease prevention and management; and 6) frailty and disability. Twenty-three faculty preceptors will participate. The training program has 8 primary learning objectives: 1) Develop skills in defining research questions and appropriate study designs; 2) Acquire basic knowledge in the 6 aforementioned research focus areas in women's health; 3) Acquire in-depth expertise in one or more research domains relevant to healthcare improvement for aging women; 4) Complete training in protection of human subjects; 5) Gain experience implementing research protocols; 6) Improve skills in making scientific presentations; 7) Improve skills in scientific writing and publishing; 8) Develop skills in grant writing. Over the long term, this training program aims to build a critical mass of outstanding public health scientists prepared to have major impacts on health care delivery for aging women.