IMPROVING THE TREATMENT AND CONTROL OF HYPERTENSION

改善高血压的治疗和控制

• 批准号: 6388522
• 负责人: KAREN L MARGOLIS
• 金额: $ 12.78万
• 依托单位: HENNEPIN HEALTHCARE RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6388522
• 关键词: clinical research; health care cost /financing; health services research tag; human subject; human therapy evaluation; hypertension; managed care; patient care management; patient care personnel attitude; satisfaction

Candidate: Karen Margolis, M.D., M.P.H., is a member of the Berman Center for Outcomes and Clinical Research at the Minneapolis Medical Research Foundation, and staff physician at Hennepin County Medical Center, a teaching hospital affiliated with the University of Minnesota. Dr. Margolis is interested in finding interventions which bring patients, physicians and the system of care together to implement effective medical care, specifically in the area of cardiovascular disease prevention. Career Objectives. Dr. Margolis' immediate career objectives include: (1) advanced course work in epidemiology, biostatistics, health services research, study design and analysis; (2) work with the Berman Center multi-center clinical trials and prospective studies; (3) work with mentor to develop and evaluate research direction, skills and experience; (4) obtain funding for and implement pilot and full-scale studies of randomized trial of physician incentives for improving the control of hypertension in a managed care organization; and (5) develop other related research projects. Dr. Margolis' long-term career objectives include attaining independence as an investigator in the field of patient-oriented cardiovascular disease prevention research and incorporating the theme of physician and patient adoption of effective interventions in a system of care for the prevention of cardiovascular disease morbidity and mortality. Research Plan. During the five year period of the award, Dr. Margolis plans to undertake at least one major clinical trial preceded by a pilot study for that trial. The clinical trial and pilot study are entitled "Program for Improving the Treatment and Control of Hypertension (PITCH)" and will involve testing the hypothesis that clinics in a managed care organization receiving funding to design their own program for improving the control of hypertension will have a higher percentage of hypertensives with controlled blood pressure compared to both clinics given similar funding for financial incentives (provided directly to physicians based on performance) and control clinics given no financial incentives. Dr. Margolis also has planned several other related projects which include: (1) study of patient attitudes towards physician financial incentives and satisfaction with care in PITCH; (2) study of impact of physician financial incentives in PITCH on medical care other than hypertension; and (3) the role of patient health state preferences in acceptance of hypertension treatment and control of hypertension.

候选人：Karen Margolis，医学博士，最大功率，是明尼阿波利斯医学研究基金会伯曼成果和临床研究中心的成员，也是明尼苏达大学附属教学医院亨内平县医学中心的医生。 马戈利斯博士感兴趣的是寻找干预措施，使患者，医生和护理系统一起实施有效的医疗保健，特别是在心血管疾病预防领域。职业目标。 Margolis博士的近期职业目标包括：（1）流行病学，生物统计学，卫生服务研究，研究设计和分析的高级课程工作;（2）与伯曼中心多中心临床试验和前瞻性研究合作;（3）与导师合作开发和评估研究方向，技能和经验;（4）取得拨款，并推行先导及全面研究，以随机试验方式，鼓励医生改善管理式医疗机构内的高血压控制;及（5）发展其他相关研究计划。 Margolis博士的长期职业目标包括作为以患者为导向的心血管疾病预防研究领域的研究者获得独立性，并将医生和患者采用有效干预措施的主题纳入预防心血管疾病发病率和死亡率的护理系统。研究计划。 在该奖项的五年期间，Margolis博士计划至少进行一项主要的临床试验，然后进行该试验的试点研究。 临床试验和试点研究的标题是“改善高血压治疗和控制计划（PITCH）”，将涉及测试一个假设，即接受资助的管理式医疗机构的诊所设计自己的改善高血压控制计划，与两个获得类似资金的诊所相比，（根据表现直接提供给医生）和对照诊所，不给予经济激励。 Margolis博士还计划了其他几个相关项目，包括：（1）PITCH中患者对医生经济激励的态度和对护理的满意度的研究;（2）PITCH中医生经济激励对高血压以外的医疗护理的影响的研究;（3）患者健康状况偏好在接受高血压治疗和控制高血压中的作用。