Model of Integrative Care In An Academic Health Center

描述(由申请人提供)：本申请的目的是 在学术医学中开发可复制的综合护理模式 中间。该应用程序建立在Beth已经在进行的工作的基础上 以色列女执事医疗中心(BIDMC)和哈佛医学院(HMS) 设计并实现了这样一个模型。我们的综合护理中心，目前 计划于2002年在北京国际数据中心开业，旨在成为 原型将在其他地区的医院完善和复制，并 全国范围内。它还旨在为新成立的 成立HMS补充性和教育性研究和教育司 综合医学疗法。慈善界已经 承诺的资金用于支持该示范中心的建设和人员配备 BIDMC。这项NIH申请的目的是为了确保 该模型；并测试其产生科学有用的临床应用的能力 和财务数据。 具体目标如下： 一.在第一阶段，制定必要的示范战略和医院程序 在学术健康中心内开设一个综合护理中心。这些 战略和程序将解决各种问题，包括 认证、责任、药学和治疗指南、数据跟踪、 计费、管理要求、高效的患者分诊以及 与跨专业团队建设相关的障碍。 2.在第二阶段，执行和完善这些战略 学术卫生中心内的综合保健临床设施；即， BIDMC是哈佛医学院的一个主要教学分支机构。 3.在第三阶段，展示我们有能力评估 综合护理中心在医院参与的RCT试点中提供的护理 员工和因腰痛致残的管理式护理患者。我们还将 记录使用综合方法治疗背部疼痛的成本与 通常的护理方法。 4.在第四阶段，检讨我们先导研究的结果，以设计后续的 具有足够统计能力的全面试验；总结 构建和维持这一模式：并记录我们的战略和 传播我们的程序，使模型的转移和改进能够在 其他网站。

DESCRIPTION (provided by applicant): The purpose of this application is to develop a replicable model of integrative care within an academic medical center. This application builds upon efforts already underway at the Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS) to design and implement such a model. Our integrative care center, currently planned to open at the BIDMC in the year 2002, is intended to serve as a prototype to be refined and replicated at other hospitals regionally and nationally. It is also intended to provide research data for the newly established HMS Division for Research and Education in Complementary and Integrative Medical Therapies. The philanthropic community has already committed funding to support the building and staffing of this model center at BIDMC. The purpose of this NIH application is to insure the transferability of the model; and, to test its capacity to generate scientifically useful clinical and financial data. The specific aims are as follows: I. In Phase I, to develop model strategies and hospital procedures necessary to open an integrative care center within an academic health center. These strategies and procedures will address a variety of issues including credentialing, liability, pharmacy and therapeutics guidelines, data tracking, billing, administrative requirements, efficient patient triage as well as barriers relating to inter-professional team building. 2. In Phase II, to implement and refine these strategies in the operation of an integrative care clinical facility within an academic health center; namely, the BIDMC, a major teaching affiliate of the Harvard Medical School. 3. In Phase III, to demonstrate our ability to evaluate the effectiveness of care provided by the Integrative Care Center in a pilot RCT involving hospital employees and managed care patients disabled by low back pain. We will also document the costs of treating back pain using the integrative approach vs. the usual care approach. 4. In Phase IV, to review the results of our pilot study to design a subsequent full-scale trial with adequate statistical power; to summarize the cost of building and sustaining this model: and, to document our strategies and disseminate our procedures, enabling transfer and refinement of the model at other sites.