PBRN Characterization & Automated NAMCS Patient Report

PBRN 表征

• 批准号: 6447255
• 负责人: KURT C STANGE
• 金额: $ 15万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 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 2002-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6447255
• 关键词: Internet; automated medical record system; clinical research; cooperative study; data collection methodology /evaluation; health surveys; human subject; physicians; telecommunications

Our initial planning grant has supported expansion of the Research Association of Practicing Physicians (RAPP) and shown the feasibility of automated collection of patient data by intemet and computerized telephone interview. This competing continuation application builds on these activities, in response to both portions of RFA HS-01-004, by proposing a network-defining survey and a pilot test of electronic data collection methods. A network-defining survey is planned among pediatricians in the newly expanded network. All 171 members of the Rainbow Office-Based Clinical Research Network, a subsidiary of the University Hospital Health System with which RAPP is expanding, will be encouraged to collect physician-report data on 30 outpatient visits, using the 1999- 2000 National Ambulatory Medical Care (NAMCS) survey and NAMCS-like procedures, as decided upon at the October, 2001 AHRQ PBRN meeting. Based on prior studies, participation by 30% of physicians is anticipated. The NAMCS survey will be integrated with ongoing network characterization activities in the Rainbow Network. Data will be used to answer specific questions proposed by network clinicians, as well as being reported to the centralized AHRQ repository. In the second portion of the application, two new technologies for automated collection of patient report data will be evaluated in our sister PBRN, the NorthEast Ohio Network (NEON). NEON was the first PBRN to characterize its patient population using the NAMCS methodology. Now, 10 years later, 30 NEON family physicians have agreed to repeat this characterization of 30 consecutive outpatient visits using the 1999-2000 NAMCS survey. Each patient will also be asked to characterize the visit, using their choice of two technologies: a web- based version of the NAMCS or a computerized telephone interview of the NAMCS. Patient preference for these technologies will be compared for the entire sample and for patient subgroups, and the concordance of patient report and physician report of visit content will be assessed with the kappa statistic. In addition, specific network clinician questions about the concordance of physician and patient perception of reason for visit and visit diagnoses will be assessed. The proposed continuation project will use the infrastructure and experience of the RAPP network to 1) enhance and characterize a new network developed as part of the initial planning grant efforts, and 2) expand the impact of the AHRQ PBRN initiative through collaboration with an experienced affiliated network to assess new technologies designed to decrease the burden of data collection b bus network clinicians and practice staff.

我们的初始计划赠款支持扩大实践医师研究协会（RAPP），并通过Intemet和计算机电话采访显示了自动收集患者数据的可行性。这种竞争性的延续申请是基于这些活动的基于RFA HS-01-004的两个部分，通过提出网络定义调查和电子数据收集方法的试点测试，以响应RFA HS-01-004的两部分。计划在新扩展的网络中的儿科医生中进行网络定义的调查。将鼓励总部位于Rainbow办公室的临床研究网络的所有171名成员，这是RAPP扩大的大学医院卫生系统的子公司，将鼓励使用1999- 2000年国家门诊医疗保健（NAMCS）调查和NAMCS样的程序收集30次住院就诊的医师报告数据，如2001年10月的2001年10月，2001年10月的AHRQ PBRN。基于先前的研究，预计30％的医生参与。 NAMCS调查将与彩虹网络中持续的网络表征活动集成。数据将用于回答网络临床医生提出的特定问题，并将其报告给集中的AHRQ存储库。在应用程序的第二部分中，将在我们姐妹的PBRN，东北俄亥俄州网络（NEON）中评估两种用于自动化的患者报告数据的新技术。霓虹灯是第一个使用NAMCS方法来表征其患者群体的PBRN。现在，十年后的现在，有30名霓虹灯家庭医生同意使用1999 - 2000年NAMCS调查重复连续30次门诊就诊。还将要求每个患者使用两种技术的选择来表征访问：NAMCS的基于网络的版本或NAMCS的计算机电话采访。将对整个样本和患者亚组的患者偏爱进行对这些技术的偏爱，并将与KAPPA统计量一起评估患者报告和医师报告的一致性。此外，将评估有关医师和患者对访问和访问诊断理由的一致性的特定网络临床医生的问题。拟议的延续项目将利用RAPP网络的基础架构和经验来1）增强和表征作为初始计划赠款工作的一部分开发的新网络，以及2）扩大AHRQ PBRN计划通过与经验丰富的关联网络的协作来评估旨在减少数据收集B -Bus网络Linkicians and Sception Gantice的新技术的影响。