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Pages 254-271

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From page 254...
... The Health Disparities Report builds upon the Minority Health Report, adding to it those activities directed at low socioeconomic status (low-SES) and rural populations that are not included in the Minority Health Report.
From page 255...
... They provide valuable results applicable to minority groups, as well as to the majority population. With this in mind, the Committee established the following criteria for inclusion in the minority health and health disparities reports: · For basic research, infrastructure, and outreach activities, include only projects targeted to minority health and health disparity issues.
From page 256...
... An activity that addresses minority health as well as low-SES or rural health is included in the Health Disparities Report based on either its percent relevance to minority health or its percent relevance to low-SES and rural health -- whichever is higher.
From page 257...
... . Research training and career development is equal to the minority health figure for this category (due to difficulties in identifying trainees of low-SES or rural backgrounds and institutions that educate large numbers of people from low-SES or rural populations)
From page 258...
... ATTACHMENT A COMMITTEE ON MINORITY HEALTH AND HEALTH DISPARITIES DEFINITIONS AND APPLICATION METHODOLOGY Membership Andrew von Eschenbach, NIH/NCI (co-chair) Claude Lenfant/Barbara Alving, NIH/NHLBI (co-chair)
From page 259...
... APPENDIX H 259 ATTACHMENT B MINORITY DIRECT, TOTAL IC BUDGETS, AND MINORITY DIRECT AS PERCENT OF TOTAL IC BUDGETS Based on Old Definition Minority Health and Assistance FY 2004 President's Budget Minority Direct/Specifically Targeted Request from 2004 Direct as Programs Congressional Justification % of (Dollars in millions) (Dollars in millions)
From page 260...
... · For FY 2003, ICs should report intramural minority health and health disparities research consistent with their procedures in past years. It is the inten
From page 261...
... For multi-project grants, ICs may include a percentage of the funding for their core(s) , based on the number of subprojects in the grant that perform targeted basic minority health research.
From page 262...
... (Studying one minority group exclusively is sufficient to qualify as targeted minority research; i.e., no comparison group is necessary.) · Investigating how behaviors differ in minority populations.
From page 263...
... and minority medical schools, as well as solicited programs designed to enhance the research resources available specifically to under-represented minorities at other institutions educating or training high numbers of one or more minority populations that are underrepresented in biomedical or behavioral research. Examples of targeted infrastructure activities include the Extramural Associates Research Development Award (EARDA)
From page 264...
... should be reported under the "outreach" category. HEALTH DISPARITIES REPORT The report will include all activities that address issues with low socioeconomic status (low-SES)
From page 265...
... Likewise, if a grant is considered 100% relevant for rural health but is reported at only 50% for minority research, it should be included at 100% in the health disparities report. (However, a higher percent relevance for an activity in the health disparities list should not be transferred back to the minority health report.)
From page 266...
... For the low-SES and rural component, this would include research on: · A disease, condition, or biological process that affects exclusively or almost exclusively low-SES or rural populations · A behavior that is found exclusively or almost exclusively in low-SES or rural populations · Whether and/or how the mechanisms of disease or basic biological processes differ in low-SES or rural populations; or how behaviors differ in minority populations. All targeted projects should be included in the report at 100% of the funded amount.
From page 267...
... In addition, any targeted outreach activities addressing lowSES or rural health disparities issues that are not in the CRISP list (e.g., contracts) must be added.
From page 268...
... should be reported under the "outreach" category. CRISP THESAURUS TERMS TO IDENTIFY LOW-SES AND RURAL HEALTH DISPARITIES ACTIVITIES health disparities homeless income income maintenance low income Medicaid medical indigency medically underserved population migrant public assistance rural area social class social mobility social status socioeconomics urban poverty area HOW CRISP CODERS DETERMINE RELEVANCE FOR A TERM CRISP EMPHASIS CODES: P, S, T An emphasis code: 1)
From page 269...
... EXAMPLE: A project may be studying obesity as a risk factor for stroke. The following terms should all be assigned a P: disease /disorder proneness /risk stroke obesity If the example above were modified to emphasize, instead, the many differ ent risk factors for stroke, the following terms should be assigned a P: disease /disorder proneness /risk stroke The specific risk factors, which are of less importance in this example, should also be indexed but with an "S" emphasis.
From page 270...
... Based on the data reported, the Committee discussed the pros and cons of the different methods used and decided upon some basic standards, such as requiring all reporting at the sub-project level. Members of the Committee reviewed definitions and reporting requirements in PL 106-525 (the Minority Health and Health Disparities Research and Education Act of 2000)
From page 271...
... The Guidelines were revised to reflect the Committee decisions and final definitions. Looking ahead, the Committee recommended that a group be selected to develop and implement a more automated and perhaps fully automated system by FY 2006, possibly involving the CRISP database, for reporting minority health and health disparities activities.


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