OUTCOME ASSESSMENT/PATIENTS WITH BILIARY TRACT DISEASE

结果评估/胆道疾病患者

• 批准号: 3566793
• 负责人: J. SANFORD SCHWARTZ
• 金额: $ 132.55万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-08-01 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3566793
• 关键词: Medicare /Medicaid; biliary tract disorder; biliary tract disorder diagnosis; cholelithiasis; decision making; diagnosis quality /standard; disease /disorder prevention /control; health /scientific organization; health behavior; health care cost /financing; health care model; health care service evaluation; health care service utilization; health insurance; health surveys; human therapy evaluation; literature survey; medical complication; medical indigency; model design /development; patient care management; preference; primary care physician; prognosis; sign /symptom; therapy compliance

The objective of this project is to improve the evaluation, management and health outcomes of patients with biliary tract disease. The specific aims are: to determine the rates of use, variation in rates of use and health outcomes associated with alternative diagnostic tests and therapeutic modalities; to identify appropriate indications for the use of alternative tests and treatments and optimal management strategies; to use this information to help practicing physicians improve their practice patterns and the health outcomes of their patients; to assess the impact of the interventions on physician practice and health outcomes; and to demonstrate the feasibility of strategies involving physicians in developing and implementing effective intervention programs. The project also will contribute to our understanding and use of health services research methodologies, including the usefulness of specific types of claims data in evaluating the outcomes of care, the relative advantages of disease specific versus generic measures of functional status and health outcome, the stability of patient preferences over time and across disease states, the generalizability of consensus statements across groups of physicians and the effectiveness of alternative community based interventions in changing physician behavior. This project represents a collaborative effort by research staff at the University of Pennsylvania and practicing physicians and professional societies in eastern Pennsylvania. Three cities in eastern Pennsylvania will serve as intensive intervention sites; one city will serve as a control site. The remainder of eastern pennsylvania will receive a less intensive intervention. Western Pennsylvania will not receive any intervention and will serve as a control. The project will have 7 stages: (1) synthesis of existing medical literature and information; (2) analysis of existing claims data; (3) collection of primary data on outcomes of care and on physician and patient preferences; (4) development of a normative model of optimal management strategies; (5) development of practice guidelines; (6) development of interventions to encourage use of these guidelines; and (7) use of primary and claims data measure the impact of the interventions on utilization and outcomes.

本项目的目的是改善评价、管理和

项目成果

How practicing surgeons trained for laparoscopic cholecystectomy.

执业外科医生如何接受腹腔镜胆囊切除术培训。

• DOI: 10.1097/00005650-199703000-00009
• 发表时间: 1997
• 期刊: Medical care
• 影响因子: 3
• 作者: Escarce,JJ;Shea,JA;Schwartz,JS
• 通讯作者: Schwartz,JS

Diffusion of laparoscopic cholecystectomy among general surgeons in the United States.

腹腔镜胆囊切除术在美国普通外科医生中的传播。

• DOI: 10.1097/00005650-199503000-00005
• 发表时间: 1995
• 期刊: Medical care
• 影响因子: 3
• 作者: Escarce,JJ;Bloom,BS;Hillman,AL;Shea,JA;Schwartz,JS
• 通讯作者: Schwartz,JS

Hospital adoption of laparoscopic cholecystectomy.

我院采用腹腔镜胆囊切除术。

• DOI: 10.1097/00005650-199410000-00007
• 发表时间: 1994
• 期刊: Medical care
• 影响因子: 3
• 作者: Fendrick,AM;Escarce,JJ;McLane,C;Shea,JA;Schwartz,JS
• 通讯作者: Schwartz,JS