Toward a clinical trial of care integration in NM

NM 护理整合临床试验

基本信息

批准号：
7098686
负责人：
ROBERT L WILLIAMS
金额：
$ 10.99万
依托单位：
UNIVERSITY OF NEW MEXICO
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-15 至 2009-07-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): One of the challenges facing primary care clinicians who recognize the important role that complementary and alternative medicine (CAM) has in their patients' lives is to understand how to effectively serve their patients' interests through integrating the CAM and allopathic care. Primary care clinicians need to better understand the patterns of CAM use by their patients in order to integrate that care into their services. This is especially important in communities where traditional medicine concepts continue to have an important role. RIOS Net is a primary care practice-based research network, whose 170 members are primary care clinicians serving New Mexico's Hispanic and American Indian communities. Through their practice experience, these clinicians have set a priority on research to identify effective ways to integrate their patients' allopathic and CAM care. This project will provide key building blocks toward a clinical trial assessing the outcomes of a model of integration of allopathic primary care with CAM in the Southwest's Hispanic and American Indian communities. The specific aims for this pilot project are to: 1) document the decision-making process behind the use of CAM modalities, allopathic care, and their integration by Hispanic and American Indian patients of primary care providers in the Southwest; 2) to identify barriers to integration and to communication about CAM between primary care providers, patients, and CAM providers; and 3) to develop a model of integrative care for Hispanic and American Indian primary care patients in the Southwestern US. A two phase study is planned, using qualitative interviews with Hispanic and American Indian primary care patients of members of RIOS Net, and using interviews and focus groups with primary care clinicians serving these patients. The results will be used to design subsequent studies assessing frequency of use of CAM in primary care patients and exploring CAM providers perspectives on the process of integration of care, and to construct the clinical trial of integration of allopathic and primary care.

描述（由申请人提供）：认识到互补和替代医学（CAM）在患者生活中的重要作用的初级保健临床医生面临的挑战之一是了解如何通过整合CAM和同种疗法护理来有效地服务于患者的利益。初级保健临床医生需要更好地了解患者的CAM使用模式，以便将这种护理整合到他们的服务中。这在传统医学概念继续发挥重要作用的社区中尤其重要。 RIOS Net是基于初级保健的研究网络，其170名成员是为新墨西哥州西班牙裔和美洲印第安人社区服务的初级保健临床医生。通过他们的练习经验，这些临床医生将研究重点放在研究中，以确定将患者的同种疗法和CAM护理整合的有效方法。该项目将为临床试验提供关键的基础，以评估同种疗法初级保健与CAM在西南西班牙裔和美洲印第安人社区中的融合模型的结果。该试点项目的具体目的是：1）记录使用CAM模式，同种疗法护理以及西班牙裔和美洲印第安人在西南部初级保健提供者的融合背后的决策过程； 2）确定基础医疗提供者，患者和CAM提供者之间的集成和沟通障碍； 3）在美国西南部，为西班牙裔和美洲印第安人初级保健患者开发综合护理模型。计划进行两阶段研究，使用与西班牙裔和美洲印第安人初级保健患者的定性访谈，并使用为这些患者服务的初级保健临床医生的访谈和焦点小组。该结果将用于设计随后的研究，评估CAM在初级保健患者中使用频率，并探索CAM提供者对护理整合过程的观点，并构建同种疗法和初级保健整合的临床试验。