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| Program Overview |
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The over arching goal of this program project grant (PPG) is to move beyond
the identification and description of African American/Caucasian health-related
disparities to understanding the disparities within the African American
population and identifying solutions designed to address these health issues.
Our theme is to improve the process of health care delivery for African Americans
by addressing issues and interventions related to providers and provider/patient
interactions.
PPG investigators will test new interventions and, if the
interventions are successful, move the interventions forward to state-wide implementation.
Knowledge in South Carolina (SC) will contribute to the reduction of health
disparities for African Americans in the nation. The unique state database
linking patient and provider information provides data essential to the PPG goals.
The PPG will also engage new minority and non-minority investigators in minority
health research.
The projects include:
- Project 1 (Reducing the Racial Disparity in
CV Disease Through Better BP control) focusing on increasing the number of providers
treating to current guidelines for African Americans with hypertension.
- Project 2 (Economic Access To Anti-retroviral (ARV) Prescription Drugs &
Adherence To ARV Guidelines For African American Medicaid Enrollees With
AIDs or HIV-Disease In SC) focusing on increasing the number of providers
treating to current guidelines.
- Project 3 (An Exploration of Racial Differences
in End-of-Life Care Preferences Among Cancer & CHF Patients in SC) will discover if there are differences in health care preferences at the end of
life beween African American and Caucasian patients in South Carolina.
- Project 4 (A Randomized
Trial of a Pharmacist-intervention to increase prescription refills.) tests a
provider intervention to remind African American patients to refill prescriptions.
The four Pilot Projects by new investigators include:
- Pilot Project 1
(Implementing Successful Managed Care Models of Healthcare Delivery in a Low
Income Under-served African American Patient Population with Type 2 Diabetes)
assesses provider acceptance of group visits or lay educator approaches and,
if acceptable to providers, pilot tests these strategies.
- Pilot Project 2 (A Pilot Program To Provide AHRQ Guidelines Concordant Care To African Americans
With Type 2 Diabetes Mellitus And Depression) tests a provider intervention
to increase compliance with guidelines for treating depression using a diabetes
nurse educator.
- Pilot Project 3 (Improving the Evaluation of Therapist Adherence
to Multi-systemic Therapy with Ethnically Diverse, Adolescent Drug Offenders).
- Pilot Project 4 (Pain Management of Ambulatory African-American and Caucasian Patients with Diagnosis of Cancer).
The four new investigators are mentored through Investigator Development Core C.
All PPG investigators receive support for access to the state data, statistical
analysis, assistance in the design and analysis of economic data, assistance in
data management, and assistance in assessing patient/provider satisfaction from
the Biostatistics/ Data Core B. Core A provides the administrative and advisory
structure.
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