Dean Schillinger, MD 
   Lead,Safety Net National Resource Core



Our overarching goal is to develop new collaborations that can create openings for translational researchers to develop innovative social and medical interventions for at-risk populations in the places they receive services, and on their terms. These collaborations provide extremely efficient and effective vehicles for translational research and research translation, and lend themselves to “structural interventions” – sustainable interventions that affect policies, institutions, practices, and infrastructure – that, in turn, affect behavior and health.3 Understanding how and whether structural interventions affect diabetes trajectories represents a critical scientific gap that our Core can begin to address. The specific aims (SAs) of this core are to:

      1. To develop a practice-based research platform of safety net healthcare systems in California and parts of the US that fosters rigorous translational research and promotes uptake of scientific progress on the prevention and treatment of diabetes. Our goal is to enhance research and dissemination capacity in the nation’s safety net health system; infuse translational research efforts with insight into the social determinants of diabetes outcomes; and provide opportunities to test interventions that address social determinants.
      2. To actively partner with one social safety net system (the food banking system)– via Feeding America, a national agency of thousands of food banks, whose mission is to end food insecurity and promote health --- to foster translational research and promote uptake of scientific progress on the prevention and treatment of Type 2 diabetes. Our goal is to enhance our understanding of how food insecurity influences diabetes incidence, prevention efforts, and self-management; study novel models of integrating diabetes prevention and control efforts into the food bank system, including strengthening community-clinic linkages; and catalyze diabetes-related multidisciplinary research and dissemination efforts in the nation’s food safety net.
      3. To carry out regional exploratory work to extend our Center’s diabetes translational research into additional social safety net settings which show promise, such as public high schools, community gardens, English-as-a-Second-Language (ESL) classrooms, and social media platforms. Our goal is to provide research expertise to catalyze preliminary, multidisciplinary research efforts related to Type 2 diabetes in non-clinical settings that can be scaled up for larger studies and can be disseminated regionally and nationally.



Dean Schillinger, MD (University of California, San Francisco)

Dominic Dizon, MD (University of California, San Francisco)

Dennis Ross-Degnan, ScD (Harvard Pilgrim Health Care Institute)

Hilary Seligman, MD, MAS (University of California, San Francisco)

Julie Schmittdiel, PhD (Kaiser Permanente Northern California, Division of Research)

Stephen Soumerai, ScD (Harvard Pilgrim Health Care Institute)