Enhancing Research Capacity in Geriatric Palliative Care

增强老年姑息治疗的研究能力

• 批准号: 9293941
• 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
• 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/9293941
• 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; Leadership; Life; Linear Models; Lung; Medical Education; Methods; Minority; Mission; Monoclonal Antibody R24; Morbidity - disease rate; Movement; Network Infrastructure; Older Population; Organ; Palliative Care; Patient Care; Patients; Persons; Physicians; Population; Population Growth; Public Health; Quality of Care; Quality of life; Recommendation; Recording of previous events; Reporting; Research; Research Design; Research Personnel; Research Project Grants; Resources; Retreatment; Scientist; Site; Societies; Statistical Methods; Statistical Study; Support System; Symptoms; 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; public health relevance; research and development; skills; success; support network; webinar

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）：社会面临其历史上最大的公共卫生挑战之一 - 老年人人口的增长以及由于慢性严重疾病而导致的发病率提高。在接下来的几十年中，大多数医生都会照顾患有多种合并症和漫长疾病的重病长者。大量证据 表明疾病的晚期阶段通常以治疗的身体困扰不足。分散的护理系统；医生，患者和家庭之间的沟通不良；以及家庭护理人员和支持系统的压力。在他们的报告《接近死亡：改善生命末期的护理》中，医学研究所呼吁专家干部为基于科学和实际有用的医学教育提供领导才能，并为严重和慢性病的患者组织和组织和进行临床，行为和卫生服务研究。 2006年，国家姑息治疗研究中心（NPCRC）在西奈山医学院成立，其使命是刺激，发展和资助，这些研究旨在为患有严重疾病，家人和护理人员的患者提供缓解症状，并改善痛苦的症状并改善护理。在过去的六年中，NPCRC已成为改善国家医疗保健系统中最病，最脆弱患者的护理质量的运动的关键因素。我们建立了一个姑息治疗研究人员网络，他们正在解决最脆弱的患者最紧迫的问题。 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.通过这些努力，我们的目标是确保所有医疗保健专业人员都拥有知识和证据基础，以提供高质量的姑息治疗，以迅速增加患有严重Illnes的老年人。

项目成果

The National Palliative Care Research Center: Ten Years of Promoting and Developing Research in Palliative Care.

国家姑息治疗研究中心：促进和发展姑息治疗研究的十年。

• DOI: 10.1089/jpm.2018.0204
• 发表时间: 2018
• 期刊: Journal of palliative medicine
• 影响因子: 2.8
• 作者: Morrison,RSean;Aldridge,MelissaD;Block,James;Chiu,Lily;Maroney,Catherine;Morrison,CoreyA;Meier,DianeE
• 通讯作者: Meier,DianeE