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.

摘要 卫生保健系统正在寻求缩小实际医疗实践与最佳临床实践之间的差距。 以循证医学为指导的决策。学术细节（AD），直接外展教育 从训练有素的专业人员到一线临床医生，已在数十项研究中被证明是有效的。许多 卫生保健系统已表示有兴趣实施AD，但缺乏专业知识和资源， 设计一个项目，培训人员提供外展教育，并评估该项目的影响。 由AHRQ支持的国家学术细节资源中心（NaRCAD）开发了 该课程已用于培训400多名卫生专业人员掌握AD技术， 与数十个医疗保健系统和公共卫生部门的规划和实施支持 AD方案。然而，目前，这些组织仍然依赖于南亚区域合作署的直接援助， 接受这些培训和支持。 我们提出了一个示范项目，将开发，测试和传播一套工具， 为卫生保健系统提供实施和维持AD计划的能力。第一步将是 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卫生保健系统的需求评估。我们将与 来自领先项目的经验丰富的学术细节制定者，开发和实地测试培训师课程， 在我们现有的培训计划的基础上，培养一批能够独立自主地 在学术细节的技术上持续训练。随着这些新的培训师准备更多的学术 具体而言，我们将向全国保健系统传播培训员培训课程。另外我们 我将与目前使用AD的几个较大的医疗保健系统合作，进行评估 利用NaRCAD在一个研究小组中的定位，在分析多种 医疗保健数据的类型。该评估指南将被设计用于新的医疗保健系统 实施或寻求评估和改进其AD计划，并允许系统评估 他们的知识，熟练程度和对医疗结果的影响的学术细节。 最后，我们将联合收割机从这个示范项目中的发现组合成一个全面的工具包， 我们将在AHRQ正在进行的比较卫生系统的基础上，向卫生保健系统广泛传播 旨在支持学习型卫生系统的绩效倡议。医疗保健系统将能够使用 工具包，以建立能力，独立设计一个广告计划，培训细节，并评估他们的技能， 在必要时提供支持，以确保以最高质量开展这些努力。