Health Care Improvement for Aging Women

描述（由申请人提供）：到2040年，美国65岁及以上的女性人数将从2040万增加到4080万，大约翻一番。虽然妇女的寿命比男子长，但65岁以上妇女的残疾预期寿命是男子的两倍，其制度化预期寿命是老年男子的3-4倍。老年女性的医疗保险支出比男性高7-23%，养老院支出比男性高60-100%。本培训计划申请的目的是为博士后公共卫生科学家，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做好准备，以提供证据，指导未来老年妇女最佳，有效和具有成本效益的医疗保健实践。该项目将设在卫生研究中心，团体卫生合作社（CHS/GHC），一个全国公认的医疗保健创新的领导者。该项目及其教师与华盛顿大学的流行病学和卫生服务部门有着密切的联系。因此，受训者将有机会获得两所机构提供的广泛资源，包括充满活力的科学社区、正式/非正式课程和学位授予项目。我们建议在初始资助期内建立最多3个博士后培养项目。CHS的妇女健康教师拥有丰富的研究项目，重点关注对改善老年妇女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)绝经期过渡；5)慢性病预防和管理；6)脆弱和残疾。23位教师导师将参加。培训计划有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)掌握上述6个妇女健康研究重点领域的基本知识；3)在一个或多个与老年妇女保健改善相关的研究领域获得深入的专业知识；4)完成人体受试者保护的培训；5)获得实施研究方案的经验；6)提高科学演示的技能；7)提高科技写作和出版技能；8)培养基金写作技巧。从长期来看，这项培训计划旨在培养一批杰出的公共卫生科学家，他们准备对老年妇女的保健服务产生重大影响。

DESCRIPTION (provided by applicant): By the year 2040, the number of women ages 65 and older in the US will approximately double from 20.4 to 40.8 million. Although women live longer than men, 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 older men. Medicare expenditures are 7-23% higher and nursing home expenditures are 60-100% higher for older women than men. The purpose of this training program application is to prepare postdoctoral public health 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 future. The program will be housed in the Center for Health Studies, Group Health Cooperative (CHS/GHC), a nationally recognized leader in health care innovation. The program and its faculty are closely linked with the Departments of Epidemiology and Health Services at the University of Washington. Trainees will thus have access to the broad range of resources available at both institutions, including an invigorated scientific community, formal/informal coursework, and degree granting programs. We propose to build the training program up to 3 postdoctoral positions in the initial funding period. Women's health faculty at CHS 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-three 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. Over the long term, this training program aims to build a critical mass of outstanding public health scientists prepared to have major impacts on health care delivery for aging women.