Center for Health Services Research in Primary Care

描述（由申请人提供）： 达勒姆中心卫生服务研究中心是一个成熟的中心，在多年的VA HSR&D支持，我们的研究人员的深度和经验，以及我们的研究基础设施。现在，在我们的第30个年头，我们努力更好地了解和解决与我们的退伍军人初级保健的某些方面有关的重要医疗保健问题。在我们寻求成为HSR&D COIN的过程中，我们进行了长达一年的规划过程，以更好地定义我们的主要运营合作伙伴以及我们的重点研究领域。这一进程产生了三个重点领域和一个新兴的研究领域，构成了我们战略计划的框架：（1）将循证预防战略转化为行动，（2）在初级保健中定义下一代慢性病管理，（3）优化患有多种疾病和限制生命疾病的退伍军人的初级保健，（4）制定概念框架，正确识别高保健利用者（新兴领域）。 这些重点和新兴的研究领域建立在我们教师的优势，包括临床和方法学专业知识。我们的每个重点研究领域都融合了我们教师的专业知识，他们指导VA HSR&D的四个证据合成项目之一，该项目嵌入在我们的中心。我们在国家健康促进和疾病预防中心也有一个强大的业务合作伙伴。这一合作伙伴关系导致了一个CREATE应用程序，该应用程序已成功通过科学审查，并正在等待资金决定。CREATE项目作为一个重点研究领域的主题，它们是我们战略计划中其他研究目标和目标的基础。我们继续对教育，指导和职业发展做出坚定的承诺。我们支持了弗吉尼亚州数量最多的博士后研究员和职业发展获奖者之一。这在很大程度上是从达勒姆VAMC和VISN 6领导层的持续支持中发展而来的，他们允许我们招募和支持初级调查员。我们还在杜克大学医学院和北卡罗来纳州大学公共卫生学院的卫生政策和管理系有坚定的学术合作伙伴。 最后，我们制定了新的重要目标，以符合我们的研究优势和主要运营合作伙伴的承诺的方式发展我们的实施核心。

DESCRIPTION (provided by applicant): The Durham Center for Health Services Research Center is a mature center in terms of years of VA HSR&D support, the depth and experience of our investigators staff, and our research infrastructure. Now in our 30th year, we strive to better understand and solve important healthcare issues relating to some aspect of primary care for our Veterans. As we seek to become an HSR&D COIN, we have conducted a year-long planning process to better define our key operations partners as well as our focused areas of research. This process has produced three focused areas and one emerging area of research that form the framework of our strategic plan: (1) Translating evidence-based prevention strategies into action, (2) Defining the next generation of chronic disease management within primary care, (3) Optimizing primary care for Veterans with multimorbidity and life-limiting illness, (4) Developing a conceptual framework and correctly identifying high health care utilizers (emerging area). These focused and emerging areas of research build on our faculty's strengths that include both clinical and methodologic expertise. Each of our focused research areas incorporates the expertise of our faculty who direct one of VA HSR&D's four Evidence Synthesis Projects which is embedded in our Center. We also have a strong operations partner in the National Center for Health Promotion and Disease Prevention. That partnership has resulted in a CREATE application that has successfully passed scientific review, and is awaiting a funding decision. The CREATE projects serve as the topic for one focused area of research, and they underlie other research goals and objectives in our strategic plan. We continue to have a strong commitment to education, mentoring, and career development. We have supported one of the VA's largest number of post-doctoral fellows and career development awardees. This has evolved, to a great degree, from ongoing support from the Durham VAMC and VISN 6 leadership who allow us to recruit and support junior investigators. We also have committed academic partners in Duke University School of Medicine and the University Of North Carolina School Of Public Health's Department of Health Policy and Management. Lastly, we have set new and important goals to develop our implementation core in ways that align with our research strengths and the commitment of our main operations partner.