AN INNER-CITY PRIMARY CARE RESEARCH NETWORK

内城初级保健研究网络

• 批准号: 6356109
• 负责人: WILLIAM M. TIERNEY
• 金额: $ 2.23万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2001-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6356109
• 关键词: health science research analysis /evaluation; health services research tag; informatics; managed care; patient /disease registry; urban area

The primary care practices affiliated with the Indiana University School of Medicine have been an effective venue for clinical research. This research has included studies of medical informatics and translation of research results into high quality clinical practice. Primary care at IU has evolved: in 1996, the primary care community health centers of Wishard Health Services (the dominant provider of care to inner-city Indianapolis) and IU Health Care (an academic managed care organization) were merged to form IU Medical Group-Primary Care (IUMG-PC). Containing IU's primary care practices for general internal medicine, pediatrics, family medicine, and obstetrics and gynecology, IUMG-PC continues to be committed to IU's research mission. In order to facilitate enrollment of clinical research subjects from its 18 practice sites in Indianapolis, IUMG-PC created ResNet. ResNet is a practice-based research network that includes a director, coordinator, programmer/data manager, Projects Committee, and permanent research assistants assigned to IUMG-PC sites. The research assistants are employed full-time by IUMG-PC and are the sole means by which IUMG-PC patients may be approached and enrolled into clinical studies. IUMG-ResNet seeks to participate in AHRQ's Practice-Based Research Network initiative. As part of the year-long planning process under this initiative, ResNet will focus on development in: (1) Medical informatics: IUMG-PC contains the Regenstrief Medical Record System, one of the most sophisticated electronic medical record systems in the world. This system will be enhanced to facilitate patient recruitment and tracking by (a) setting up a Project Management System and furthering the development of existing Web-based hand-held computer-based tool. (2) Recruitment of minority and underserved patients: the long history of enrolling such IUMG-PC patients in general internal medicine will be expanded in pediatrics, family medicine, and obstetrics and gynecology. (3) Translating research into practice: ResNet will increase the implementation and evaluation of practice guidelines and survey instruments for assessing patient-centered outcomes. (4) Financial stability: Various sources of support -- research grants, academic organizations and research centers at IU, health care providers, and private sector companies - will be organized into a 5-year business plan. IUMG-ResNet seeks to become an active participant in AHRQ's network of PBRNs, sharing its research experience and medical informatics expertise.

印第安纳大学医学院附属的初级保健实践已经成为临床研究的有效场所。这项研究包括医学信息学研究和将研究成果转化为高质量的临床实践。印第安纳大学的初级保健已经发展：1996年，Wishard卫生服务（印第安纳波利斯市中心主要的保健提供者）和印第安纳大学卫生保健（一个学术管理的保健组织）的初级保健社区卫生中心合并为印第安纳大学医疗集团初级保健（IU - pc）。包含IU的普通内科，儿科，家庭医学和妇产科的初级保健实践，IU - pc继续致力于IU的研究使命。为了方便从印第安纳波利斯的18个实践站点注册临床研究受试者，IUMG-PC创建了ResNet。ResNet是一个基于实践的研究网络，包括主任、协调员、程序员/数据经理、项目委员会和分配到IUMG-PC站点的永久研究助理。研究助理是IUMG-PC的全职雇员，是IUMG-PC患者接触和参与临床研究的唯一途径。IUMG-ResNet寻求参与AHRQ的基于实践的研究网络倡议。作为该计划为期一年的规划过程的一部分，ResNet将重点发展：(1)医学信息学：IUMG-PC包含世界上最先进的电子医疗记录系统之一——注册strief医疗记录系统。我们会透过(a)设立项目管理系统，以及进一步发展现有的以网络为基础的手提电脑工具，加强这一系统，以方便招募和追踪病人。(2)招募少数民族和服务不足的患者：在普通内科招募此类IUMG-PC患者的悠久历史将扩大到儿科、家庭医学和妇产科。(3)将研究转化为实践：ResNet将增加实践指南和调查工具的实施和评估，以评估以患者为中心的结果。(4)财务稳定性：各种来源的支持——研究补助金、IU的学术组织和研究中心、医疗保健提供者和私营部门公司——将被组织成一个5年的商业计划。IUMG-ResNet寻求成为AHRQ pbrn网络的积极参与者，分享其研究经验和医学信息学专业知识。