A Community Collaborative Effort to Reduce the Burden of Heart Disease in A Safe*

描述(由申请人提供)：这一努力的总体目标是加强社区组织、安全网提供商和基于使命的学术合作伙伴的伙伴关系，以发展一个社区，并在文化上量身定做使用健康信息技术(HIT)，以减轻南洛杉矶心脏病的负担。该伙伴关系名为南洛杉矶医疗领导圆桌会议，是一个致力于并有动机通过合作、战略规划、共享资源、问责和透明度改善南洛杉矶居民整体健康的组织。拟议的工作将由圆桌会议的两名成员领导，一名社区首席调查员，社区健康理事会公司(CHC)的执行董事，该公司是圆桌会议的孵化器，以及查尔斯·R·德鲁医学和科学大学的一名学术首席研究员。这两个机构在制定具体目标和赠款申请方面都有大量投入，以确保将圆桌会议的审议纳入其中。圆桌会议，除了社区和学术代表外，还包括安全网医疗保健提供者，使用社区合作伙伴的“社会变革模式”方法进行运作。具体目标1：使用与基于社区的参与研究(CBPR)原则一致的社会变化模型来设计一种新的医疗干预措施，以减少洛杉矶南部心脏病的差异：a)建立在现有的循证指南的基础上，b)纳入卫生信息技术的使用，c)合作地为独特的文化量身定做 通过社区参与来满足社区的医疗资源需求。具体目标2：合作试点测试实施的可行性，以及uSig这一针对社区定制的干预措施的潜在影响，以解决建议的心脏病指南与改善健康差距社区之间的差距。 相关性：我们从需求评估和试点干预中得出的结果将支持我们更好地了解这个社区的心脏病负担。最终，我们希望这一努力将成为未来社区-学术伙伴关系在其他环境中的典范，旨在弥合临床科学和改善公共卫生结果之间的翻译差距。

DESCRIPTION (provided by applicant): The overarching goal of this effort is to enhance a partnership of community-based organizations, safety net providers, and mission-based academic partners to develop a community and culturally tailored use of health information technology (HIT) to reduce the burden of heart disease in South Los Angeles. The partnership, the South Los Angeles Healthcare Leadership Roundtable, is a group committed and motivated to improve the overall health of South Los Angeles residents through collaboration, strategic planning, shared resources, accountability, and transparency. The proposed effort will be lead by two members of the Roundtable, a community principal investigator, the executive director of Community Health Councils, Inc. (CHC), which served as the incubator for the Roundtable and an academic principal investigator from Charles R. Drew University of Medicine and Science. Both have substantial input in the development of the specific aims and grant application ensuring that the Roundtable's deliberations are incorporated into it. The Roundtable, which includes safety net healthcare providers in addition to community and academic representation, has operated using the community partner's "Model for Social Change" approach. Specific Aim 1: To use a 'Model for Social Change' consistent with Community-Based Participatory Research (CBPR) principles to design a novel healthcare intervention to reduce heart disease disparities in South Los Angeles that: a) builds upon existing evidence-based guidelines, b) incorporates the use of health information technology, and c) is collaboratively tailored to the unique cultural and healthcare resource needs of the community through community engagement. Specific Aim 2: To collaboratively pilot test the feasibility of implementation, and the potential impact of usig this community-tailored intervention to address the gap between recommended heart disease guidelines and improved health outcomes in communities suffering from health disparities. RELEVANCE: Our findings from the needs assessment and pilot intervention will support a greater understanding of the burden of heart disease in this community. Ultimately, we hope that this effort will serve as a paradigm for future community-academic partnerships in other settings aimed at bridging translational gaps between clinical science and improved public health outcomes.