Health Care Improvement for Aging Women

描述（由申请人提供）：这是一个非常成功的，跨学科的，T32培训计划的续期申请。该计划的目的是建立一个临界质量的 杰出的博士后科学家，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，产生的证据，将指导最佳的，有效的，具有成本效益的医疗保健做法为老年妇女。在未来几年，老年妇女将消耗不成比例的国家医疗资源。到2030年，7000万人，即五分之一的美国人，将达到65岁生日。妇女的寿命比男子长，因此人数超过男子，特别是在老年群体中。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是男子的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%。该培训计划设在集团健康研究所，在医疗保健创新的国家公认的领导者。学员可以获得广泛的资源，包括一个成熟的科学界，正式和非正式的课程，以及学位授予计划。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以及弗雷德哈钦森癌症研究中心密切相关。我们将继续在未来5年内招募7名新的博士后研究员的培训计划。GHRI的妇女健康学院拥有丰富的研究计划，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。20名教师将参加。培训 该计划有8个主要学习目标：1）发展定义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 写作的技巧。迄今为止，我们已经任命了6名博士后研究员，来自多学科科学领域（流行病学，药学，营养学，人口学，社会工作）和不同的种族/民族群体（2名高加索人，2名亚洲人，1名美洲原住民，1名黑人）。三名研究员已经完成了该计划，并接受了优秀大学的初级教师职位，三名是目前的学员，两名已成功竞争K奖。从长远来看，这项培训计划将建立一批优秀的公共卫生科学家，准备对老年妇女的医疗保健服务产生重大影响。 公共卫生相关性：妇女的寿命比男子长，但在65岁以上的每个年龄组中，妇女的残疾预期寿命是男子的两倍，而她们的住院预期寿命是老年男子的3-4倍。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。我们建议继续这一成功的培训计划，在未来5年内招募7名新的博士后研究员。

DESCRIPTION (provided by applicant): This is a renewal application for a highly successful, interdisciplinary, T32 training program. The purpose of this program is to build a critical mass of outstanding postdoctoral 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 coming years, older women will consume a disproportionate amount of the nation's health care resources. By 2030, 70 million, or 1 in 5 Americans, will have reached their 65th birthday. Women live longer than men and thus outnumber men especially in older age groups. 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 men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The training program is housed in the Group Health Research Institute, a nationally recognized leader in health care innovation. Trainees have access to a broad range of resources, including an invigorated scientific community, formal, and informal coursework, and degree granting programs. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington and the Fred Hutchinson Cancer Research Center. We will continue the training program with recruitment of 7 new postdoctoral fellows over the next 5-year period. Women's health faculty at GHRI 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 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. To date, we have appointed 6 postdoctoral fellows from multidisciplinary scientific areas (epidemiology, pharmacy, nutrition, demography, social work) and diverse race/ethnicity groups (2 Caucasian, 2 Asian, 1 Native American, 1 Black). Three fellows have completed the program and accepted junior faculty positions at excellent universities, 3 are current trainees, and two have successfully competed for K-awards. Over the long term, this training program will build a cohort of outstanding public health scientists prepared to have major impacts on health care delivery for aging women. PUBLIC HEALTH RELEVANCE: Women live longer than men but in every age group 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. 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. We propose to continue this successful training program with recruitment of 7 new postdoctoral fellows over the next 5-year period.