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.

我们最初的规划拨款支持了执业医师研究协会（RAPP）的扩展，并显示了通过互联网和计算机电话访谈自动收集患者数据的可行性。这一相互竞争的延续性申请以这些活动为基础，针对RFA HS-01-004的两个部分，提出了一项网络界定调查和一项电子数据收集方法试点测试。计划在新扩大的网络中的儿科医生中进行网络定义调查。RAPP正在扩大的大学医院卫生系统的一个附属机构，Rainbow中心的临床研究网络的所有171名成员，将被鼓励使用1999- 2000年国家门诊医疗服务（NAMCS）调查和NAMCS类似程序，收集30次门诊就诊的医生报告数据，这是2001年10月AHRQ PBRN会议决定的。根据先前的研究，预计30%的医生参与。NAMCS调查将与彩虹网络中正在进行的网络特征描述活动相结合。数据将用于回答网络临床医生提出的具体问题，并报告给集中的AHRQ存储库。在申请的第二部分，将在我们的姐妹PBRN，东北俄亥俄州网络（氖）中评估两种用于自动收集患者报告数据的新技术。氖是第一个使用NAMCS方法表征其患者人群的PBRN。10年后的今天，30名氖家庭医生同意使用1999-2000年NAMCS调查重复对30次连续门诊就诊的描述。还将要求每位患者使用他们选择的两种技术描述访视：基于网络的NAMCS版本或NAMCS的计算机化电话访谈。将在整个样本和患者亚组中比较患者对这些技术的偏好，并使用kappa统计量评估患者报告和医生报告的访视内容的一致性。此外，将评估关于医生和患者对访视原因和访视诊断的看法一致性的特定网络临床医生问题。拟议的延续项目将使用RAPP网络的基础设施和经验，以1）增强和表征作为初始规划赠款工作的一部分开发的新网络，以及2）通过与经验丰富的附属网络合作，评估旨在减少总线网络临床医生和实践工作人员数据收集负担的新技术，扩大AHRQ PBRN倡议的影响。