Midcareer Mentoring Award for Patient-Oriented Research in Aging

以患者为导向的老龄化研究职业生涯中期指导奖

基本信息

批准号：
9891169
负责人：
Rachel M Werner
金额：
$ 19.5万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-15 至 2025-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/9891169
关键词：
Achievement Acute Address Affect Aging Alzheimer&apos s disease related dementia American Area Award Caliber Caring Chronic Chronic Disease Complex Coupled Data Set Dementia Disease Elderly Frequencies Funding Goals Government Growth Health Care Costs Health Care Reform Health Policy Healthcare Home environment Hospital Nursing Hospitalization Impact evaluation Incentives Investigation Length of Stay Measurement Measures Medicare Mentors Mentorship Methodology Mid-Career Clinical Scientist Award (K24)Nursing Homes Older Population Outcome Patient Care Patient Discharge Patient Education Patient-Focused Outcomes Patients Persons Policies Primary Health Care Provider Publishing Quality of Care Research Research Infrastructure Research Personnel Rewards Skilled Nursing Facilities System Training Training Programs Use Effectiveness Work acute care bundled payment care costs care delivery care giving burden caregiving clinical practice cost design experience experimental study health care delivery health care disparity improved innovation insight older patient patient oriented patient oriented research payment programs public health relevance recruit

项目摘要

Decades of evidence has found that despite the very high cost of health care in the US, older Americans routinely receive care that is suboptimal. While there have been enormous efforts to reform health care delivery through policy and payment reform to optimize the cost-quality tradeoff, relatively little is known about whether these changes have achieved the goal of improving care for older Americans and, if not, how to improve them so that they do. My current research makes innovative use of national datasets to conduct rigorous evaluations of the impact of these policies on the care provided to older adults. In addition to its methodological rigor, my research takes a real-world approach, evaluating outcomes that matter to both patients and providers. To date, I have conducted high-impact research examining the effect of health care policies on older adults, focusing in particular on improving quality measurement, evaluating whether policies and incentives aimed at improving quality and value are effective, and assessing which aspects of these measures and incentives work versus don't work. This research has provided practical lessons on ways to improve quality improvement initiatives and has helped inform the planning and implementation of new innovative delivery systems designed to improve patient care. It has also had a significant impact on clinical practice and policy for older adults. I am to continue conducting this research. Looking forward, I aim to expand my research program to examine the impact of health care policies and payment reform on older adults with dementia, a group that is particularly vulnerable and may experience numerous unintended consequences from payment reform; and to use my research program to train and mentor new investigators in the field of improving health care delivery for older adults. Thus, the specific aims of this proposal are: (1) To conduct high-quality research examining the impact of health care policies and delivery systems on quality of care for older adults with chronic and complex illness, with the goal of expanding this research to examining these effects in person with Alzheimer's disease and related dementias; and (2) To use my research as a platform to mentor new investigators in improving health care delivery for older adults, to help them become independent investigators and support the expansion of the field with well-trained patient-oriented researchers in aging. My overall objective is to improve the quality of care for older adults with chronic and complex diseases. Ultimately, my ongoing and proposed research, coupled with my mentorship program to train outstanding investigators in the field, will help address the critical need to reform the health care delivery system to efficiently improve quality for the millions of aging Americans who are in need of better care.

数十年的证据发现，尽管美国的医疗保健成本很高，但老年人通常会接受次优的护理。尽管已经付出了巨大的努力来改革医疗保健通过政策和付款改革交付以优化成本质量的权衡，对这些变化是否实现了改善对年长美国人的护理的目标，如果没有，改进它们，以便他们这样做。我目前的研究使国家数据集的创新使用来进行严格评估这些政策对提供给老年人的护理的影响。除了它的方法论上的严格性，我的研究采用了现实世界的方法，评估对两者都重要的结果病人和提供者。迄今为止，我已经进行了高影响研究的研究，研究了医疗保健的影响对老年人的政策，特别是改善质量测量，评估是否政策旨在提高质量和价值的激励措施有效，并评估这些方面的哪些方面措施和激励措施的工作与不起作用。这项研究为方法提供了实用的教训改善质量改进计划，并有助于告知新的计划和实施创新的交付系统旨在改善患者护理。它也对临床产生了重大影响老年人的实践和政策。我要继续进行这项研究。展望未来，我的目标是扩大我的研究计划旨在研究医疗保健政策和付款改革对老年人的影响痴呆症，一个特别容易受到伤害，可能会遇到许多意想不到的后果从付款改革中；并使用我的研究计划来培训和指导新的研究人员改善老年人的医疗保健分娩。因此，该提案的具体目的是：（1）进行高质量的研究研究了医疗保健政策和交付系统对护理质量的影响患有慢性和复杂疾病的老年人，目的是将这项研究扩展到检查这些研究对阿尔茨海默氏病和相关痴呆症的亲身影响；（2）将我的研究用作平台指导新调查人员改善老年人的医疗保健服务，以帮助他们变得独立研究人员并支持培训良好的以患者为导向的研究人员在衰老中的扩展。我的总体目标是提高患有慢性和复杂疾病的老年人的护理质量。最终，我正在进行的和拟议的研究，再加上我的指导计划，以培训杰出该领域的调查人员将有助于解决改革医疗保健提供系统的关键需求有效地提高需要更好护理的数百万年龄的美国人的质量。