Dyadic Processes in the Patient-Provider Relationship

医患关系中的二元流程

基本信息

批准号：
8501682
负责人：
MALLORY O JOHNSON
金额：
$ 15.49万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2014-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8501682
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Adherence Applications Grants Area California Caring Clinic Clinical Clinical Sciences Complement Complex Coupled Data Data Analyses Data Collection Development Electronic Health Record Electronic Mail Electronics Equilibrium Foundations Funding Future HIV Health Institutes International Intervention Link Manuscripts Measures Medical Medical Informatics Medicine Mentors Midcareer Investigator Award in Patient-Oriented Research Modeling Morbidity - disease rate Outcome Patient Preferences Patients Policies Population Positioning Attribute Primary Health Care Principal Investigator Process Provider Public Health Publishing Quality of life Records Research Research Infrastructure Research Personnel Resources Role San Francisco Seeds Side Structure System Talents Technology Time Training Translational Research Treatment outcome United States United States National Institutes of Health Universities base career career development design empowerment evidence base health care delivery improved innovation interest mortality patient oriented research preference professor programs psychosocial public health relevance research and development research study satisfaction shared decision making social theories tool treatment adherence

项目摘要

DESCRIPTION (provided by applicant): Dr. Mallory Johnson is Associate Professor in the Department of Medicine at the University of California San Francisco. Over the past decade, he has developed a thriving program of multi-disciplinary collaborative research focused on improving HIV treatment outcomes through patient empowerment. The purpose of this K24 is to request the necessary funding to (1) provide expanded mentoring of early career clinician- researchers in patient-oriented research (POR), and (2) extend his current research program to the study of patient-provider dyads, which will be studied through the integration of research tools into electronic health records (EHR) systems. Dr. Johnson's trainees have emerged as research clinicians interested in conducting POR. There is a critical need for a better understanding of how the patient-provider relationship influences health outcomes and how these relationships can be augmented to improve outcomes. Much of the existing research on this topic is limited to a single perspective of the patient-provider relationship, but seldom do studies attempt to understand the relationship and its implications simultaneously from the patients and providers. Understanding how to measure and analyze the relationship from these two sides is a critical step in developing an effective model for interventions. Further, it is clear that medical informatics will become an increasingly central base of healthcare delivery in the United States and developing world. The proposed research emphasizes the contextual role of EHRs and other technologies (such as email, patient access to online information portals, etc) on the patient-provider dyads, with an emphasis on decisional balance preferences. Therefore, the candidate seeks to bridge these areas through gaining expertise in medical informatics, provider relations, dyadic data analysis, and international collaborative research to remain on the cutting edge of this rapidly evolving field. The K24 support would insure sufficient time to pursue this natural progression of his research while protecting time to devote to mentoring future clinician investigators in POR. The plans for development, research, and mentoring were designed to complement each other and to create a synergistic effect of mentoring and research in a new direction of POR. The proposed mentoring, research, and career development activities actively leverage existing infrastructure, resources and training initiatives provided by NIH, including the candidate's active research program, the Center for AIDS Prevention Studies (CAPS), the Center for AIDS Research (CFAR), and the Clinical and Translational Science Institute (CTSI) at UCSF.

描述（由申请人提供）：Mallory Johnson 博士是加州大学旧金山分校医学系副教授。在过去的十年中，他制定了一个蓬勃发展的多学科合作研究计划，重点是通过患者赋权来改善艾滋病毒治疗结果。该 K24 的目的是请求必要的资金，以 (1) 为早期职业临床医生-研究人员提供以患者为导向的研究 (POR) 的扩展指导，以及 (2) 将其当前的研究项目扩展到患者与提供者二元组的研究，将通过将研究工具集成到电子健康记录（EHR）系统中来进行研究。 Johnson 博士的学员已成为对进行 POR 感兴趣的临床研究医生。迫切需要更好地了解患者与提供者关系如何影响健康结果以及如何增强这些关系以改善结果。关于这一主题的大部分现有研究仅限于患者与提供者关系的单一视角，但很少有研究尝试同时从患者和提供者的角度理解这种关系及其影响。了解如何衡量和分析这两个方面的关系是开发有效干预模型的关键一步。此外，很明显，医疗信息学将成为美国和发展中国家医疗保健服务日益重要的核心基础。拟议的研究强调了电子病历和其他技术（例如电子邮件、患者访问在线信息门户等）对患者-提供者二元体的背景作用，并强调决策平衡偏好。因此，候选人寻求通过获得医疗信息学、提供者关系、二元数据分析和国际合作研究方面的专业知识来弥合这些领域，以保持在这个快速发展领域的前沿。 K24 的支持将确保他有足够的时间来追求研究的自然进展，同时保留时间来致力于指导未来的 POR 临床医生研究人员。开发、研究和指导计划旨在相互补充，并在 POR 新方向上产生指导和研究的协同效应。拟议的指导、研究和职业发展活动积极利用 NIH 提供的现有基础设施、资源和培训举措，包括候选人的积极研究计划、艾滋病预防研究中心 (CAPS)、艾滋病研究中心 (CFAR) 和加州大学旧金山分校临床与转化科学研究所 (CTSI)。