Clinical Practice Network

临床实践网络

基本信息

批准号：
10663347
负责人：
Anil Vachani
金额：
$ 20.22万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10663347
关键词：
Advanced Malignant Neoplasm Area Black race Cancer Center Cancer Model Caring Catchment Area Clinical Clinical Informatics Clinical Oncology Clinical Services Communication Communities Community Health Continuity of Patient Care Country County Hospitals Data Store Department chair Ecosystem Effectiveness Ensure Environment Equity Evaluation Family Practice Female Health Services Accessibility Health system Hospitals Human Resources Informatics Infrastructure Internal Medicine Latinx Leadership Link Malignant Neoplasms Malignant neoplasm of lung Medicaid Medical center Medicine Modeling Oncology Patients Pennsylvania Philadelphia Physician Executives Physicians Pilot Projects Presbyterian Church Primary Care Provider Research Research Methodology Research Personnel Resources Science Screening for cancer Services Site Structure System Testing Uninsured Universities University Hospitals behavioral economics cancer care care delivery clinical care clinical infrastructure clinical practice clinical research site connected care data infrastructure data warehouse digital effectiveness testing electronic health record system evidence base experience health disparity implementation facilitation improved informatics infrastructure lung cancer screening metropolitan patient oriented patient population pragmatic trial primary care services screening screening program survivorship telehealth

项目摘要

PROJECT SUMMARY/ABSTRACT (CLINICAL PRACTICE NETWORK) The objective of the University of Pennsylvania Telehealth Research Center in Cancer Care (Penn TRC) Clinical Practice Network is to integrate telehealth research with clinical care across the cancer care continuum, while ensuring access to care among patients who experience health disparities or the digital divide. To do this, the Clinical Practice Network will provide leadership and access to Penn Medicine’s clinical ecosystem – including patients, physicians and other clinical personnel, clinical sites, telehealth capacity, and clinical informatics and data infrastructure – to ensure successful completion of the Center’s planned pragmatic trial, pilot projects, and future research and dissemination. The Clinical Practice Network will provide the ideal environment in which to generate a robust evidence base for patient-centered, sustainable telehealth models of cancer care delivery, while also serving as a model for other systems across the country. We focus on lung cancer as an exemplar model for telehealth across the care continuum, from screening to treatment to survivorship. Penn Medicine serves a diverse patient population in the greater Philadelphia metropolitan area, providing an ideal setting to test the effectiveness and equity of telehealth strategies and to identify how to integrate optimally and sustain telehealth across the cancer care continuum. The Clinical Practice Network will be an integrated and interdisciplinary effort embedded within the health system at Penn Medicine, with academic and community clinical sites spanning primary care and oncology care, all served by a common lung cancer screening program. Collectively, participating clinical sites serve more than 400,000 patients per year. The Clinical Practice Network’s specific aims are to: 1) Provide access to a network of primary care, cancer screening, and oncology clinical sites serving a diverse patient population; 2) Provide access to the telehealth, clinical informatics, and data infrastructure needed to support the execution of the pragmatic trial and pilot projects across the Clinical Practice Network; and 3) Provide leadership and integration of Penn TRC activities across all components within the Clinical Practice Network and between the Clinical Practice Network and all other components of the Penn TRC. Taken together, these aims ensure Penn TRC researchers will have the requisite access to clinical sites and personnel, a diverse and large patient population, and the telehealth, clinical informatics, and data infrastructure needed to implement and evaluate the telehealth strategies proposed in the Pragmatic Trial and pilot projects. Achieving these aims will ensure the Penn TRC is successful in improving cancer care effectiveness and equity through telehealth, communication science, and behavioral economics and disseminating evidence-based telehealth models of cancer care delivery.

项目摘要/摘要（临床实践网络）宾夕法尼亚大学癌症护理远程医疗研究中心 (Penn TRC) 的目标临床实践网络将远程医疗研究与整个癌症护理领域的临床护理相结合连续体，同时让经历健康差异或数字化的患者获得护理为此，临床实践网络将提供领导和访问 Penn Medicine 临床的机会。生态系统——包括患者、医生和其他临床人员、临床场所、远程医疗能力和临床信息学和数据基础设施——确保中心计划的务实顺利完成临床实践网络将提供理想的试验、试点项目以及未来的研究和传播。为以患者为中心的可持续远程医疗模式生成强大证据基础的环境我们专注于癌症护理服务，同时也成为全国其他系统的典范。癌症作为整个护理连续体远程医疗的典范模型，从筛查到治疗再到 Penn Medicine 为费城大都市区的不同患者群体提供服务，提供一个理想的环境来测试远程医疗策略的有效性和公平性，并确定如何临床实践网络将在整个癌症护理过程中优化整合并维持远程医疗。是宾夕法尼亚大学医学中心卫生系统内的综合性跨学科努力，涵盖初级保健和肿瘤护理的学术和社区临床站点，全部由一个共同的肺提供服务总共，参与的临床中心每年为超过 400,000 名患者提供服务。临床实践网络的具体目标是： 1) 提供初级保健、癌症网络的访问 2）提供远程医疗服务；支持实用试验和试点执行所需的临床信息学和数据基础设施整个临床实践网络的项目；以及 3) 领导和整合 Penn TRC 活动跨临床实践网络内的所有组件以及临床实践网络与所有组件之间总的来说，这些目标确保宾夕法尼亚大学 TRC 的研究人员能够必要的临床场所和人员、多样化且庞大的患者群体以及远程医疗，实施和评估远程医疗策略所需的临床信息学和数据基础设施务实试验和试点项目中提出的目标的实现将确保宾夕法尼亚大学 TRC 的实现。通过远程医疗、通信科学和行为经济学和传播基于证据的癌症护理远程医疗模型。