Demonstrating, testing, and disseminating a sustainable model for academic detailing programs

展示、测试和传播学术详细项目的可持续模型

• 批准号: 10004642
• 负责人: Michael A. Fischer
• 金额: $ 39.35万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10004642
• 关键词: Demonstrating; testing; disseminating; sustainable; model

Abstract Health care systems are seeking to close the gap between actual medical practice and optimal clinical decision making as guided by evidence-based medicine. Academic detailing (AD), direct outreach education from trained professionals to front line clinicians, has been proven effective in scores of research studies. Many health care systems have expressed interest in implementing AD, but lack the expertise and resources to design a program, train personnel to deliver the outreach education, and evaluate the program’s impact. The National Resource Center for Academic Detailing (NaRCAD), supported by AHRQ, has developed a curriculum that has been used to train over 400 health professionals in the techniques of AD and has worked with dozens of health care systems and public health department to support the planning and implementation of AD programs. At present, however, these organizations still rely on direct assistance from NaRCAD to receive this training and support. We propose a demonstration project that will develop, test, and disseminate a set of tools that will provide health care systems with the capacity to implement and sustain AD programs. The first step will be a comprehensive survey that will both characterize in detail the current scope and structure of AD programs and serve as a needs assessment for health care systems seeking to use this approach. We will then work with experienced academic detailers from leading programs to develop and field test a train-the-trainer curriculum, building on our existing training program, to yield a cohort of graduates able to initiate and independently sustain training in the techniques of academic detailing. As these new trainers prepare additional academic detailers, we will disseminate the train-the-trainer curriculum to health care systems nationally. In addition, we will collaborate with several of the larger health care systems currently using AD to develop an evaluation guide, taking advantage of NaRCAD’s positioning in a research group with expertise in analysis of multiple types of healthcare data. The evaluation guide will be designed for use by health care systems newly implementing or seeking to assess and improve their AD programs and will allow systems to evaluate academic detailers on their knowledge, proficiency, and impact on medical outcomes. Finally, we will combine the findings from this demonstration project into a comprehensive toolkit that we will disseminate to health care systems broadly, building on AHRQ’s ongoing Comparative Health System Performance Initiative that seeks to support learning health systems. Health care systems will be able to use the toolkit to build capacity to independently design an AD program, train detailers, and evaluate their skills and impact, with support available as needed to ensure that these efforts are conducted with the highest quality.

抽象的 医疗保健系统正在寻求缩小实际医疗实践与最佳临床之间的差距 以循证医学为指导的决策制定，直接推广教育。 从经过培训的专业人员到一线人员的青睐，已被大量研究证明是有效的。 医疗保健系统已表示有兴趣实施 AD，但缺乏专业知识和资源 设计一个计划，培训人员提供外展教育，并评估该计划的影响。 国家学术详细资源中心 (NaRCAD) 在 AHRQ 的支持下，开发了 该课程已用于对 400 多名卫生专业人员进行 AD 技术培训，并取得了成效 与数十个医疗保健系统和公共卫生部门一起支持规划和实施 然而，目前这些组织仍然依赖 NaRCAD 的直接援助。 接受这种培训和支持。 我们提出了一个示范项目，该项目将开发、测试和传播一套工具，这些工具将 为医疗保健系统提供实施和维持 AD 计划的能力。 全面的调查将详细描述 AD 计划的当前范围和结构， 作为寻求使用这种方法的医疗保健系统的需求评估，然后我们将与之合作。 来自领先项目的经验丰富的学术详细人员，负责开发和现场测试培训师培训课程， 以我们现有的培训计划为基础，培养一批能够独立启动的毕业生 当这些新培训师准备额外的学术内容时，继续进行学术细节技术的培训。 我们将向全国医疗保健系统传播培训师培训课程。 将与目前使用 AD 的几个较大的医疗保健系统合作进行评估 指南，利用 NaRCAD 在研究小组中的地位，该研究小组具有多种分析的专业知识 评估指南将被设计供医疗保健系统使用。 实施或寻求评估和改进他们的 AD 计划，并将允许系统评估 学术详细说明者的知识、熟练程度以及对医疗结果的影响。 最后，我们将把这个演示项目的研究结果结合到一个综合工具包中， 我们将在 AHRQ 正在进行的比较卫生系统的基础上广泛传播到卫生保健系统 旨在支持学习型医疗保健系统的绩效计划将能够使用。 该工具包可培养独立设计 AD 计划、培训细节人员并评估其技能和能力的能力 影响力，并根据需要提供支持，以确保这些努力以最高质量进行。