Information, New Technology Exchange for Rapid Action, Compliance and Treatment

信息、新技术交流，促进快速行动、合规和治疗

• 批准号: 7099396
• 负责人: Carrie L. Byington
• 金额: $ 11.8万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-31 至 2008-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7099396
• 关键词: active immunization; behavioral /social science research tag; clinical trials; communicable disease control; health care personnel education; health care personnel performance; human subject; information systems; patient care management; public health; respiratory disease /disorder therapy; therapy compliance

Vaccine preventable communicable respiratory illnesses are major causes of morbidity and mortality in US children and adults represent a major challenge to public health and clinician providers. From a public health perspective challenges include assuring immunization, especially in groups where immunization is voluntary, surveillance for these pathogens, case and contact investigation, and the public health burden of antibiotic resistance associated with treatment of viral respiratory infections. From a clinician perspective, time pressures limit their attention to the public health considerations associated with the prevention and treatment of vaccine-preventable respiratory infections. Treating physicians may have difficulty locating and interpreting public health guidelines, and these guidelines often lack specificity for treatment and do not include local surveillance data. We believe that these problems are fundamentally related to communication between public health and clinician providers. The goal of this project is to align public health and clinical practice by taking advantage of information technology to make public health practice more efficient and effective and to advance appropriate clinical management with respect to immunization, diagnostic testing, and prescribing of antiviral and antimicrobial medications. This project will focus on vaccine-preventable or potentially preventable respiratory infections due to influenza, pertussis, Neiserria meningitidis, Streptococcus pneumoniae, and respiratory syncytial virus. The specific aims are: 1) Extend a system for email communication, distribution of surveillance reports, and retrieval of reference information to public health and clinician providers in Utah, 2) Measure the effect of electronic information exchange system on knowledge, awareness, efficiency, and communication on the part of clinicians and public health personnel, 3) Conduct a nested trial, randomly allocating urgent care centers and primary care clinics to receive surveillance reports for vaccine preventable respiratory illnesses with or without tailored clinical management recommendations, 4) Measure the effect of receiving surveillance reports coupled with tailored clinical recommendations on therapeutic management endpoints including antimicrobial and antiviral use and on secondary endpoints of immunization rates in targeted populations. The project will be referred to as the Information and New Technology Exchange for Rapid Action, Compliance, and Treatment (INTERACT).

疫苗可预防的传染性呼吸道疾病是美国发病和死亡率的主要原因 儿童和成人是公共卫生和临床医生提供者的主要挑战。来自公共卫生 观点挑战包括确保免疫，特别是在免疫是自愿的群体中， 这些病原体，病例和联系调查的监视以及抗生素的公共卫生负担 与病毒呼吸道感染的治疗相关的抗性。从临床医生的角度来看 压力将注意力限制在与预防相关的公共卫生方面的注意事项上 治疗可预防疫苗的呼吸道感染。治疗医生可能难以定位和 解释公共卫生指南，这些准则通常缺乏治疗的特殊性，并且不会 包括本地监视数据。我们认为这些问题从根本上与沟通有关 在公共卫生和临床医师提供者之间。该项目的目的是使公共卫生和临床保持一致 通过利用信息技术来实践公共卫生实践的效率和 有效并提高有关免疫，诊断测试的适当临床管理， 并开处方抗病毒和抗菌药物。该项目将着重于可预防疫苗或 由于流感，百日咳，Neiserria脑膜炎而引起的潜在可预防的呼吸道感染， 肺炎链球菌和呼吸道合胞病毒。具体目的是：1）扩展一个系统 电子邮件通信，监视报告的分发以及向公众检索参考信息 犹他州的健康和临床医生提供者，2）衡量电子信息交换系统对 临床医生和公共卫生人员的知识，意识，效率和沟通， 3）进行嵌套试验，随机分配紧急护理中心和初级保健诊所接受 可预防呼吸系统疾病的疫苗的监视报告，具有或没有量身定制的临床管理 建议，4）测量接收监视报告的效果以及量身定制的临床 有关治疗管理终点的建议，包括抗菌和抗病毒的建议以及 目标人群中免疫率的次要终点。该项目将被称为 信息和新技术交换，以进行快速行动，合规性和治疗（互动）。