Due Date: 11/27/20
Funder: National Institutes of Health
About the National Institute of Health
The National Institutes of Health (NIH), a part of the U.S. Department of Health and Human Services, is the nation’s medical research agency — making important discoveries that improve health and save lives.
Although scientific and technological discoveries have improved the health of the U.S. population overall, racial/ethnic minority populations, sexual and gender minority populations, socioeconomically disadvantaged populations, and underserved rural populations, continue to experience a disproportionate burden of disease and risk factors, unmet health care needs, and other adverse health conditions.
As the Nation’s steward of biomedical and behavioral research, NIH has devoted considerable resources to characterize the root causes of health disparities, uncovering a complex web of interconnected and overlapping factors (i.e., biological, behavioral, environmental, and societal). As an important next step, research is needed that capitalizes upon knowledge about causal pathways to directly and demonstrably contribute to the reduction of health disparities. Of importance is research that moves beyond an exclusive focus on the health status of individuals to examine and address how larger systemic factors cause, sustain, or minimize health disparities in communities, regions, and the Nation as a whole. Disparities in health care are a clear contributor to disparities in health outcomes. Differences in health care utilization patterns and quality of care indicators between populations affected by health disparities and the general population have been well documented. More work is needed to understand how best to eliminate these inequities by understanding the causal mechanisms and evaluating the effectiveness of interventions. In addition, with the emerging Coronavirus disease 2019 (COVID-19) pandemic, differences in health care utilization patterns and quality of care need to be reevaluated and interventions to reduce health disparities generated by this pandemic and improve minority health need to be developed and evaluated.
About the Opportunity
The purpose of this funding opportunity announcement (FOA) is to encourage health services research that can directly contribute to the improvement of minority health and/or the reduction of health disparities, while taking into consideration the interaction between system-level healthcare, individual clinical care, and social determinants of health, including the role of structural systemic factors, place and neighborhood factors. The focus of this FOA is on all services provided in the healthcare setting where individuals from health disparity populations seek care with a clinician for preventive services, chronic disease management, urgent symptomatic care, emergency care, and hospital care. These health services do include tele-medicine or virtual or remote encounters and home visits.
The overarching purpose of this FOA is to promote research to generate new knowledge to improve health care access, delivery, utilization and quality, and health outcomes of racial and ethnic minority populations and other groups affected by health disparities. Research encouraged under this FOA includes the examination of population-specific clinical presentation and/or manifestation of diseases and their complications within the context of health care settings; services within health care systems and non-clinical settings linked to health care systems (e.g. personal residences, school-based health centers, the workplace, and criminal justice settings); etiologies and reduction of health care disparities; structure and organization of health care systems and coordination of health care; impact of healthcare and non-healthcare policies on health care and health disparities; and system-wide interventions or multi-level interventions. Projects may address health services pertaining to health promotion, screening for disease or risk factors, prevention at any level, diagnosis and the treatment of particular health conditions (including chronic diseases, mental and substance abuse disorders, and infectious diseases such the 2019 Novel Coronavirus), specific segments of populations affected by health disparities (e.g. pregnant women, children, persons with disabilities, older adults), or more general indicators (e.g., access to primary care services or specialty care) that may not be condition-specific. Projects may include observational/descriptive, or interventional studies (including randomized clinical trials, pragmatic trials and others) and may involve primary data collection and/or secondary analysis of existing datasets. Projects should involve the use of relevant health system-level data in some way. Projects should include a focus on one or more NIH-designated US populations affected by health disparities, which include Blacks/African Americans, Hispanics/Latinos, American Indians/Alaska Natives, Asian Americans, Native Hawaiians and other Pacific Islanders, socioeconomically disadvantaged populations, underserved rural populations, and sexual and gender minorities. Projects that include populations that identify across more than one health disparity group are encouraged.
Higher Education Institutions
- Public/State Controlled Institutions of Higher Education
- Private Institutions of Higher Education
- The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:
- Hispanic-serving Institutions
- Historically Black Colleges and Universities (HBCUs)
- Tribally Controlled Colleges and Universities (TCCUs)
- Alaska Native and Native Hawaiian Serving Institutions
- Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)
Nonprofits Other Than Institutions of Higher Education
- Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
- Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)
- Small Businesses
- For-Profit Organizations (Other than Small Businesses)
- State Governments
- County Governments
- City or Township Governments
- Special District Governments
- Indian/Native American Tribal Governments (Federally Recognized)
- Indian/Native American Tribal Governments (Other than Federally Recognized)
- U.S. Territory or Possession
- Independent School Districts
- Public Housing Authorities/Indian Housing Authorities
- Native American Tribal Organizations (other than Federally recognized tribal governments)
- Faith-based or Community-based Organizations
- Regional Organizations
Applications are due November 27, 2020.