Training in Health Services Research

项目总结 约翰霍普金斯大学博士前AHRQ NRSA培训计划旨在准备博士级别的医疗服务 以下三个高度优先领域的研究人员：1)患者安全、质量和结果侧重于 与实现最佳患者安全、质量和健康结局相关的多维因素 在不同环境中提供保健服务；2)改革保健服务的筹资和组织 重点了解我们的医疗保健系统的公共和私人融资机制和 组织结构影响护理的效率、公平和质量以及开发创新解决方案 以解决缺陷；以及3)减少弱势人群的卫生保健差距，重点是 种族和族裔少数群体以及因无法获得医疗服务而处于不利地位的人口(低收入 个人、未参保儿童、服务不足地区的居民)和易受不良照顾的群体 协调和较低质量的护理，例如与有复杂护理需求的人的协调。我们的三个领域的预- 博士培训建立在课程工作的共同核心之上，强调包括研究设计在内的技能， 统计、测量、数据库/IT应用、评估和政策分析。一个重要的组件是 实践要求，允许学生在针对实际的研究中获得经验 申请。本建议书提出了一套详细的核心能力和学习目标，以指导 学生培训。这些能力是根据2005年AHRQ赞助的 由我部主办并于2012年更新的全国“高铁核心竞争力”会议。致信地址 美国医疗体系的转型因素和新出现的问题，我们将更加重视 与前几年相比，在以人为中心的研究、利益攸关方参与、研究与实践整合、 学习型医疗保健组织和健康信息技术。实习生将获得曝光率和 通过课程作业、研讨会和教师个人参与，对这些主题的研究经验 研究和实践。AHRQ将支持每年为4-5名博士前新生提供两年的培训。 我们的计划通过以下方式提供个性化的小组和一对一的支持、指导和指导 经验丰富的导师确保为我们的每个人提供协调一致的培训计划体验 实习生。最后，我们的培训计划与我们内部的积极研究计划和中心很好地结合在一起 系和整个大学，并受益于大量的教职员工，在我们的 巴尔的摩/华盛顿地区的优先领域和研究和政策方面的广泛机会。

PROJECT SUMMARY The Johns Hopkins pre-doctoral AHRQ NRSA training program aims to prepare PhD-level health services researchers in the following three high priority areas: 1) Patient Safety, Quality and Outcomes focuses on the multi-dimensional factors associated with attaining optimal patient safety, quality and health outcomes of care delivery in diverse settings; 2) Transforming the Financing and Organization of Health Care Services focuses on understanding the ways our health care system's public and private financing mechanisms and organizational structure affect the efficiency, equity, and quality of care and on developing innovative solutions to address deficiencies; and 3) Reducing Health Care Disparities for Vulnerable Populations focuses on racial and ethnic minorities and populations disadvantaged by lack of access to health services (low income persons, uninsured children, residents of underserved areas) and groups who are vulnerable to poor care coordination and lower quality care, such as with persons with complex care needs. Our three areas of pre- doctoral training build on a common core of course work that emphasizes skills including study design, statistical, measurement, database/IT application, evaluation, and policy analysis. An important component is a Practicum requirement that allows students to gain experience in research directed toward practical applications. This proposal presents a detailed set of core competencies and learning objectives which guides students' training. These competencies were developed in accordance with the 2005 AHRQ sponsored national “HSR core competencies” conference hosted by our Department and updated in 2012. To address transformational factors and emerging problems in the U.S. health care system, we will place greater emphasis than in previous years on person-centered research, stakeholder engagement, research-practice integration, learning healthcare organizations, and health information technology. Trainees will gain exposure and research experience on these topics through coursework, seminars, and individual involvement in faculty research and practicum. AHRQ will support two years of training for 4-5 new pre-doctoral students per year. Our program offers personalized small group and one-on-one support, mentoring, and guidance by experienced mentors to ensure a coordinated and cohesive training program experience for each of our trainees. Finally, our training program is well integrated with active research programs and centers within our Department and across the University and benefits from a large faculty with great breadth and depth in our priority areas and the extensive opportunities in research and policy in the Baltimore/ Washington area.