Mentored Career Development for Child and Family Centered Outcomes Research

描述（由申请人提供）：创建一个“学习型卫生系统”来改善儿童健康将需要新一代的研究人员，他们的工作更直接地与患者、提供者和卫生保健系统的明确需求相一致。他们创建的证据基础，使用以儿童（和家庭）为中心的比较有效性方法，将为患者和提供者的决策提供信息，这些决策不仅影响直接的健康结果，而且影响长期的生命历程轨迹。他们还将对在各种情况下可靠地改善健康和福祉的做法的实施和传播进行研究，以便使所有儿童受益，并减少儿童健康方面因种族、民族和社会阶层而存在的持续差异。我们提出的职业发展计划利用了广泛而多样化的哈佛教师，他们在培训儿童健康研究人员方面有20年的经验，并在arhq资助的项目中培训研究人员的比较有效性研究方法方面有具体的经验。它将从来自哈佛附属机构和全国各地的众多学科（包括医学博士和博士教师）的广泛而多样化的申请者中招募，他们寻求在密集的指导和支持下开始自己的职业生涯。该计划将招收12名学者，在5年的项目期内提供2至3年的支持。该计划的领导团队和教师在跨平台和组织的健康信息技术的新使用方面带来了特殊的专业知识，以促进通过研究进行学习。该学院还包括卫生系统改进和实施科学方面的国家专家。我们将利用所有这些资源来确保：1)在以患者为中心的比较有效性研究方法中进行结构化、健全和量身定制的指导，包括使用患者报告的儿童结果指标；2)家长（和患者）参与职业发展计划的制定和监督，以及每位参与学者的研究；3)可开展相关研究的各种儿童卫生系统；4)与国家认可的组织建立伙伴关系，重点关注基于当前最佳证据在实践中快速实施变革。该方案将特别侧重于通过改善医疗保健服务和社区干预措施，缩小弱势群体健康差距的研究。它的领导和结构不仅将加速注册学者的成功研究事业，而且还将使这些职业与患者，医疗保健服务系统和社区的需求保持一致。通过这样做，这些人将为共同的临床决策和有效的社区干预提供证据，使我们更接近改善儿童个人和人口健康的目标。

DESCRIPTION (provided by applicant): Creating a "learning health system" to improve child health will require a new generation of researchers whose work is more directly aligned with the expressed needs of patients, providers, and healthcare systems. The evidence base they create, using child (and family) centered comparative effectiveness methods, will inform decisions of patients and providers that affect not only immediate health outcomes, but also long term life course trajectories. They will also conduct research on implementation and dissemination of practices that reliably improve health and wellbeing in a wide range of contexts, in order to benefit all children, and to reduce the persistent disparities seen in child health by race, ethnicity, and social class. Our proposed career development program leverages a broad and diverse Harvard faculty with 2 decades of experience in training child health researchers, and specific experience in training investigators in methods of comparative effectiveness research in an ARHQ-funded program. It will draw from an extensive and diverse pool of applicants across many disciplines (both MD and PhD faculty), from Harvard-affiliated institutions and across the country, who seek to begin their careers with intensive mentorship and support. The program will enroll 12 scholars for 2 or 3 years of support over the 5-year project period. The program's leadership team and faculty bring particular expertise in the novel use of health information technology across platforms and organizations to facilitate learning through research. The faculty also includes national experts in health system improvement and implementation science. We will leverage all of these resources to ensure: 1) structured, robust, and tailored mentoring in methods of patient centered comparative effectiveness research, including use of patient reported outcomes measures for children; 2) parent (and patient) engagement in the development and oversight of the career development program as well as the research of each participating scholar; 3) a broad variety of health systems for children with whom relevant research can be conducted; and, 4) partnerships with nationally-regarded organizations focused on rapid implementation of changes in practice based on the best current evidence. The program will have a particular focus on research to close the gaps in health for disadvantaged populations by improving health care delivery and community-based interventions. Its leadership and structure will not only accelerate the successful research careers of the enrolled scholars, but also align those careers with the needs of patients, health care delivery systems, and communities. In so doing, these individuals will provide the evidence for shared clinical decisions and effective community-based interventions that will bring us closer to the goal of improved health for individual children and populations.