Advancing Geriatrics Infrastructure & Network Growth

描述(申请人提供)：本申请响应PAR-13-287(发展跨学科老龄化研究的网络和基础设施支持)。我们建议将HMO研究网络与克劳德·D·佩珀老年美国人独立中心(OAIC；又名胡椒中心)联系起来，创建一个全国性的资源，以培育和推进专注于患有多种慢性病(MCC)的老年人的跨学科研究议程。我们在这项倡议下的具体目标是：(1)合作开发一个框架和程序，以加强现有的HMORN数据基础设施，以推进对患有MCC的老年人的跨学科研究；(2)支持优化HMORN和OAIC资源的跨学科试点项目，并促进HMORN和OAIC调查人员之间的合作，以解决与患有MCC的老年人的数据有效性、比较有效性、健康结果、健康差距和护理费用相关的问题。这些项目将有助于进一步确定现有数据的充分性，确定并确定更多数据需求的优先顺序，并为干预措施奠定基础，以维护和恢复患有MCC的老年人的功能；(3)确定和指导HMORN和OAIC的初级教员，重点研究患有MCC的老年人；以及(4)向更大的科学界传播与老年人MCC科学有关的跨学科研究方法和结果。这些协同作用的目标是利用OAICs积累的老龄化研究专业知识以及HMORN的大量患者、电子健康记录数据和嵌入式医疗保健提供系统研究人员队伍，以创建一个独特的国家资源，该资源将：(1)鼓励、促进和支持能够解决与MCC老年患者相关的最重要问题的研究；(2)增加关于如何最好地使用来自多个不同医疗保健组织的电子健康记录系统中的数据的知识；(3)促进不同学科的研究人员之间的合作，并从这些领域聘用、指导和发展初级教师；以及(4)传播对患有MCC的老年人的研究结果，这将转化为提供更高质量和更具成本效益的护理。

DESCRIPTION (provided by applicant): This application responds to PAR-13-287 (Network and Infrastructure Support for Development of Interdisciplinary Aging Research). We propose to bridge the HMO Research Network with the Claude D. Pepper Older Americans Independence Centers (OAICs; aka Pepper Centers) to create a national resource to nurture and advance an interdisciplinary research agenda focused on older adults with multiple chronic conditions (MCCs). Our specific aims under this initiative are: (1) to collaboratively develop a framework and procedures to enhance the existing HMORN data infrastructure to advance interdisciplinary research on older adults with MCCs; (2) to support interdisciplinary pilot projects that optimize HMORN and OAIC resources and foster collaboration between HMORN and OAIC investigators to address questions relevant to data validity, comparative effectiveness, health outcomes, health disparities, and costs of care in older persons with MCCs. These projects will serve to further define the adequacy of available data, identify and prioritize additional data needs, and lay the groundwork for interventions to preserve and recover function in older adults with MCCs; (3) to identify and mentor junior faculty from the HMORN and OAICs with a research focus on older adults with MCCs; and (4) to disseminate interdisciplinary research approaches and findings relating to the science of MCCs in older adults to the larger scientific community. These synergistic aims leverage the accumulated aging research expertise of the OAICs together with the HMORN's large patient populations, electronic health record data, and cadre of embedded healthcare delivery system researchers to create a unique national resource that will: (1) encourage, facilitate, and support research that can address the most important questions relevant to older persons with MCCs; (2) increase knowledge about how best to use data found in electronic health record systems from multiple, diverse healthcare organizations; (3) promote collaboration among researchers from different disciplines, and engage, mentor, and develop junior faculty from across these fields; and (4) disseminate findings from research on older persons with MCCs that will translate into the delivery of higher quality and more cost-effective care.