Health Services Research Training

描述（由申请人提供）：了解并最终提高美国医疗保健质量、效率和有效性的需求从未如此强烈。密歇根大学拟议的项目将创造一种独特的综合资源、多学科培训活动和利益攸关方参与，为博士前和博士后培训生做好准备，以应对卫生服务研究中的紧迫挑战。该项目将是公共卫生学院卫生管理与政策系（HMP）与医学院医疗成果与政策中心（CHOP）之间的创新合作伙伴关系。这一伙伴关系将建立在HMP的博士前培训和CHOP的博士后培训的历史优势之上，HMP的博士前培训已经得到AHRQ及其前身的26年的支持，CHOP的博士后培训已经培养了十几名早期研究人员，他们近年来获得了K奖。这一伙伴关系将整合HMP和CHOP培训环境的互补优势。以HMP为基础的研究和培训反映了广泛的公共卫生观点以及社会科学（如经济学、金融学、社会学/组织研究、运筹学和决策科学以及政治学）的理论和方法的深厚基础，这些理论和方法可以有效地应用于卫生服务研究。CHOP的研究和培训反映了临床专业知识（特别是外科和其他专业），与提供者、卫生计划和其他利益攸关方的牢固伙伴关系，以及对AHRQ的许多优先领域（成本、有效性、效率、可及性、安全/质量和差异）的密切关注。该计划将在五年内每年支持五个博士预科和两个博士后培训职位。培训计划侧重于四种广泛的教学能力：1)理解卫生服务问题的基本原理；2)了解社会科学和卫生科学学科的理论和方法，以及如何将其应用于卫生服务问题；3)开展卫生服务研究，既以独立的主导角色，也以团队为基础的支持角色；4)不断发展自己作为卫生服务学者的地位。这些能力将通过多学科课程、团队和独立研究经验、HMP和CHOP教师对所有学员（pre- and - postdoctoral）的指导、研讨会和其他专业社交和发展的机会来灌输。项目委员会将通过包括外部和内部反馈在内的多种机制和指标对受训者和项目的表现进行评估，评估结果将用于不断改进项目。

DESCRIPTION (provided by applicant): The need to understand and ultimately improve the quality, efficiency, and effectiveness of health care in the United States has never been greater. The proposed program at the University of Michigan will create a unique synthesis of resources, multidisciplinary training activities, and stakeholder involvement that will prepare both predoctoral and postdoctoral trainees to meet the urgent challenges in health services research. The program will be an innovative partnership between the Department of Health Management and Policy (HMP) in the School of Public Health and the Center for Healthcare Outcomes & Policy (CHOP) in the Medical School. This partnership will build on the historical strengths of predoctoral training based in HMP, which has been supported by AHRQ and its predecessors for 26 years, and postdoctoral training in CHOP, which has yielded over a dozen early investigators who have gone on to acquire K awards in recent years. This partnership will integrate the complementary strengths of HMP's and CHOP's training environments. The research and training based in HMP reflects a broad public health perspective as well as a deep grounding in theories and methods from social sciences (e.g., economics, finance, sociology/organizational studies, operations research and decision science, and political science) that can be fruitfully applied to health services research. The research and training based in CHOP reflects clinical expertise (particularly in surgery and other specialties), strong partnerships with providers, health plans, and other stakeholders, and a tight focus on many of AHRQ's priority areas (costs, effectiveness, efficiency, access, safety/quality, and disparities). The program will support five predoctoral and two postdoctoral traineeship positions annually over five years. The training program focuses on four broad pedagogic competencies: 1) understanding the fundamentals of health services problems and issues; 2) understanding theory and methods from social science and health science disciplines, and how they can be applied to health services issues; 3) conducting health services research, both in independent, leading roles as well as supporting team-based roles; and, 4) developing oneself continuously as a health services scholar. These competencies will be instilled through multidisciplinary course work, team-based and independent research experience, mentoring of all trainees (pre- and postdoctoral) by faculty at both HMP and CHOP, and seminars and other opportunities for professional socialization and development. The performance of trainees and the program will be assessed by the Program Committee through a number of mechanisms and metrics, including external and internal feedback, and the evaluation results will be used to improve the program continuously.