Healthcare System & Technology Design Core

健康医疗体系

基本信息

批准号：
10670214
负责人：
DAVID CURTIS MOHR
金额：
$ 16.79万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-01 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10670214
关键词：
Acceleration Administrator American Behavior Behavior Therapy Capsicum Caregivers Caring Clinic Clinical Communication Consultations Cost Savings Decision Making Dementia Development Devices Disabled Persons Elderly Elements Evaluation Evidence based intervention Face Failure Family Frail Elderly Future Goals Health Care Costs Health Technology Healthcare Systems Home Human Intervention Knowledge Methodology Methods Modeling Outcome Patients Pattern Persons Pilot Projects Piper Process Randomized, Controlled Trials Research Research Personnel Self Care Services Technology Textiles Translating Universities Work anxiety symptoms depressive symptoms design digital health experience frailty health care service implementation science improved innovation model design multiple chronic conditions primary care practice primary care setting primary care team prototype service delivery technology development technology validation user centered design

项目摘要

ABSTRACT The objective of the Healthcare System & Technology Design Core (`Design Core') is to adapt and extend new methods for the design, deployment and evaluation of technology-enabled services tailored for older adults with multiple chronic conditions (MCC) and their caregivers. We will translate innovative research in digital health, building to scale for sustainable implementation in diverse primary care practices. Significant enthusiasm exists for technologies to transform healthcare service delivery. It has been proposed that technologies can improve quality and reduce the cost of healthcare, increase a patient's capacity to successfully engage in treatment decision-making and self-care behaviors, improve communication with a primary care team, moving treatment outside of clinics into peoples' homes and deploy a variety of devices to help embed services into the fabric of peoples' everyday lives. Unfortunately, for all the evidence demonstrating that such technologies can work under controlled conditions, we have identified several failures of technology development and evaluation that hinder meaningful impact on healthcare services for older adults with MCC. The Design Core's goal is to spur research on the integration of technologies into healthcare services for older adults with MCC and their caregivers. Our specific aims are to: Aim 1 Provide expertise to investigators in the design, evaluation and implementation of technology-enabled services for older adults with MCC and their caregivers. Aim 2 Create a prototype technology-enabled service, designed for older adults with MCC and symptoms of anxiety or depression, to communicate more effectively with their clinicians. Aim 3 Develop and disseminate a methodology guide that summarizes best practices for applying user- centered design (UCD) to optimize technology-enabled services for older adults with MCC. The Design Core will become a national hub of expertise in the design and evaluation of technology-enabled services for older adults with MCC (Aim 1). We will extend CBITs' expertise accumulated over 8 years and 70+ projects to support the design, development, and evaluation of technology-enabled services. We will devise an MCC-specific technology design prototype through a `reference' project (Aim 2). We will then integrate our work with other leaders nationally, producing an initial guide for supporting the development of technology enabled services appropriate for primary care settings and among older adults with MCC (Aim 3).

抽象的医疗保健系统和技术设计核心的目标（“设计核心”）是适应和扩展新的设计方法，部署和评估量身定制的技术支持服务患有多种慢性病 (MCC) 的老年人及其照顾者。我们将转化数字健康领域的创新研究，扩大规模在不同的初级保健实践中可持续实施。人们对改变医疗保健服务的技术抱有极大的热情送货。有人提出，技术可以提高质量并减少医疗保健成本，提高患者成功参与的能力治疗决策和自我护理行为，改善与患者的沟通一个初级保健团队，将治疗从诊所转移到人们的家中，并部署各种设备帮助将服务融入人们的日常生活。不幸的是，所有证据都表明由于这些技术可以在受控条件下发挥作用，我们已经发现了一些技术失败的地方阻碍对患有 MCC 的老年人的医疗服务产生有意义的影响的开发和评估。设计核心的目标是促进将技术整合到老年人医疗保健服务中的研究患有 MCC 的成年人及其照顾者。我们的具体目标是：目标 1 为研究人员提供技术支持的设计、评估和实施方面的专业知识为患有 MCC 的老年人及其照顾者提供服务。目标 2 创建一个基于技术的原型服务，专为患有 MCC 和以下症状的老年人而设计焦虑或抑郁，以便与临床医生更有效地沟通。目标 3 制定并传播方法指南，总结应用用户的最佳实践以中心设计 (UCD) 为患有 MCC 的老年人优化技术支持的服务。设计核心将成为技术驱动型设计和评估的国家专业知识中心为患有 MCC 的老年人提供服务（目标 1）。我们将扩展 CBIT 8 年和 70 多年积累的专业知识支持技术支持的服务的设计、开发和评估的项目。我们将设计一个通过“参考”项目（目标 2）设计 MCC 特定技术原型。然后我们将整合我们的工作与全国其他领导人一起制定支持技术发展的初步指南适合初级保健机构和 MCC 老年人的服务（目标 3）。