Examining provider bias in an underserved dental patient population: Improving health equity through a Dental School Practice-based Research Network (dsPBRN)

项目摘要 卫生保健的差距和不公平是全国性的问题。培养下一代临床医生 为了促进健康公平和减少差距，提供临床和研究至关重要。 通过卫生公平的透镜进行培训。医疗保健公平性问题需要通过 提供者在现实世界的病人护理环境中的参与。以病人为基础的发展 研究网络（PBRN）活动在临床牙科教育保健计划提供了潜在的 进行有意义的研究，并建立一种文化，支持更广泛、更多样化的研究群体。 未来的从业者以更大的公平能力参与社区PBRN 在实践和研究活动中的考虑。为了建立这种未来的能力，大学 马里兰州巴尔的摩（UMB）和霍华德大学（HU）的共同目标是合作， 在我们的临床牙科教育环境中培养科学探究和合作的文化 通过由各机构之间的共同优势和协同作用确定的科学伙伴关系， 在临床实践为基础的研究，鼓励更多的基础教育经验 充满活力，多样化和包容性的临床科学家/医生，并收集具体的数据检查 种族偏见对我们两个学术口腔健康中心临床护理的影响。为了实现这些目标， 我们将整合四个方案组成部分：1）建立特定于方案的教育途径 在临床和实践为基础的研究，为学生和教师，其中包括了解 医疗保健差距和提供者之间的公平意识。2)利用机构间的优势 通过方案指导、教育、辅导， 校本实践研究活动。3)发展机构间指导伙伴关系 HU和UMB的教师和学生之间，促进双向参与（合作）。四、 开发PBRN研究，提供基于临床实践的研究经验，检查 种族偏见与提供与学生和教师经验一致的牙科护理的关联 在这个项目中训练。我们的研究假设是种族偏见对医疗服务产生负面影响 对于学术牙科临床环境中的黑人（vs.白色）患者。基于实践的研究项目 建议将检查牙科学生之间的内隐/外显偏见之间的关联， 居民提供者在两个不同的，服务不足的患者人群中提供护理指标 城市牙科学校，UMB和HU。该项目的成功完成将解决健康 通过牙科教育保健计划，扩大PBRN的覆盖范围。

PROJECT SUMMARY Health care disparities and inequities are national problems. To build the next generation of clinician scientists to advance health equity and reduce disparities, it is critical to provide clinical and research training through the lens of health equity. Healthcare equity concerns need to be addressed through the providers’ engagement in real-world patient care environments. The development of patient-based research network (PBRN) activities within clinical dental educational care programs offers the potential for meaningful research as well as building a culture supporting a broader and more diverse cohort of future practitioners to participate in community based PBRNs with greater capacity for equity considerations in both their practice and research activities. To build this future capacity, the University of Maryland Baltimore (UMB) and the Howard University (HU) are partnered with the shared goals to foster a culture of scientific inquiry and collaboration within our clinical dental education environments with scientific partnerships defined by shared strengths and synergies across institutions, to build foundational educational experiences in clinical practice-based research that encourage a more energized, diverse, and inclusive clinician scientist/practitioner, and to collect specific data examining the effects of racial bias on clinical care in our two academic oral health centers. To achieve these goals, we will integrate four programmatic components: 1) To establish program-specific educational pathways in clinical and practice-based research for students and faculty that include an understanding of healthcare disparities and equity awareness among providers. 2) To utilize inter-institutional strengths to build collaborative engagement opportunities through programmatic guidance, education, mentoring, and school-based practice research activities. 3) To develop inter-institutional mentoring partnerships between HU and the UMB faculty and students that foster bidirectional engagement (collaboration). 4) To develop a PBRN study providing clinical practice-based research experiences examining associations of racial bias with provision of dental care that align with student and faculty experiences and training in this program. Our study hypothesis is that racial biases negatively impact care delivery for Black (vs. White) patients in academic dental clinical settings. The practice-based research project proposed will examine the associations between implicit/explicit biases among dental student and resident providers with delivery of care metrics across diverse, underserved patient populations in two urban dental schools, UMB and HU. Successful completion of the project will address the health disparities and expand the reach of PBRN through dental education care programs.