Email
Edited with the information and annexes sent on
From :
Grant Administrator for the Grand Challenges in Global Health
<grants@grandchallengesgh.org>
Sent :
To : <rodolfo_stusser@hotmail.com>
Subject : Your Grand Challenge in Global Health LOI
Submission
Thank
you for submitting a Letter of Intent (LOI) to the Grand Challenges
in Global Health initiative.
Your
LOI has been submitted successfully, and the tracking number is
23478.
We will inform you about the status of your LOI in late March 2004.
There
will be no information available before then. For your records, here
is a copy of the contents of your LOI submission form.
LETTER OF INTENTION
PAGE 1 - SPONSORING ORGANIZATION AND
PROJECT INFORMATION
SPONSORING
INSTITUTION INFORMATION
Sponsoring Institution Name
Vedado
Community and Education Polyclinic (MINSAP) / Department of Health
and Society,
Street
Address
Calle 18 # 163 esquina a 15, Vedado, Plaza /
58183
City
Postal
Code
10400
Country
Web
Site Address
http://familydoctor.org/myhavananpolyclinic/
PROPOSAL INFORMATION
Grand Challenge
(GC
13) Develop technologies that permit quantitative assessment
of population health status
Title
Balanced Strategy and Tactics to Measure and Assess the Population
Health Status
Summary
Background:
Until
today the integral definition of health adopted by the World Health Organization
(WHO) in 1957, has not been enough traduced to an operational set of analytical
variables to be able to measure and assess integrally and balanced all the
components of the health it proposed in the human populations and in its
different subsystems. It is an old
problem with complex theoretical edges that needs the overcoming of the
classical pragmatic thought to discover new operational, technical, empirical,
analytical and integral approaches to obtain optimal solutions.
In
the developed countries, in comparison with the measurement of the status of
disease and incapacity, the health status has been poorly measured
directly and positively in the individual, family, and community, and in the
major populations until the country. In
the individual, the clinical absence, severity or number of acute/chronic and
transmissible/non transmissible diseases, familiar and environmental less and
more preventable risks of injuries, diseases, incapacities, and death, as well
as the maintenance into normality ranges of biological and psychological
parameters of tests, continue being the indirect and negative measures of
health. The same continues occurring in
the communities and populations with the absence or low epidemiological burden
of injuries and diseases by the rates of risk, incidence, prevalence,
mortality, lethality, and disability rates.
The start of the use of direct indexes of positive social and economical
issues of human development for the populations of the countries has attempted
to balance the lack of measures for the psychosocial well-being of them. The measures of the health of the families
are still beginning and dominated by few psychosocial variables, letting out
the genetic new variables, more than all the ones with a positive sense.
In
the developing countries, and more in those with less degree of advance, this
situation is even worse that in the most advanced ones, because the lack or
primitivism they have in their health and social systems to measure accurately
the clinical, epidemiological, demographical, and social measures, have obliged
to develop expensive systems of measurement and assessment.
Measuring
health depends of the type and degree of advance of the civilization and
its cultures, traditions, customs, religions, behaviors, economies, laws,
ideologies in any human system that is being measured. The measurement and
assessment of these variables transmitted by “memes” are as difficult to
measure with the classical public health concepts as the new genetic variables.
There
is a need for better health measuring and assessment strategy and tactics at
all the levels of the human system, analyzing and integrating the physical,
psychological and social well-being, proposed by the WHO definition of health,
with the new genetic variables, and variables of the standards and levels of
living and variables of quality of life. Finally, it is important to analyze
how the informatics, telemedicine, and the internet in primary care can impact
this.
Goal:
To discover and test a more balanced strategy with
analytical and integral tactics of quantitative-qualitative measurement and
assessment of the health for the individual, family, community, and for the
major populations till the country, with all their indirect and direct, negative
and positive, descriptive and action approaches
Methodology:
As
novel conceptual research method, it will take into consideration the quantity
and quality of health and health services from the primary care for the
individual, family, and community, to the major populations of the municipality
and province until the country, not isolated, but rather in close relation with
all the other economical and societal components of the standards and levels of
living established by the United Nations (UN) in 1954, more developed until now
with the concept of quality of life. In other words, it will
integrate the burden of risks, injury and disease, and lack of hygienic and
healthy life style, with the possibilities of promotion healthy and hygienic
life styles into the country development.
With
the previous premises, it will work in the improvement of the primary care
classification of health problems, but it also will work in the development of
a more developed classification of health status categories for the individual,
family, community, and major populations till the country, as well as in a more
developed health protection factors approach, and a more accurate
quantification of promotional protection fraction to improved the standards and
levels of health.
As
novel operational hypothesis, it will be analyzed if networking the health
passport with smart card through the internet could be a possible and economic
solution in the future into the new algorithms for the quick collection and
assessment of the health information of the systems.
As
novel operational research mean, it will be designed and carry out a
complementary web based research collaboration at a distance, with assistance
from Sweden, USA, Canada, and other developed European and Asia-Pacific
countries, which will work with a sample of interested developing countries of
Latin America, Africa, and Asia-Pacific, targets of the research. This, will be
coordinated and assisted by the related Clusters in the Pan American Health
Organization (PAHO) and the WHO’s headquarters, as well as other UN agencies,
the World Bank, and other international government and non government
organizations (NGOs).
The
samples of 4-8 countries advisers and 6-12 countries targets of the research,
as well as the principal and key investigators of most countries have not been
established yet excepting two. Sweden, country advising with its experienced Department of Health and Society of the Linköping
University and principal Swedish investigator, and Cuba as a country
target of the study, with its experimental primary care area of the Vedado
Community and Education Polyclinic of the Ministry of Public Health/Havana
University, and its main Cuban investigator.
We
would like to include also researchers in
As
key operational classical methods, it will have iterative and progressive:
international review and continued discussion of all the literature and
experience with the great diversity of indexes, variables, and measuring
analytic and integral tactics from the primary care local level of the
individual up to the country population level; generation of the new
hypothetical concepts and categories about positive health status,
classification categories and intervals, protection factor approach, and
methods and technologies of quantification of promotional protection fraction
to improved the standards and levels of health; search and selection of the
quantitative, semi-quantitative and qualitative variables to measure health and
life; creation and test of the operational tools to measure through interviews,
surveys, and registers, and assess the health status of the individual, family,
and community, and assess the health status for the major populations until the
country; and search for complete algorithms to prioritize and evaluate injury
and disease prevention and control interventions, integrally with health
promotion and control interventions.
Meeting the Grand Challenge:
The
scientific knowledge, strategy and tactics results of this research will not
solve all the problems of the measurement and assessment of the disease and
health status of all the human systems, but will allow a measurement more
valid, accurately, comparable, and economically in the populations of the less
developed countries. Nevertheless, the
results could be used also with the marginal poor individuals, family and
communities into the more developed countries, and perhaps with the non poor
and rich either, and anyway will allow better comparisons of the indicators
between the less and more developed populations, countries and world regions.
It
could be expected as potential benefits:
A standardized global system for assessing population disease and health
status from the individual, the family, and the community until the major
populations and the country; a more accurate assessment of injury and disease
prevalence, incidence, mortality and survival; a more accurate quantification
of preventable etiological fraction of injury and disease; a more developed
classification of health status categories, a more developed health protection
factors approach, and a more accurate quantification of promotional protection
fraction to improved the standards and levels of health.
The
results will be presented, discussed and published in international proceedings
of meetings, journals, and monographs, and if they are accepted by the
scientific community and the WHO headquarters, disseminated as guidelines by
the related clusters of the regional offices of the WHO, to overcome the
roadblock making more scientific the evidence-based decisions about
prioritizing scarce resources for the health and social forecasts and programs,
as well as for intervention evaluation in resource-poor settings.
Innovation:
Novel research conceptual method:
It
will take in consideration the results, methods and analytical tools developed
by the Human Genome Project, as well as of the systemic and integration
principles of the Proposal of Grand Challenge in June 2003: The Unity of Human Being Health Needs a Complementary
Program of Human Development, Behavior, Health, and Medicine Global Research
Projects, to Integrate with the Human Genome Project, accessible in the GCGH
database, and posted originally since 2000 in detail in: www.fortunecity.com/skyscraper/systems/1000/integration2.html
Novel operational scientific
hypothesis:
It
will take in consideration the new concept about the informatization
of the primary care and the health medical record with health passport by smart
card networked by the internet projected since May 2003 in the: Primary Care
Vedado e-Health Project: Outline of the Design, Rationale and Pilot Results,
posted in: http://shared-global.collexis.net/default.asp?key=proj and www.fortunecity.com/skyscraper/systems/1000/vedadoproject.htm
Novel research operational mean:
It
will use the concept, principles, and methods of the web based research
collaboration at a distance contained in the Proposal of Grand Challenge in
July 2003: Scientific North-South Collaboration
Needs Online Tele e-Health Research Through the Internet and Other Information
and Communication Technologies (ICTs), accessible in the GCGH database, and posted since 2003 in
detail in: www.fortunecity.com/skyscraper/systems/1000/ehrcoll.htm
Collaboration:
The
conceptual and operational design in detail of the project will be the first
part of the research project, with the same importance of the more technical
and factual parts of the carry out of the project, done all together, the
principal and key investigators of the adviser developed countries with the
principal and key investigators of the target developed countries, through
annual international workshops and continued international web based research
collaboration at a distance, initially through internet, and progressively with
other ICTs too.
Prof.
Lennart Nodenfelt will be
the lead of the group of the adviser developed countries, and Dr. Rodolfo Stusser
will be the lead of the group of the developing countries target of the
research. For traditional reasons the
funds of the research project will be completely managed by Prof. Nordenfelt from a developed country, in coordination with
Dr. Stusser from a target country.
Prof.
Nordenfelt and Dr. Stusser will be the two principal
investigators of this research project. The rest will be collaborating key
investigators by the rest of more developed and less developed countries
participating in the research.
The
recruitment through email of the other collaborators will be done immediately
we send this LOI to the Scientific Committee of the GCGH through a database of
the Global Forum for Health Research in its web site of the Medical Research
Councils of the countries of the world. A detailed description of the roles and
responsibilities of the two lead investigators and of each collaborating key
investigator by the participating countries will be done when the application
for the research project is accepted.
Part 2 – Principal Investigator
Information
Prefix (Dr.,
Mr., Ms., etc.)
Dr.
Name
Stusser, Rodolfo J.
Title
Researcher, Clinical Biostatistics and Epidemiology/Adviser, PC
Informatics and Telemedicine
Institutional
Subdivision
Primary Care Research and Telecommunication Unit
Institutional
Affiliation
Vedado Community and Education Polyclinic/Cuban Center for
Informatics and Telemedicine (Ministry of Public Health/Havana University)
Institutional Address:
Calle 18 # 163 esquina a 15, Vedado, Plaza, Havana 10400, Cuba
E-mail Address:
stusser@infomed.sld.cu
Web-Site Address:
http://familydoctor.org/myhavananpolyclinic/
www.fortunecity.com/skyscraper/systems/1000/
Telephone Number:
(537) 832-3461
FAX Number:
(537) 832-3461
Positions Held:
2002-2004
Senior Researcher and Consultant Professor; Head, Primary Care Research and
Telecommunications Unit, National Adviser for Primary Care Informatics, Vedado
Education Community Polyclinic, Ministry of Public Health, Havana University
1993-2002
Senior Researcher, Adviser and Consultant Professor on Clinical Biostatistics
and Epidemiology, Clinical
1990-2002 Senior Researcher, Adviser and Consultant
Professor on Health Biostatistics and Social Epidemiology, Plaza Education
Community Polyclinic, Ministry of Public Health, Havana University
1988-1990 Senior Adviser, Researcher and Consultant
Professor on Health Biostatistics and Epidemiology, Nicaraguan Vice-Ministry of
Research and Education of the Ministry of Health (MINSA) Central Headquarters Complejo Dra. Concepcion Palacios, District # 6,
Worked as Graduated Adjunct
Professor of
Last main international activities:
1 Lecture on "Health Research System in
Cuba" to the Governmental Delegation of Thailand during Bangkok's
International Conference of Health Research for Development & Forum 4, Oct.
2000; 25 Lectures on "Health Care, Research & Education in Cuba"
to 700 physicians, nurses, scientists, administrators & engineers of 30 US
People to People Ambassadors Program Delegations; consultanships
to Havanatur Agency & to PtPAP
HQ, Spokane, Washington, and to PtPI HQ, Kansas City,
at Havana, 2000-2002; 6 Lectures on "Health Care, Research & Education
in Cuba" to 150 physicians & academicians of 6 groups: 2 of the New
York Academy of International Studies, 3 of Californian Universities, and 1 of
the Sam Nunn School of the Georgia Tech Institute, Havana, 2002; Lectures on
Development & State of the Art of Informatics, Telemedicine, Internet and
other ICTs on Medicine & Health in Primary Care
& Family Medicine in the Vedado Polyclinic and Ministry of Public Health. First e-Health Project in a polyclinic in
Membership-Scientific Societies and Associations:
Nationals: Health Management & Biostatistics
(1974-), Oncology, Radiotherapy & Nuclear Medicine (1977-), General
Integral Medicine (1994-), Atherosclerosis (1995-), -Cuban Association of
Friendship with United Nations, Health Commission (2002-)
Internationals: Council of Mutual Economic Assistance
(CMEA) of the Eastern European Countries (1977-1987); Advisory Scientific
Council of the Nicaraguan Health Ministry (1988-1990); Clinical Biostatistics
(1998-); Internet in Medicine (1999-); Alliance for Health Policy & System
Research --Global Forum for Health Research - WHO (2000-); Expert/Lecturer on
Clinical Biostatistics of the International Atomic Energy Agency (2000-);
Adviser/Lecturer to US People to People Ambassadors Professional Cuban Program
(2000-); First Cuban International Member of the American Academy of Family
Physicians (2001-)
Other summarized and more detailed CV information
could be read in two web pages:
www.fortunecity.com/skyscraper/systems/1000/summcv.html
www.fortunecity.com/skyscraper/systems/1000/cvingles3.html
Education:
1988-2004
Post Grade Studies in Academic Family Medicine and Nuclear Medicine's
scientific research, training and collaboration in
1981-1988 Studies and degree
thesis for a "Doctorado en Ciencias
Médicas" (equivalent to the US Ph.D) on Anti-Cancer Struggle Scientific Forecast and
Policy 1985-2000, in the Cuban Institute of Oncology and Radiobiology at
1974-1977
Degrees of: "Especialista en Salud
Pública y Administración"
y "Especialista en Bioestadística"
(Both Equivalent to a US Master in Public Health & Managment
degree in our National Public Health School, and to US Master in Medical
Statistics, in the Health Development Institute, both at Havana
1971-74
Post Grade Studies and Training for a 1-year Board in General Internal Medicine;
training in General Practice, at
1968-1970
Studies and thesis of "Especialista en Ciencias Exactas y Básicas"
y "Especialista en Fisiologia
Humana" (Both Equivalent to a Master in Science, and to a Master in Human
Physiology, in the National Center for Scientific Research at Havana. Finished the first, but not the last one, because I wanted to move
to a more health and clinical applied science.
1962-1969
Undergraduate studies and degree of: Doctor in Medicine, equivalent to a M.D.
Basic and Preclinic Sciences Institute,
Publications (finest five):
-Batista J, Stusser R, Garcia E. et al. Improved detection of
myocardial perfusion reversibility by rest-nitro-glycerine
Tc-99m-MIBI: comparison with TI-201 reinjection. J Nucl Cardiol 1999;6:480-6. Medline
-Stusser
R, Batista J, et al. Long-term therapy with policosanol
improves treadmill exercise-ECG testing performance on coronary heart disease
patients. Int J Clin Pharmacol
Ther 1998; 36:469-73. Medline
-Stusser
R, Ordonez C, et al. [Low birthweight risks in the
Area Plaza of Havana]. PAHO Bull 1993;3:229-40.
Medline
-Stusser R,
-Stusser
R. [Factorial mortality structure of a sanitary region]. Rev Cub Adm Salud 1979;5:1:61-75.
Lilacs
Other Support: (List all support to your laboratory that exceeds
$50,000 per year. Briefly describe the
purpose of each grant or contract.)
The
Cuban laboratory will have to be equipped with updated personal computers and a
server, broad band Internet connections and other ICTs,
for international research collaboration at a distance, paid access to all the
scientific indexes in Internet and to the articles posted by the Journals,
money to travel to the countries, as well as a wagon with gasoline, oils, money
for spare parts, with possibilities to road in rural areas.
The
rest of the five to eleven developing countries that could participate would
have to invest in a similar infrastructure and will have similar current
expenses.
Page 3 – Collaborating Researcher
Information
Collaborator 2
Prefix (Dr.,
Mr., Ms., etc.)
Prof.
Name
Nordenfelt, Lennart
Title
Professor of Philosophy of Medicine
Institutional
Subdivision
Department of Health and Society
Institutional
Affiliation
Institutional Address:
58183
E-mail Address:
E-mail: Lenno@ihs.liu.se
Web-Site Address:
?
Telephone Number:
xx46-13-282213.
FAX Number:
xx46-13-282995.
Positions Held:
Administrative positions:
Member of the Board of Linköping
University, 1994-2000
Head of the Department of Health and Society,
University of Linköping, 1991-1994
Dean of the Faculty of Tema,
Research position:
Visiting Professor at the Department of Philosophy,
The University of Warwick, England, autumn 1998 and spring 1999
Academic
Position:
Professor at the Department of Health and Society,
International academic commitments:
Co-editor of the bookseries
European Studies in the Philosophy of Medicine and Health Care (Kluwer Academic Publishers)
Member of the following editorial boards:
Theoretical Medicine and Bioethics
The Journal of Medicine and Philosophy
Philosophy, Psychiatry, Psychology
Health Care Analysis
Scandinavian Journal of Occupational Therapy
Medicine, Health Care and
Philosophy.
Journal of Happiness Studies
Member of the editorial advisory board of the
Handbooks of Philosophy of Medicine (published by Kluwer,
President of the Nordic Network for Philosophy,
Medicine and Mental Health, 1995-
Member of the executive committee of the European
Society for the Philosophy of Medicine and Health care, 1996-
President of the European Society for the Philosophy
of Medicine and Health Care, 2001
Major national commitments:
Former Member of the Ethical Committee of the Swedish
Research Council of the Humanities and the Social Sciences,
Member of the Ethical Board of the Regional Council, Jönköping
Member of the Ethical Board of the
Former Member of the Ethical Board of the Regional
Council, Östergötland
Former member of the National Committee for Logic,
Methodology and Philosophy of Science (a subcommittee of the
President of the Executive Committee of the Swedish
Society for Philosophy 2001- 2003
Education:
Associate Professor (honorary)
(docent),
PhD,
MA (Fil lic),
BA, University of Uppsala, Sweden, 8.3.1965
(Theoretical Philosophy, Practical Philosophy, History of Science, History of
Religion, Slavonic languages)
Publications (finest five):
-Concepts
and Measurement of Quality of Life in Health Care, (ed)
-On the Nature of Health, Second enlarged edition,
-Action, Ability and Health: Essays in the Philosophy
of Action and Welfare, Kluwer, Dordrecht
2000.
-Health, Science, and Ordinary Language, Value Inquiry
Book Series, Rodopi,
-Dimensions of Health and Health Promotion, (ed.
together with Per-Erik Liss), Value Inquiry Book
series, Rodopi, Amsterdam, 2003.
Other Support: (List all support to
your laboratory that exceeds $50,000 per year.
Briefly describe the purpose of each grant or contract.)
The
Swedish laboratory will have to be equipped with updated personal computers and
a server, broad band Internet connections and other ICTs,
for international research collaboration at a distance, paid access to all the
scientific indexes in Internet and to the articles posted by the Journals,
money to travel to the countries, as well as a wagon with gasoline, oils, money
for spare parts, to access rural areas.
The
rest of the three to five developed countries that could participate would have
to invest in a similar infrastructure and will have similar current expenses.
Collaborators 2 and 3
Collaborator 2
Prefix (Dr.,
Mr., Ms., etc.)
Dr.
Name
Albert,
Marco J.
Title
Vice-Deputy
Institution Name
Vedado
Community and Education Polyclinic
Institutional Subdivision
Research
and Education Branch
Street Address
Calle 18 # 163 esquina a 15, Vedado,
City
Havana
Postal Code
10400
Country
Cuba
E-Mail
Web-Site Address:
http://familydoctor.org/myhavananpolyclinic/
Telephone number
(537)
833-8722
FAX nummber
(537)
8323-3461
Collaborator 3
Prefix (Dr.,
Mr., Ms., etc.)
M.Sc.
Name
Rodriguez,
Alfredo
Title
Director
Institution Name
Center
for Informatics and Telemedicine, MINSAP
Institutional Subdivision
Direction
Street
Address
Calle 23 Edificio Soto / N y M
City
Postal
Code
10400
Country
E-MAIL
Web-Site Address:
Telephone Number
(537)
55-3336
FAX Number
(537)
835-4650
Collaborator 4
Name
Hanging
Information
Collaborator 5
Name
Hanging
Information
ADDITIONAL COLLABORATING RESEARCHERS
Provide
Full contact as above for each. Please number each collaborator starting with number
six.
Hanging
Information
Part 3 – Estimated Budget
Information
What is the estimated total cost of
your project for the first year? $1,000,000 US dollars.
What is the number of years
requested for the project? (Maximum of five
years.) 5 years
What is the estimated total cost for
all years of the project? (The
total cost of the project cannot exceed $20 million ($US).
Maximum indirect costs are 15 percent of modified direct costs.)
$1,500,000 US dollars.
Part 4 – LOI Submission
Information
Sponsoring Institution's Responsible
Official
This
is the official that is authorized to make commitments on behalf of the
sponsoring institution
Prefix
MSc.
Name
Rodriguez,
Alfredo
Title
Director,
E-Mail
alfredo@cedisap.sld.cu
Telephone Number
(537)
55-3336
FAX Number
(537)
835-4650
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