Training in Child Health Services Research and Implementation Science

描述（由申请人提供）：为了应对当前美国儿童医疗保健系统的挑战，需要进行新颖而广泛的以行动为导向的研究，以提高医疗保健的有效性、效率和公平性。这个更新应用程序利用了一个专门的、多样化的、经验丰富的教师的专业知识，他们有18年的历史，成功地领导了ahrq资助的博士后NRSA培训项目，专注于儿科健康服务研究。我们现在建议大幅增加我们目前的项目（包括其师资队伍、与家庭和卫生系统利益相关者的伙伴关系以及课程），以特别关注实施科学和减少健康差距。我们将继续波士顿儿童医院、麻省儿童总医院和哈佛医学院人口医学系之间的核心项目合作。此外，我们将与一个新的合作伙伴——医疗保健改进研究所——充分合作，该研究所将通过课程改进和研究机会，为我们的学员带来国际公认的护理改进和实施科学方面的专业知识。其他伙伴关系将包括国家儿童保健质量研究所，开展致力于减少保健差距的大规模、正在进行的项目；多样化的医疗服务体系，包括当地社区卫生中心；哈佛医学院初级保健中心；还有医疗保险公司。我们还将开发新的方法，将患者和家长的声音纳入我们的培训中，将他们作为项目顾问，并设计一个新成立的家长资源小组，让学员与家长资源小组进行结构化的互动，以确保家长和患者的观点在学员的研究中得到体现。该项目每年将提供7个奖学金名额（4个第一年，3个第二年继续博士后），以在亚专业、研究领域和方法领域培养足够的培训生。除了参与密切指导的研究外，每位学员将成功完成哈佛大学公共卫生学院公共卫生硕士的生物统计学和流行病学核心技能要求，并参加高级卫生服务研究方法培训，包括新开发的改进科学和实施科学方法课程。一个已经完善的项目基础设施和密切跟踪学员进展的系统将确保我们的毕业生记录的延续，他们将领导相关的应用卫生服务研究，从而为我们所服务的儿童提供更好的护理和健康结果。

DESCRIPTION (provided by applicant): Meeting the current challenges of the US health care system for children will require novel and wide-ranging action-oriented research to improve the effectiveness, efficiency, and equity of health care. This renewal application harnesses the expertise of a dedicated, diverse, and experienced faculty with an 18-year history of leading successful AHRQ-funded post-doctoral NRSA training programs focused specifically on pediatric health services research. We now propose to substantially augment our current program (including its faculty, partnerships with families and health system stakeholders, and curriculum) to specifically focus on implementation science and reduction of health disparities. We will continue the core programmatic collaborations among Boston Children's Hospital, the Mass General Hospital for Children, and the Department of Population Medicine at Harvard Medical School. In addition, we will fully engage a new partner-the Institute of Healthcare Improvement-which will bring its internationally-recognized expertise in care improvement and implementation science to our trainees through curricular enhancements and research opportunities. Additional partnerships will include the National Institute for Children's Healthcar Quality for large-scale, ongoing projects dedicated to reducing health care disparities; diverse care delivery systems including local community health centers; the Harvard Medical School Center for Primary Care; and health insurers. We will also develop novel ways to include the voices of patients and parents in our training by incorporating them as program advisors and designing structured interactions of trainees with a newly formed parent resource group to ensure parent and patient perspectives in trainees' research. The program will support 7 stipends per year (4 first-year, and 3 second-year continuing postdoctoral fellows in the first year) to create a critical mass of trainees across subspecialties, areas of research, and methodological domains. In addition to participating in closely mentored research, each trainee will successfully complete the requirements of an MPH from the Harvard School of Public Health for core skills of biostatistics and epidemiology, and participate in advanced health services research methods training including a newly developed curriculum of improvement science and implementation science methods. An already well-developed program infrastructure and system for close tracking of trainees' progress will ensure the continuation of our record of graduating individuals who will lead relevant, applied health services research that translates into both improved care and health outcomes for the children we serve.