Protocols to ascertain adverse events after telehealth sexual and reproductive health services

确定远程保健性健康和生殖健康服务后不良事件的协议

• 批准号: 10607368
• 负责人: Leah Ren-Ai Koenig
• 金额: $ 4.27万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10607368
• 关键词: Address; Adverse event; Blood Transfusion; COVID-19 pandemic; California; Caring; Childbirth; Clinical; Clinical Protocols; Clinical Services; Cohort Studies; Contraceptive methods; Cost Savings; Data; Data Analyses; Data Collection; Data Set; Data Sources; Development; Diagnosis; Doctor of Philosophy; Electronic Health Record; Ensure; Epidemiology; Evaluation; Event; Fellowship; Foundations; Future; Goals; Health; Health Personnel; Health Services; Health Services Research; Health Surveys; Health system; Healthcare; Home; Hospitalization; Incidence; Incomplete spontaneous abortion; Individual; Knowledge; Mentors; Methodology; Methods; Mission; Monitor; National Institute of Child Health and Human Development; National Research Service Awards; Outcome; Participant; Patient Outcomes Assessments; Patient Participation; Patient-Centered Care; Patient-Focused Outcomes; Patients; Performance; Persons; Pharmaceutical Preparations; Positioning Attribute; Pregnancy; Probability; Process; Proliferating; Protocols documentation; Provider; Reproductive Health; Reproductive Health Services; Reproductive Process; Research; Research Personnel; Role; Safety; Schedule; Sepsis; Services; Sexual Health; Sexually Transmitted Diseases; Statistical Methods; Surveys; Testing; Time; Training; United Kingdom; United States; United States Food and Drug Administration; Woman; Work; abortion; adverse event monitoring; adverse event risk; career; cost effective; cost effectiveness; data management; design; doctoral student; efficacy study; experience; follow-up; health care delivery; improved; innovation; insight; patient oriented; patient safety; patient screening; patient subsets; prospective; remote screening; reproductive; safety study; secondary analysis; service delivery; skills; telehealth

Project Summary This mentored Ruth L. Kirschstein National Research Service Award will provide the trainee, a PhD student in epidemiology at UCSF, with the training necessary to become a researcher in sexual and reproductive health. Her training goals for this fellowship are to gain expertise in health services research, bias analyses, and methods to address missing data under the guidance of a team of expert mentors. This fellowship will provide the applicant with the skills, content knowledge, and practical experience to launch an independent research career focused on the evaluation of service delivery innovations in sexual and reproductive health. Telehealth became a prominent method of sexual and reproductive health service delivery during the COVID- 19 pandemic. In telehealth services, patients are typically screened remotely, dispensed any medications by mail, and followed subsequently to monitor for the occurrence of adverse events. Some research suggests that telehealth patients may be less likely than those who receive in-person services to follow up with the telehealth provider after medications are dispensed, and the outcomes of patients who do not complete follow-up are not understood. The goal of this research is to evaluate the performance of telehealth protocols at identifying adverse events. Building on the applicant’s prior work and current research position, this F-31 will involve secondary analyses of data from a cohort study of patients who received telehealth sexual and reproductive health services, to (Aim 1) estimate the incidence of adverse events among patients who do not return for follow-up and (Aim 2) assess the timing and process of adverse events diagnoses after telehealth sexual and reproductive health services. This evidence will allow telehealth sexual and reproductive health providers to understand the risk of adverse events among their patients who do not return for follow-up and whether their current follow-up protocols are optimal for the identification of adverse events. Knowledge gained from this research will advance NICHD’s mission to ensure individuals are born healthy and wanted and that women are not harmed by reproductive processes. The major strengths of this proposal are that it: (1) relies on a large existing prospective dataset of US telehealth sexual and reproductive health patients, with which the applicant already has experience; (2) uses rigorous methods for evaluating bias and addressing missing data; and (3) tests clinically impactful hypotheses focusing on the timely and growing field of telehealth for sexual and reproductive health. The proposed research and training will prepare the applicant for her future career as an independent researcher focused on service delivery innovations in sexual and reproductive health care.

项目摘要 这项指导的露丝·柯希斯坦国家研究服务奖将为受训者提供博士学位的学生 UCSF的流行病学，并有必要成为性和再现健康研究人员的培训。 她的奖学金培训目标是获得卫生服务研究，偏见分析和 在专家导师团队的指导下解决丢失数据的方法。这个奖学金将提供 具有技能，内容知识和实践经验的申请人来启动独立研究 职业专注于评估性和再现健康方面的服务交付创新。 在Covid- 19大流行。在远程医疗服务中，通常对患者进行远程筛查，通过 邮件，然后随后监视发生不良事件的发生。一些研究表明 远程医疗患者的可能性可能不如接受远程医疗的人接近服务的患者 药物分配后提供者，未完成随访的患者的结果不是 理解。这项研究的目的是评估远程医疗方案的绩效 不利事件。在申请人先前的工作和当前研究职位的基础上，此F-31将涉及 对接受远程医疗性和生殖的患者的同类研究研究的次要分析 卫生服务，（目标1）估计不返回的患者之间发生不良事件的事件 随访和（AIM 2）评估远程医疗性和性行为后不良事件诊断的时间和过程 生殖健康服务。这些证据将使远程医疗和生殖健康提供者得以 了解不返回随访的患者中广告事件的风险 当前的后续方案方案对于识别不良事件是最佳的。从中获得的知识 研究将促进NICHD的使命，以确保个人天生健康和通缉，并且女性是 不受生殖过程损害。该提议的主要优势是：（1）依靠大型 美国远程医疗性和生殖健康患者的现有潜在数据集，申请人 已经有经验； （2）使用严格的方法来评估偏差并解决丢失的数据； （3） 测试临床上有影响力的假设，侧重于性和性远程医疗领域的性行为和 生殖健康。拟议的研究和培训将使申请人为她未来的职业做好准备 独立研究人员专注于性和再现的医疗保健服务的服务创新。