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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要这个由露丝·L·基尔施斯坦（Ruth L. Kirschstein）指导的国家研究服务奖将为实习生，一名博士生提供加州大学旧金山分校流行病学专业，接受过成为性健康和生殖健康研究员所需的培训。她对该奖学金的培训目标是获得卫生服务研究、偏见分析和该奖学金将提供在专家导师团队的指导下解决缺失数据的方法。申请人具备开展独立研究的技能、内容知识和实践经验职业重点是评估性健康和生殖健康方面的服务提供创新。在新冠疫情期间，远程医疗成为提供性健康和生殖健康服务的一种重要方法。 19 在远程医疗服务中，通常会对患者进行远程筛查，并由医生分发药物。一些研究表明，随后监测不良事件的发生。与接受面对面服务的患者相比，远程医疗患者跟进远程医疗的可能性可能较小配药后的提供者，以及未完成随访的患者的结果不这项研究的目的是评估远程医疗协议在识别方面的性能。基于申请人之前的工作和当前的研究职位，这架 F-31 将涉及不良事件。对接受远程性和生殖保健的患者队列研究数据的二次分析卫生服务，以（目标 1）估计未返回就诊的患者中不良事件的发生率随访和（目标 2）评估远程医疗性和健康后不良事件诊断的时间和过程该证据将使远程医疗性健康和生殖健康服务提供者能够了解未返回随访的患者发生不良事件的风险，以及他们是否目前的后续方案对于识别不良事件是最佳的。研究将推进 NICHD 的使命，确保个人出生时健康且受需要，并且女性该提案的主要优点是：（1）依赖大量。美国远程医疗性健康和生殖健康患者的现有前瞻性数据集，申请人可以使用这些数据集已经拥有经验；(2) 使用严格的方法来评估偏差和解决缺失数据；测试具有临床影响力的假设，重点关注及时且不断发展的性和健康远程医疗领域拟议的研究和培训将为申请人未来的职业生涯做好准备。独立研究人员专注于性健康和生殖健康保健服务提供创新。