Advancing Geriatrics Infrastructure and Network Growth (AGING) Initiative

项目摘要/摘要 医疗保健系统研究网络(HCSRN)-美国老年人独立中心(OAIC) 老龄化(推进老年基础设施和网络增长)计划(R24AG045050/R33AG0577806) 于2014年推出，旨在通过以下方式解决老年人中有关多种慢性病(MCC)的知识差距 促进跨学科研究议程。我们的任务一直是对抗传统的单一条件， 采取孤立无援的方法照顾老年人，促进微循环的科学研究。老龄化倡议是一个高度 来自20个HCSRN研究中心的科学家参与了富有成效的、协作的、跨学科的努力， 嵌入医疗保健提供系统，照顾超过200万65岁及以上的人，在 与来自国家研究院建立的15个主要大学中心的研究人员合作 关于老龄化(OAIC)。在这场竞争性的更新中，我们的首要目标是在我们成功的努力和 合作，同时将老龄化倡议带向新的、更雄心勃勃和可持续的方向。我们会 寻求促进健康公平，进一步将不同的患者和护理伙伴纳入我们的科学活动， 加大力度促进未被充分代表的少数群体(URM)科学家的职业生涯，并扩大我们的努力 与更多样化的患者/护理合作伙伴和更广泛的组织接触，以改善 对患有MCC的老年人的护理。我们的具体目标是：(1)促进研究创新和翻译 通过MCCS研究创新、翻译和传播核心将研究成果转化为实践 这将：(A)资助有针对性的跨学科试点赠款(MCC创新赠款)；(B)促进 在与护理患有MCC的老年人有关的临床试验中代表性不足的人群；(C)传播 与护理患有MCC的老年人有关的主要研究结果；和(D)加强参与和 与病人和护理伙伴在研究活动中合作；(2)促进创新精神的发展 在方法、措施和数据核心下的方法：(A)促进开发和实施 创新研究设计；(B)传播对患者、护理伙伴“最重要”的措施；以及 (C)确定新的数据来源和研究伙伴关系；(D)提供指导和 指导初级调查人员开始他们的第一个项目；以及(3)促进职业发展和 通过扩大全国MCC学者队列，新的和早期调查人员取得了成功，方法是： (A)加强指导和建立联系的机会，以直接回应现任和前任的反馈 MCCS学者；(B)扩大努力，以查明和征聘城市管理初级调查员；(C)增加 与其他NIA赞助的研究网络的合作，这些网络有学者计划来增加话语 (D)在美国老年医学会和美国老年医学会之间非常成功的合作基础上 老龄化倡议(R25AG071488)，以创建和广泛传播新的MCCS研究课程。

PROJECT SUMMARY / ABSTRACT The Health Care Systems Research Network (HCSRN)-Older Americans Independence Centers (OAICs) AGING (Advancing Geriatrics Infrastructure and Network Growth) Initiative (R24AG045050/R33AG0577806) was launched in 2014 to address knowledge gaps around multiple chronic conditions (MCCs) in older adults by fostering an interdisciplinary research agenda. Our mission has been to counter the traditional single-condition, siloed approach to the care of older adults and advance the science of MCCs. The AGING Initiative is a highly productive, collaborative, transdisciplinary endeavor involving scientists from 20 HCSRN research centers, embedded within healthcare delivery systems caring for over 2 million persons aged 65 and older, in partnership with investigators from 15 premier, university-based centers established by the National Institute on Aging (the OAICs). In this competitive renewal, our overarching aim is to build on our successful efforts and collaborations, while taking the AGING Initiative in new, more ambitious, and sustainable directions. We will seek to promote health equity, further integrate diverse patients and care partners into our scientific activities, expand efforts to foster the careers of underrepresented minority (URM) scientists, and expand our efforts to engage with a more diverse group of patients/care partners and a broader array of organizations to improve the care of older adults with MCCs. Our specific aims are: (1) to foster research innovation and translation of research findings into practice through an MCCs Research Innovation, Translation, and Dissemination core that will: (a) fund targeted, interdisciplinary pilot grants (MCCs Innovation Grants); (b) promote inclusion of underrepresented populations in clinical trials relevant to the care of older adults with MCCs; (c) disseminate key research findings relevant to the care of older adults with MCCs; and (d) enhance engagement and collaboration with patients and care partners in research activities; (2) to foster the development of innovative methods under a Methods, Measures, and Data Core that will: (a) stimulate development and implementation of innovative research designs; (b) disseminate measures that “matter most” to patients, care partners, and healthcare providers; (c) identify new data sources and research partnerships; and (d) provide guidance and mentorship to junior investigators starting their “first” project; and (3) to foster the career development and success of new and early-stage investigators through an expanded nation-wide cohort of MCCs Scholars by: (a) enhancing mentoring and networking opportunities in direct response to feedback from current and former MCCs Scholars; (b) expanding efforts to identify and recruit URM junior investigators; (c) increasing collaborations with other NIA-sponsored research networks that have scholar programs to increase discourse on MCCs; and (d) building upon a highly successful collaboration between the American Geriatrics Society and the AGING Initiative (R25AG071488) to create and widely disseminate a new MCCs research curriculum.