Center for Virtual Care Value and Equity (ViVE)

虚拟护理价值和公平中心 (ViVE)

• 批准号: 10621602
• 负责人: Saif Khairat
• 金额: $ 76.12万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2028-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10621602
• 关键词: Academic Medical Centers; Acceleration; Address; Administrator; Adoption; American; COVID-19 pandemic; Caring; Clinical; Clinical Research; Clinical Sciences; Complex; Consensus; Consult; Cost Savings; Country; Data; Data Collection; Dedications; Development; Disease; Education; Educational workshop; Effectiveness; Ensure; Environment; Equitable healthcare; Equity; Ethnic Origin; Evaluation; Fee-for-Service Plans; Foundations; Funding; Future; Goals; Health; Health Services Accessibility; Health system; Healthcare; Human; Infrastructure; Institution; Interview; Investigation; Knowledge; Learning; Measurement; Measures; Modeling; Nature; North Carolina; Outcome; Patients; Pediatric Research; Policies; Policy Developments; Policy Maker; Population; Positioning Attribute; Productivity; Program Sustainability; Provider; Race; Research; Research Personnel; Research Support; Resources; Risk; Rural; Series; Services; Site; Socioeconomic Status; Structure; Time; Training; Translational Research; Underserved Population; Universities; Vision; Work; Workforce Development; access disparities; care costs; care delivery; care seeking; care systems; digital delivery; empowerment; evidence base; experience; geographic barrier; health care availability; health care delivery; health care service; health disparity; implementation framework; implementation science; improved; innovation; instrument; parity; payment; population health; preventable death; programs; research study; research to practice; skills; socioeconomics; success; telehealth; tool; underserved area; virtual healthcare; virtual world; webinar

Abstract Importance: Despite the emergence of virtual care (VC) programs during the COVID-19 pandemic, the sustainability of these programs is unknown because of concerns relating to health access disparities, future payment parity, effective integration into clinical workflows, and the misalignment of many of the goals of VC integration with a fee-for-service payment environment. Lack of access to Real-World VC Data and knowledge of the unique needs of different VC stakeholder groups exacerbates health disparities and can impede attaining financial sustainability. Similarly, there is no consensus on evidence-based research measurements specific to VC, which hinders the effectiveness and sustainability of VC Objective: Lay strong foundation for future adoption and dissemination of VC research capabilities. Specific aims: (1) Build and promote a productive coalition of internal and external resources, thought leaders and stakeholder representatives to enable the use of Real-World VC Data and to generate innovative and pragmatic approaches to advance scalable equity and value in VC both locally and nationally. (2) Assess the facilitators and barriers for key stakeholders to achieve equitable and sustainable VC by conducting two rounds of semi-structured interviews. (3) Develop and validate consensus around VC Equity and Value frameworks (e.g., outcome metrics) that will accelerate future translational research and provide evidence-based guidance for VC service and policy. (4) Train workforce to implement validated VC Equity and Value frameworks to improve human health. Center Activities: ViVE will continuously grow by learning from conducting its research and supporting the research of others. To the extent, ViVE will create new infrastructure and provide access to Real-World VC Research Data and VC Expertise that will support and advance VC research. ViVE will assess the facilitators and barriers to achieving equitable and sustainable VC from key stakeholders using semi-structured interviews. Additionally, ViVE will shift the current status quo of VC research by building consensus around VC equity and value frameworks. To ensure the effective implementation of these frameworks, ViVE will conduct workforce training sessions to improve the knowledge and skills required to implement VC frameworks. Expected outcomes: On successful completion of our research, we expect contributions to include (1) accelerating NC TraCS (UNC CTSA) clinical and translational science by expediting the development of a VC research hub, (2) developing a VC coalition that advances translational VC research by enabling researchers to access Real-World VC Data, resources, and expertise, (3) building and validating VC measurement approaches and outcomes metrics for equity and value, and (4) demonstrating real-world utility of validated outcomes and measurements through implementation in clinical research studies. Page 1 of 1

抽象的 重要性：尽管在 COVID-19 大流行期间出现了虚拟护理 (VC) 项目，但 由于对健康获取差异、未来的担忧等问题，这些计划的可持续性尚不清楚。 支付平价、有效融入临床工作流程以及风险投资的许多目标的不一致 与按服务付费的支付环境集成。无法获得真实世界的风险投资数据和知识 不同风险投资利益相关者群体的独特需求加剧了健康差异，并可能阻碍 实现财务可持续性。同样，基于证据的研究测量也没有达成共识 专门针对VC，这阻碍了VC的有效性和可持续性 目标：为未来采用和传播风险投资研究能力奠定坚实的基础。 具体目标：（1）建立和促进内部和外部资源、思想领袖的富有成效的联盟 和利益相关者代表，以实现真实世界风险投资数据的使用并产生创新和 采取务实的方法，在本地和全国范围内推进风险投资的可扩展公平性和价值。 (2) 评估关键利益相关者实现公平和可持续风险投资的促进因素和障碍： 进行两轮半结构化面试。 (3) 围绕风险投资股权和价值框架（例如结果指标）制定并验证共识，这将 加速未来的转化研究，为风险投资服务和政策提供循证指导。 (4) 培训员工实施经过验证的风险投资股权和价值框架，以改善人类健康。 中心活动：ViVE 将通过研究学习和支持来不断发展 他人的研究。在某种程度上，ViVE 将创建新的基础设施并提供对真实世界风险投资的访问 研究数据和风险投资专业知识将支持和推进风险投资研究。 ViVE 将评估协调员 主要利益相关者使用半结构化实现公平和可持续风险投资的障碍 采访。此外，ViVE将通过围绕风险投资建立共识来改变风险投资研究的现状 公平和价值框架。为了确保这些框架的有效实施，ViVE将进行 劳动力培训课程，以提高实施风险投资框架所需的知识和技能。 预期成果：成功完成我们的研究后，我们预计贡献包括 (1) 通过加快 VC 的开发，加速 NC TraCS (UNC CTSA) 临床和转化科学 研究中心，(2) 建立一个风险投资联盟，通过支持研究人员来推进转化风险投资研究 访问真实世界的风险投资数据、资源和专业知识，(3) 构建和验证风险投资衡量 公平和价值的方法和结果指标，以及（4）展示经过验证的现实世界效用 通过临床研究实施的结果和测量。 第 1 页，共 1 页