COLORECTAL CANCER SCREENING IN PRIMARY CARE PRACTICE

初级保健实践中的结直肠癌筛查

• 批准号: 7023695
• 负责人: STEVEN Mark ORNSTEIN
• 金额: $ 28.04万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7023695
• 关键词: clinical research; colorectal neoplasms; medical records; medicine; model; performance

DESCRIPTION (provided by applicant): Colorectal cancer (CRC) is the second leading cause of cancer death in the United States and early detection and treatment of the illness and precursor lesions can prevent many of these deaths. Yet a majority of American adults have not received CRC screening, and improved CRC screening is one component of the nation's Healthy People 2010 goals. The Practice Partner Research Network (PPRNet), a practice-based research network among primary health care providers practicing in 33 States who use a common electronic medical record (EMR), has developed a quality improvement model for successfully translating cardiovascular research into primary care practice termed PPRNet-TRIP. PPRNet-TRIP incorporates prioritization of evidence-based quality philosophies, involving all staff (teamwork), delivery system redesign, patient activation, and EMR tools for individualized and population-based medicine. PPRNet-TRIP is implemented in practice settings through a combination of practice performance reports, practice site visits, network meetings, and web-based tools. The purpose of the activities proposed in the application is to assess, through a randomized controlled clinical trial in 30 primary care practices whether PPRNet-TRIP can also improve provider recommendation and patient receipt of CRC screening. The project will be 4 years in duration, with a two-year intervention. Fifteen practices will be randomly allocated to a control group and 15 to an intervention group. Control group practices will receive CRC screening guidelines. Intervention group practices will receive CRC screening performance reports and participate in twice-yearly practice site visits and annual research meetings to help them adopt the PPRNet-TRIP improvement model for CRC screening. After two years the impact of the intervention on CRC screening recommendation and completion will be assessed. A mixed-method process evaluation will also be conducted to assess the adoption of PPRNet-TRIP within participating practices.

描述（由申请人提供）： 结直肠癌（CRC）是美国癌症死亡的第二大原因，早期发现和治疗疾病和前体病变可以预防许多此类死亡。然而，大多数美国成年人尚未接受CRC筛查，改善CRC筛查是美国2010年健康人民目标的一部分。实践合作伙伴研究网络（PPRNET）是在33个使用普通电子病历（EMR）的州的初级卫生保健提供者中基于实践的研究网络，已开发出一种质量改进模型，用于成功将心血管研究成功地转化为被称为PPRNET-Trip的初级保健实践。 PPRNET-TRIP纳入了基于证据的质量理念的优先级，包括所有员工（团队合作），交付系统重新设计，患者激活和EMR工具，用于个性化和基于人群的药物。 PPRNET-TRIP通过实践绩效报告，实践网站访问，网络会议和基于Web的工具的结合在实践设置中实现。应用程序中提出的活动的目的是通过30种初级保健实践中的随机对照临床试验评估PPRNET-Trip是否还可以改善提供者的建议和患者接受CRC筛查。该项目将在持续时间为4年，并进行两年干预。 15个实践将随机分配给对照组，15个做法分配给一个干预组。对照组实践将获得CRC筛查指南。干预小组实践将获得CRC筛查绩效报告，并参加每年两次的练习现场访问和年度研究会议，以帮助他们采用PPRNET-Trip改进模型进行CRC筛查。两年后，将评估干预对CRC筛查建议和完成的影响。还将进行混合方法评估，以评估参与实践中PPRNET-Trip的采用。