Reducing Fragmentation Across Sites of Geriatric Care

描述(申请人提供)：候选人。科尔曼博士已经完成了 罗伯特·伍德·约翰逊临床学者计划和老年医学奖学金 医学。他被任命为老年病学助理教授 科罗拉多大学健康科学中心的医学博士。这个 申请者的长期目标是发展成为一名独立的 以病人为中心的研究中的调查者。他近期的目标是：(A) 研究接受多项护理的老年患者的护理碎片化 环境；(B)通过正规课程获得更多的方法专门知识； (C)参与团队研究环境，学习健康的所有方面 老龄服务研究；及(D)参与老年临床 活动。 环境问题。科尔曼博士的研究办公室将设在老龄化中心 研究部，由18名卫生服务研究人员组成，致力于 研究老年人口的医疗质量和结果。他的赞助商 是老年医学教授安德鲁·克莱默博士，他的共同赞助人是 理查德·贝斯丁博士，老年学和医疗保健研究中心主任 在布朗大学。科尔曼博士与凯泽的正式研究约会 科罗拉多州将促进访问研究对象、利用率数据和 其他研究合作者。 《研究》。在疾病发作期间，老年患者通常需要护理 来自多个环境中的不同从业者，使他们面临 接受零散的护理。需要有效的干预措施来减少护理 各老年护理机构之间的支离破碎。然而，这条线路 由于没有经过验证的仪器，询价受到严重限制 旨在衡量护理分散的重要属性。我们的第一次 目的是开发和测试一种CARE碎裂仪。我们的第二个目标是 为了测试旨在减少护理的干预措施的可行性 碎片化。我们的第三个目标是启动一项随机对照试验 这种干预。这项研究的结果将提高我们的能力 量化护理碎片化并随后衡量 有针对性的干预。

DESCRIPTION (provided by applicant): Candidate. Dr. Coleman has completed fellowships in the Robert Wood Johnson Clinical Scholars Program and Geriatric Medicine. He holds an appointment of Assistant Professor of Geriatric Medicine at the University of Colorado Health Sciences Center. The applicant's long-term goal is to develop a career as an independent investigator in patient-oriented research. His immediate goals are (a) to study care fragmentation in older patients who receive care in multiple settings; (b) obtain additional methodologic expertise with formal coursework; (c) participate in a team research environment learning all aspects of health services research in aging; and (d) participate in geriatric clinical activities. The Environment. Dr. Coleman's research office will be in the Center on Aging Research Section, which houses 18 health services researchers dedicated to the study of healthcare quality and outcomes in the older population. His sponsor is Dr. Andrew Kramer, Professor of Geriatric Medicine, and his co-sponsor is Dr. Richard Besdine, Director, Center for Gerontology and Health Care Research at Brown University. Dr. Coleman's formal research appointment with Kaiser Colorado will facilitate access to study subjects, utilization data and additional research collaborators. The Research. During an episode of illness, older patients often require care from different practitioners in multiple settings, placing them at risk for receiving fragmented care. Effective interventions are needed to reduce care fragmentation across settings of geriatric care. However, this line of inquiry is severely constrained by the absence of a validated instrument designed to measure the important attributes of care fragmentation. Our first aim is to develop and test a care fragmentation instrument. Our second aim is to test the feasibility of an intervention designed to reduce care fragmentation. Our third aim is to initiate a randomized controlled trial of this intervention. The results of this research will improve our ability to quantify care fragmentation and subsequently measure the effectiveness of a targeted intervention.