WReN's Response to Emerging Public Health Threats

WReN 对新出现的公共卫生威胁的应对措施

• 批准号: 6666927
• 负责人: JONATHAN L TEMTE
• 金额: $ 4.91万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6666927
• 关键词: Internet; active immunization; biohazard detection; community health services; data collection; health care quality; health care service planning; health science research support; health services research tag; influenza; information dissemination; medical records; patient care management; primary care physician; public health

DESCRIPTION (provided by applicant): Background: Practice-based research networks [PBRNs] serve as the essential research laboratories for enhancing the discipline of family medicine and the translation of research findings into everyday medical practice. The Wisconsin Research Network [WReN] is a well recognized and successful, yet presently quiescent, PBRN. This current stagnation comes at a time of leadership transition and identity confusion. Objectives of Category I Project: To reorganize WReN as a self-sustaining PBRN with the following key components: (1) scientific oversight by well-established research teams from two medical schools, (2) information technology to enhance electronic communication and data collection, (3) use of an established clinical data warehouse and a proposed clinician registry to target recruitment of additional practices with priority populations, and (4) expand an existing interface with a highly-successful public health surveillance network, thus creating an ongoing public health monitoring function for WReN. Methods for Category I Project. An annual WReN convocation will be created at which research teams from the University of Wisconsin and the Medical College of Wisconsin will work with WReN clinicians at all stages of research projects to enhance the quality, completion and translation of discipline relevant research. The Wisconsin Academy of Family Physicians will support a portal on their web site for WReN communication and data entry. Data from an annual electronic registration form at this site and the UW Department of Family Medicine's Clinical Data Warehouse will be used to identify potential new WReN practices. Objective of Category II Project: To assess the feasibility and benefits of PBRN interaction with public health surveillance network, to evaluate the PBRN role in detection of, and response to, emerging public health threats, such as acts of bioterrorism. Methods for Category II Project: All WReN clinicians will enroll in the Wisconsin Influenza Surveillance Program. Compliance with the surveillance protocol will be evaluated for each participant over a two-year study period allowing comparison of WReN and non-WReN surveillance clinicians. Retrospective evaluations, based upon billing record/chart review and public health record review, will be conducted to assess whether participation in public health surveillance is associated with improved direct patient care and communication with public health agencies. The rates of influenza immunization in elderly patients (aged 65 and above), rates of erroneous influenza diagnosis, self-reported level of contact with public health agencies, and volume of filing Wisconsin "Acute & Communicable Disease Case Report" forms will be compared to rates of compliance to surveillance protocol. Outcomes: The primary outcomes are enhanced function and efficiency of WReN, with "top-down" and "bottom-up" approaches to primary care research, increased publication of research findings, and submission of grant applications. The role and feasibility of PBRNs in detecting and responding to emerging public health threats will be defined.

描述（由申请人提供）：背景：基于实践的研究网络[PBRN]作为加强家庭医学学科和研究成果转化为日常医疗实践的基本研究实验室。 该威斯康星州研究网络[WReN]是一个公认的和成功的，但目前静止，PBRN。目前的停滞是在领导层换届和身份混乱的时候出现的。第一类项目的目标：将WReN重组为一个自我维持的PBRN，其主要组成部分如下：（1）由来自两所医学院的成熟研究团队进行科学监督，（2）信息技术，以加强电子通信和数据收集，（3）使用已建立的临床数据仓库和拟议的临床医生注册表，以招募更多优先人群的实践，以及（4）扩大与一个非常成功的公共卫生监测网络的现有接口，从而为WReN创建一个持续的公共卫生监测功能。第一类工程方法。将创建一个年度WReN集会，来自威斯康星州大学和威斯康星州医学院的研究团队将在研究项目的各个阶段与WReN临床医生合作，以提高学科相关研究的质量，完成和翻译。威斯康星州家庭医生学会将在其网站上支持一个用于WReN通信和数据输入的门户网站。来自该网站年度电子注册表和UW家庭医学部临床数据仓库的数据将用于识别潜在的新WReN实践。第二类项目的目标：评估PBRN与公共卫生监测网络互动的可行性和效益，评价PBRN在发现和应对新出现的公共卫生威胁（如生物恐怖主义行为）方面的作用。II类项目的方法：所有WReN临床医生将参加威斯康星州流感监测计划。将在为期两年的研究期间对每名参与者的监测方案依从性进行评价，以便对WReN和非WReN监测临床医生进行比较。将根据账单记录/图表审查和公共卫生记录审查进行回顾性评价，以评估参与公共卫生监测是否与改善直接患者护理和与公共卫生机构的沟通有关。老年患者（65岁及以上）的流感免疫接种率、流感误诊率、自我报告的与公共卫生机构接触的水平以及威斯康星州“急性和传染病病例报告”表的提交量将与监测方案的依从率进行比较。成果：主要成果是增强WReN的功能和效率，采用“自上而下”和“自下而上”的方法进行初级保健研究，增加研究结果的出版，并提交赠款申请。将确定PBRN在检测和应对新出现的公共卫生威胁方面的作用和可行性。