Development of Iowa Research Network - IRENE

爱荷华州研究网络的发展 - IRENE

• 批准号: 6593782
• 负责人: PAUL ARTHUR JAMES
• 金额: $ 14.87万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6593782
• 关键词: clinical research; communication; diabetes mellitus; family medicine; health care quality; health care service availability; health science research support; health services research tag; human subject; information dissemination; interdisciplinary collaboration; interview; medically underserved population; patient care management; primary care physician; rural area; therapy compliance

DESCRIPTION (provided by applicant): The Iowa Research Network IRENE is a PBRN affiliated with the IAFP and the University of Iowa Department of Family Medicine. Its purpose is to create new knowledge that is relevant to rural primary care clinicians and their patients, with the outcome of improving patient care through the development of a primary care research laboratory. For category-1 funding, we intend to build the 1) organizational structure of IRENE to enable linkages between practicing clinicians and researchers, improving communication and establishing long-term commitments to common goals for research, 2) capacity building infrastructure to grow the network, especially in MUCs and among minority practices, certify physicians and offices for Federal Wide Assurance, and develop and test communication pathways to collect and disseminate research findings to practitioners, and 3) research development process to generate grant applications, conduct research, assure integrity of projects, and produce products of research for dissemination. The proposed pilot research project will address translation of research to care for diabetic patients. Although studies have evaluated physician adherence to practice guidelines in the management of patients with diabetes, few have assessed patient and physician factors that prevented adequate glycemic control, and none has assessed these factors in a rural setting. This study will evaluate these factors and test an intervention based on this evaluation. The study will involve at least 50 physicians, each of whom will enroll, sequentially from a random date, two patients with poorly controlled diabetes. All physicians and patients will be interviewed to collect information about barriers to care, and an interdisciplinary committee including a patient advocate will review this information. This committee, with input from prominent rural family physicians, will develop an intervention for the barriers to care and test this in an RCT. By examining the barriers and testing proposed remedies, we should learn a great deal about contributors to poor diabetic control and methods for improving diabetic care in primary care, particularly in rural settings.

描述（由申请人提供）：爱荷华研究网络 IRENE 是隶属于 IAFP 和爱荷华大学家庭医学系的 PBRN。 其目的是创造与农村初级保健临床医生及其患者相关的新知识，通过发展初级保健研究实验室来改善患者护理。 对于 1 类资助，我们打算建立 1）IRENE 的组织结构，以实现执业临床医生和研究人员之间的联系，改善沟通并建立对共同研究目标的长期承诺，2）能力建设基础设施以发展网络，特别是在 MUC 和少数群体诊所中，对医生和办公室进行联邦广泛保障认证，并开发和测试沟通途径，以收集并向从业者传播研究结果，以及 3) 研究开发流程，以生成拨款申请、开展研究、确保诚信项目，并制作研究产品以供传播。 拟议的试点研究项目将致力于将研究转化为糖尿病患者的护理。 尽管研究评估了医生在治疗糖尿病患者时遵守实践指南的情况，但很少有人评估妨碍充分血糖控制的患者和医生因素，也没有人评估农村环境中的这些因素。 本研究将评估这些因素并根据该评估测试干预措施。 该研究将涉及至少 50 名医生，每名医生将从随机日期起依次招募两名糖尿病控制不佳的患者。 所有医生和患者都将接受采访，以收集有关护理障碍的信息，包括患者倡导者在内的跨学科委员会将审查这些信息。 该委员会将根据知名农村家庭医生的意见，针对护理障碍制定干预措施，并在随机对照试验中进行测试。 通过检查障碍和测试所提出的补救措施，我们应该深入了解糖尿病控制不佳的原因以及改善初级保健中糖尿病护理的方法，特别是在农村地区。