Health Care Improvement for Aging Women

描述(由申请者提供)：这是一个非常成功的跨学科T32培训项目的续签申请。该计划的目的是建立一个临界质量的 杰出的博士后科学家，主要是流行病学家、卫生服务研究人员、行为科学家和学术临床医生，以产生将指导老年女性最佳、高效和具有成本效益的医疗实践的证据。在接下来的几年里，老年妇女将消耗不成比例的国家卫生保健资源。到2030年，7000万人，或者说五分之一的美国人将达到65岁生日。女性的寿命比男性长，因此女性的数量也超过了男性，尤其是在老年群体。65岁以上的妇女的残疾预期寿命是男子的两倍，她们住院期间的预期寿命是男子的3-4倍。老年女性的医疗保险支出比男性高出7%-23%，养老院支出高出60%-100%。该培训计划设在集团健康研究所，该研究所是全国公认的医疗保健创新领先者。学员可以获得广泛的资源，包括充满活力的科学社区、正式和非正式的课程以及学位授予计划。该项目及其教职员工与华盛顿大学的流行病学和卫生服务系以及弗雷德·哈钦森癌症研究中心密切相关。我们将继续培训计划，在未来5年内招聘7名新的博士后研究员。GHRI的女性健康学院拥有丰富的研究计划，重点关注对改善老年女性医疗保健至关重要的领域，包括：1)筛查和预防服务；2)骨骼健康；3)泌尿健康；4)更年期过渡；5)慢性病预防和管理；6)虚弱和残疾。将有20名教员参加。培训 该方案有8个主要学习目标：1)培养确定研究问题和适当研究设计的技能；2)获得上述6个妇女健康研究重点领域的基本知识；3)获得一个或多个与老年妇女保健改善相关的研究领域的深入专业知识；4)完成保护人体受试者的培训；5)获得实施研究方案的经验；6)提高科学陈述的技能；7)提高科学写作和出版的技能；8)发展 撰写助学金的技巧。到目前为止，我们已经任命了6名博士后研究员，他们来自多学科科学领域(流行病学、药剂学、营养学、人口学、社会工作)和不同种族/民族(2名高加索人，2名亚洲人，1名美洲原住民，1名黑人)。三名研究员已完成该项目并接受了一流大学的初级教师职位，三名是目前的实习生，两名成功竞争K-奖。从长远来看，这一培训计划将建立一支杰出的公共卫生科学家队伍，准备对老年妇女的医疗保健服务产生重大影响。

DESCRIPTION (provided by applicant): This is a renewal application for a highly successful, interdisciplinary, T32 training program. The purpose of this program is to build a critical mass of outstanding postdoctoral scientists, primarily epidemiologists, health services researchers, behavioral scientists, and academic clinicians, to produce the evidence that will guide optimum, efficient, and cost-effective healthcare practices for older women. In the coming years, older women will consume a disproportionate amount of the nation's health care resources. By 2030, 70 million, or 1 in 5 Americans, will have reached their 65th birthday. Women live longer than men and thus outnumber men especially in older age groups. At every age over 65, women's disabled life expectancy is doubled that of men and their institutionalized life expectancy is 3-4 fold longer than men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The training program is housed in the Group Health Research Institute, a nationally recognized leader in health care innovation. Trainees have access to a broad range of resources, including an invigorated scientific community, formal, and informal coursework, and degree granting programs. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington and the Fred Hutchinson Cancer Research Center. We will continue the training program with recruitment of 7 new postdoctoral fellows over the next 5-year period. Women's health faculty at GHRI have a rich program of research focused in areas critically important to improving healthcare for aging women including: 1) screening and preventive services; 2) bone health; 3) urinary health; 4) the menopausal transition; 5) chronic disease prevention and management; and 6) frailty and disability. Twenty faculty preceptors will participate. The training program has 8 primary learning objectives: 1) Develop skills in defining research questions and appropriate study designs; 2) Acquire basic knowledge in the 6 aforementioned research focus areas in women's health; 3) Acquire in-depth expertise in one or more research domains relevant to healthcare improvement for aging women; 4) Complete training in protection of human subjects; 5) Gain experience implementing research protocols; 6) Improve skills in making scientific presentations; 7) Improve skills in scientific writing and publishing; 8) Develop skills in grant writing. To date, we have appointed 6 postdoctoral fellows from multidisciplinary scientific areas (epidemiology, pharmacy, nutrition, demography, social work) and diverse race/ethnicity groups (2 Caucasian, 2 Asian, 1 Native American, 1 Black). Three fellows have completed the program and accepted junior faculty positions at excellent universities, 3 are current trainees, and two have successfully competed for K-awards. Over the long term, this training program will build a cohort of outstanding public health scientists prepared to have major impacts on health care delivery for aging women.