(provided by the applicant): The Cecil G. Sheps Center for Health Services Research at the University of North Carolina (UNC) is pleased to submit to AHRQ a competing renewal application for its NRSA T-32 pre-and post-doctoral training program in health services research. Since initiated in 1989, the program is currently authorized for 4 pre- and 2 postdoctoral fellows. Although all trainees are affiliated as fellows with the Sheps Center, all pre-doctoral students are first admitted as candidates to the PhD or DrPH degree in collaborating academic departments at UNC such as Health Policy and Administration, Epidemiology, Health Behavior and Health Education, Biostatistics, Maternal and Child Health, Nutrition, Economics, Geography, Sociology, Pharmaceutical Policy, or Public Policy. Postdoctoral candidates may also be drawn from medical or dental disciplines. Among the proposed changes in the program for this 5-year renewal are: request for one additional predoctoral and one additional postdoctoral position;enhanced linkages to the numerous AHRQ programmatic intiatives at the Sheps Center (EPC, DEclDE, ACTION and PBRN);collaboration with UNC's planned CTSA initiative in type II (bedside to community) translational research;a new relationship with the North Carolina Institute of Medicine (NC-IOM) to expose fellows to the state-based policy process;and ongoing emphasis on research in health disparities paralleling the broad efforts ongoing at the Sheps Center and at UNC. Trainees will participate in weekly seminars as well as additional targeted educational experiences on ethics. Trainees will have office space in and be exposed to the activities of the Sheps Center, a-university-based multidisciplinary center with over 60 active projects and an annual budget of $13 million, with funding through NIH, AHRQ, states and foundations. Projects at the Sheps Center are in a range of content areas including: aging, rural health, child health, health economics, health care organization and medical practice. Dr. Timothy S. Carey will continue as.the program director, assisted by five core faculty members: Drs. Christianna Williams (associate director), James Bader, Bob Konrad, Mark Holmes (new to the program) and Morris Weinberger. The availability of this training support is a critical component of health services research and training in multiple schools at the University of North Carolina, leading to later successful careers in academics and health policy.

National Institute of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
Institutional National Research Service Award (T32)
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Study Section
Special Emphasis Panel (ZHS1-HSR-A (01))
Program Officer
Benjamin, Shelley
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Fiscal Year
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University of North Carolina Chapel Hill
Internal Medicine/Medicine
Schools of Medicine
Chapel Hill
United States
Zip Code
Elstad, Emily A; Sheridan, Stacey L; Lee, Joseph G L et al. (2014) Have screening harms become newsworthy? News coverage of prostate and colorectal cancer screening since the 2008 USPSTF recommendation changes. J Behav Med 37:1242-51
Stover, Angela M; Mayer, Deborah K; Muss, Hyman et al. (2014) Quality of life changes during the pre- to postdiagnosis period and treatment-related recovery time in older women with breast cancer. Cancer 120:1881-9
Gupta, Shivani; Brenner, Alison T; Ratanawongsa, Neda et al. (2014) Patient trust in physician influences colorectal cancer screening in low-income patients. Am J Prev Med 47:417-23
Roberts, Andrew W; Crisp, Ginny D; Esserman, Denise A et al. (2014) Patterns of medication adherence and health care utilization among patients with chronic disease who were enrolled in a pharmacy assistance program. N C Med J 75:310-8
Lichstein, Jesse C; Domino, Marisa E; Beadles, Christopher A et al. (2014) Use of medical homes by patients with comorbid physical and severe mental illness. Med Care 52 Suppl 3:S85-91
Brenner, Alison; Howard, Kirsten; Lewis, Carmen et al. (2014) Comparing 3 values clarification methods for colorectal cancer screening decision-making: a randomized trial in the US and Australia. J Gen Intern Med 29:507-13
Domino, Marisa E; Beadles, Christopher A; Lichstein, Jesse C et al. (2014) Heterogeneity in the quality of care for patients with multiple chronic conditions by psychiatric comorbidity. Med Care 52 Suppl 3:S101-9
Kavalieratos, Dio; Mitchell, Emma M; Carey, Timothy S et al. (2014) "Not the 'grim reaper service'": an assessment of provider knowledge, attitudes, and perceptions regarding palliative care referral barriers in heart failure. J Am Heart Assoc 3:e000544
Pergolotti, Mackenzi; Cutchin, Malcolm P; Weinberger, Morris et al. (2014) Occupational therapy use by older adults with cancer. Am J Occup Ther 68:597-607
Kavalieratos, Dio; Kamal, Arif H; Abernethy, Amy P et al. (2014) Comparing unmet needs between community-based palliative care patients with heart failure and patients with cancer. J Palliat Med 17:475-81

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