Delivering Effective Primary Care to Older Adults

描述（由申请人提供）：从长远来看，Dr. Dallan的目标是成为提高老年人卫生服务质量，特别是初级保健质量的领导者。迄今为止，她的研究结合了她对健康促进，医疗保健质量和弱势群体的兴趣，并涉及调查方法和对现有数据的分析。在此期间K23奖，她将遵循的研究和培训计划，以确保她将拥有的技能和经验进行患者为导向的研究作为一个独立的研究者。她的研究和培训将由爱德华·H·瓦格纳。Itamar B博士将提供老年医学专业知识和学术职业指导。阿布拉斯合作者/顾问将包括Andrea Z博士。LaCroix和Eric B。Larson; James P. LoGerfo将担任顾问。 保持功能和独立性是老年人护理的一个重要健康结果。功能下降的个体（患者）风险因素已得到深入研究，针对特定风险因素的干预措施也已得到集中研究。然而，很少有人知道的供应商的做法或做法设计功能的功能状态的老年人的影响。拟议的研究将解决这些问题。具体目标是：1）评估提供者的实践风格对患者功能状态的影响; 2）评估将老年护理团队整合到门诊、初级护理中的可行性和有效性。建议的项目将由候选人在其赞助人瓦格纳博士的监督下领导。这些调查应有助于改善老年人的初级保健，以促进持续的独立运作的新见解。 通过允许Dr.D.D. 1）获得先进的流行病学和统计技术的正式培训，2）在初级保健环境的新护理模式的随机试验中发挥主导作用，指导患者导向研究职业发展奖将使她能够实现独立研究者地位的5年目标，并将她推向上述长期职业目标。

DESCRIPTION (provided by applicant): Dr Phelan aims in the long-term to become a leader in improving the quality of health services, particularly primary care, for the elderly. Her research to date has combined her interests in health promotion, health care quality, and vulnerable populations and has involved survey methods and analyses of existing data. During the period of this K23 award, she will follow a program of research and training to ensure that she will possess both the skills and the experience to conduct patient orionred research as an independent investigator. Her research and training will be overseen by Dr Edward H. Wagner. Geriatric expertise and academic career guidance will be provided by Dr Itamar B. Abrass. Collaborators/advisors will include Drs Andrea Z. LaCroix and Eric B. Larson; James P. LoGerfo will serve as an advisor. Preserving function and independence is an important health outcome in the care of older adults. Individual (patient) risk factors for functional decline have been intensely studied, as have focused interventions for specific risk factors. However, little is known about the effects of provider practice or practice design features on the functional status of older adults. The proposed research will address these questions. The specific aims are: 1) to evaluate the effect of provider practice style on patient functional status and 2) to evaluate the feasibility and efficacy of integrating a geriatric care team into outpatient, primary care. The proposed projects will be led by the candidate under the supervision of her Sponsor, Dr Wagner. These investigations should contribute new insights into improving primary care of older adults in order to promote continued independent functioning. By permitting Dr Phelan to 1) obtain formal training in advanced epidemiologic and statistical techniques and 2) take a lead role in the conduct of a randomizod trial of a new model of care for primary care settings, the Mentored Patient Orionted Research Career Development Award will enable her to meet her 5-year goal of achieving independent investigator status and move her toward her Iong-term, career goal described above.