Enhancing Comparative Effectiveness Research Capabilities in PPRNet

增强 PPRNet 的比较有效性研究能力

基本信息

批准号：
8015657
负责人：
STEVEN Mark ORNSTEIN
金额：
$ 97.29万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-01 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8015657
关键词：
Enhancing Comparative Effectiveness Research Capabilities

项目摘要

DESCRIPTION (provided by applicant): High quality epidemiologic and comparative effectiveness research is needed to inform the health system about how to best care for people with multiple chronic illnesses since approximately one quarter of Americans fit this designation. The intent of the proposed work is to greatly enhance the capability of an existing, successful primary care practice-based research network (PBRN) to conduct these kinds of research. The work will be done in Practice Partner Research Network (PPRNet), a national PBRN among 156 primary care practices in 40 States who use a common electronic medical record (EMR) and pool nonidentifiable data for quality improvement and research. PPRNet researchers, located at the Medical University of South Carolina, will conduct the work, which will comprise of both infrastructure development and conduct of a primary research project designed to test the capability of the new infrastructure. Infrastructure development planned includes a set of activities intended to expand PPRNet to at least 250 practices and development of sophisticated computer algorithms to enhance the ability of researchers to identify patients with any of 20 chronic medical conditions. The primary research project will be a cross-sectional epidemiologic study, comparing the delivery of recommended preventive services among patients with no chronic illness, one chronic illness, and multiple chronic illnesses. To date there is inadequate information about the relationship between chronic illness and receipt of preventive services. The proposed research will address this issue and findings will likely lead to a variety of investigations designed to improve preventive services delivery to patients with multiple chronic illnesses. PUBLIC HEALTH RELEVANCE: Understanding the intent to which patients with multiple chronic illnesses receive recommended preventive services and designing strategies to improve this aspect of medical care are important priorities for the U.S. health care system. The activities planned in this proposal will further develop capabilities of an existing primary care practice based research network to conduct this research and support its research designed to address these issues.

描述（由申请人提供）：需要高质量的流行病学和比较有效性研究，以告知卫生系统如何为多种慢性病患者提供最好的护理，因为大约有四分之一的美国人适合此名称。拟议的工作的目的是极大地增强现有的，成功的初级保健研究网络（PBRN）进行此类研究的能力。这项工作将在实践合作伙伴研究网络（PPRNET）中完成，这是40个州使用常见电子病历（EMR）和池非识别数据进行质量改进和研究的40个州的156个初级保健实践中的国家PBRN。位于南卡罗来纳州医科大学的PPRNET研究人员将进行这项工作，该研究将包括基础设施开发和主要研究项目的进行，旨在测试新基础设施的能力。计划开发的基础设施开发包括一系列旨在将PPRNET扩展到至少250种实践的活动，并开发了复杂的计算机算法，以增强研究人员识别患有20种慢性医疗状况的患者的能力。主要研究项目将是一项横断面流行病学研究，比较没有慢性病，一种慢性疾病和多种慢性病的患者中推荐的预防服务的提供。迄今为止，关于慢性病与收到预防服务之间关系的信息不足。拟议的研究将解决此问题，发现可能会导致各种调查，旨在改善多种慢性病患者的预防服务。公共卫生相关性：了解多种慢性疾病的患者获得建议的预防服务和设计策略以改善医疗服务的意图是美国医疗保健系统的重要重点。本提案中计划的活动将进一步发展基于初级保健实践的研究网络的能力，以进行这项研究并支持其旨在解决这些问题的研究。