Enhancing Research Capacity in Geriatric Palliative Care

增强老年姑息治疗的研究能力

基本信息

批准号：
9113489
负责人：
R. Sean Morrison
金额：
$ 45.76万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-30 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9113489
关键词：
Acute Address Adult Age Aging Applications Grants Brain Caring Cessation of life Chronic Chronic Disease Clinical Colon Carcinoma Communication Communities Community Networks Comorbidity Country Data Dependence Development Device or Instrument Development Diagnosis Disease Distress Educational workshop Elderly Ensure Experimental Designs Face Family Family Caregiver Fostering Foundations Funding Generations Goals Grant Growth Health Health Professional Health Services Research Healthcare Healthcare Systems Heart Institute of Medicine (U.S.)Institutes Institution Interdisciplinary Study Knowledge Lead Leadership Life Linear Models Lung Medical Education Methods Minority Mission Monoclonal Antibody R24 Morbidity - disease rate Movement Network Infrastructure Organ Palliative Care Patient Care Patients Persons Physicians Population Population Growth Public Health Qualifying Quality of Care Quality of life Recommendation Recording of previous events Reporting Research Research Design Research Personnel Research Project Grants Resources Scientist Site Societies Staging Statistical Methods Statistical Study Support System Talents Techniques Time United States United States National Institutes of Health Work Writing base behavioral health care systems career cognitive performance end of life evidence base experience family support frailty improved interest knowledge base medical schools meetings physical symptom programs psychological symptom research and development skills success support network symptomatic improvement

项目摘要

DESCRIPTION (provided by applicant): Society is facing one of the largest public health challenges in its history - the growth of the population of older adults and increasing morbidity due to chronic serious illness. Over the next decades, most physicians will be caring for seriously ill elders with multiple comorbidities and lengthy duration of illness. Abundant evidence suggests that the advanced stages of disease are often characterized by inadequately treated physical distress; fragmented care systems; poor communication between doctors, patients, and families; and strains on family caregiver and support systems. In their report, Approaching Death: Improving Care at the End of Life, the Institute of Medicine called for a cadre of experts to supply leadership for scientifically- based and practically useful medical education and to organize and conduct clinical, behavioral, and health services research for patients with serious and chronic illness. In 2006, the National Palliative Care Research Center (NPCRC) was established at the Mount Sinai School of Medicine with a mission to stimulate, develop, and fund new research directed at providing relief from distressing symptoms and improving care for patients with serious illness, their families, and caregivers. Over the past six years, the NPCRC has emerged as a key contributor to the movement to improve quality of care for the sickest and most vulnerable patients in our nation's healthcare system. We have created a network of palliative care researchers who are addressing the most pressing problems of our most vulnerable patients. Building on the success of the NPCRC, we are seeking funding through this R24 mechanism to enhance our efforts to stimulate research for seriously ill older adults by creating a research technical assistance program for early- stage investigators through the NPCRC research network and catalyzing the development of research networks and multi-site studies in geriatric palliative care by supporting pilot/exploratory projects and the development of research collaborative for experienced investigators. Through these efforts, our goal is to ensure that all health care professionals have the knowledge and evidence base to provide high quality palliative care to the rapidly increasing numbers of older adults living with serious illnes.

描述（由申请人提供）：社会正面临着历史上最大的公共卫生挑战之一——老年人口的增长和慢性严重疾病导致的发病率的增加。在接下来的几十年里，大多数医生将照顾患有多种合并症且病程较长的重病老年人。证据充分表明疾病的晚期阶段通常以身体不适治疗不充分为特征；护理系统分散；医生、患者、家属之间沟通不畅；以及家庭护理人员和支持系统的压力。在《临近死亡：改善临终护理》报告中，医学研究所呼吁一批专家为基于科学和实用的医学教育提供领导，并组织和开展临床、行为和健康服务研究对于患有严重和慢性疾病的患者。 2006 年，国家姑息治疗研究中心 (NPCCRC) 在西奈山医学院成立，其使命是促进、开发和资助新的研究，旨在缓解痛苦的症状并改善对严重疾病患者的护理，他们的家庭和照顾者。在过去六年中，NPCCRC 已成为提高我国医疗保健系统中病情最严重和最脆弱患者的护理质量运动的关键贡献者。我们创建了一个姑息治疗研究人员网络，他们正在解决最脆弱患者最紧迫的问题。在 NPCRC 成功的基础上，我们正在通过 R24 机制寻求资金，以加强我们的努力，通过 NPCRC 研究网络为早期研究人员创建研究技术援助计划，并促进针对重病老年人的研究的发展。通过支持试点/探索性项目以及为经验丰富的研究人员发展研究合作，建立老年姑息治疗的研究网络和多地点研究。通过这些努力，我们的目标是确保所有医疗保健专业人员拥有知识和证据基础，为数量迅速增加的患有严重疾病的老年人提供高质量的姑息治疗。