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: 10457271
• 负责人: Michael A. Fischer
• 金额: $ 37.14万
• 依托单位: BOSTON MEDICAL CENTER
• 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/10457271
• 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 以证据医学为指导的决策。学术细节（AD），直接外展教育 从训练有素的专业人员到前线临床医生，已被证明在数十项研究中有效。许多 卫生保健系统已经对实施广告表示兴趣，但缺乏专业知识和资源 设计一个计划，培训人员来提供外展教育，并评估该计划的影响。 AHRQ支持的国家学术细节资源中心（NARCAD）已开发 一种用于培训400多名卫生专业人员的AD技术的课程，并且已经工作了 拥有数十个医疗保健系统和公共卫生部门，以支持计划和实施 广告计划。但是，目前，这些组织仍然依靠Narcad的直接帮助 接受此培训和支持。 我们提出了一个演示项目，该项目将开发，测试和传播一组工具 提供具有实施和维持广告计划的能力的医疗保健系统。第一步将是 全面的调查都将详细介绍广告计划的当前范围和结构以及 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 经验丰富的学术细节者，从领导计划中开发和现场测试火车培训者课程， 在我们现有的培训计划的基础上建立，以产生能够启动和独立的毕业生队伍 维持学术细节技术的培训。随着这些新教练的准备 详细信息，我们将在全国范围内将火车培训的课程传播到医疗保健系统。另外，我们 将与当前使用广告进行评估的几个较大的医疗保健系统合作 指南，利用Narcad在研究小组中的定位，具有分析多重的专业知识 医疗保健数据的类型。评估指南将设计供医疗保健系统新近使用 实施或寻求评估和改进其广告计划，并将允许系统评估 学术详细信息对他们的知识，熟练程度和对医疗结果的影响。 最后，我们将把这个演示项目的发现结合到一个全面的工具包中 我们将在AHRQ正在进行的比较卫生系统的基础上广泛地传播到医疗保健系统 旨在支持学习卫生系统的绩效倡议。医疗保健系统将能够使用 该工具包可以建立独立设计广告计划，培训细节器并评估他们的技能和评估能力的工具包 影响，并根据需要提供支持，以确保以最高质量进行这些努力。