Health Services Research Training

描述(由申请人提供)：在美国，了解并最终提高医疗保健的质量、效率和有效性的必要性从未像现在这样强烈。密歇根大学拟议的项目将创建一个独特的资源、多学科培训活动和利益相关者参与的综合项目，使博士后和博士后学员为应对卫生服务研究中的紧迫挑战做好准备。该计划将是公共卫生学院健康管理与政策系(HMP)和医学院医疗保健结果与政策中心(CHOP)之间的创新合作伙伴关系。这一伙伴关系将建立在以HMP为基础的博士后培训和CHOP博士后培训的历史优势上，HMP和CHOP博士后培训已得到AHRQ及其前辈26年的支持，CHOP已产生了十几名早期研究人员，他们在最近几年获得了K奖。这一合作伙伴关系将整合HMP和CHOP培训环境的互补优势。以氟氯烃淘汰管理计划为基础的研究和培训反映了广泛的公共卫生视角以及社会科学(例如经济学、金融学、社会学/组织学、运筹学和决策学以及政治学)的理论和方法的深厚基础，可以卓有成效地应用于卫生服务研究。以CHOP为基础的研究和培训反映了临床专业知识(特别是在外科和其他专业方面)、与提供者、健康计划和其他利益相关者的密切合作关系，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后和两个博士后实习生职位。培训计划侧重于四个广泛的教学能力：1)理解卫生服务问题和问题的基本原理；2)理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)进行卫生服务研究，既发挥独立的领导作用，又支持基于团队的角色；以及4)作为卫生服务学者不断发展自己。这些能力将通过多学科课程工作、基于团队的独立研究经验、由HMP和CHOP的教师指导所有受训人员(博士前和博士后)以及研讨会和其他职业社会化和发展机会来灌输。计划委员会将通过包括外部和内部反馈在内的多个机制和指标对学员和计划的表现进行评估，评估结果将用于持续改进计划。

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.