SGIM PCMH Research Conference 2

SGIM PCMH研究会议2

• 批准号: 8356647
• 负责人: GARY E ROSENTHAL
• 金额: $ 5万
• 依托单位: SOCIETY OF GENERAL INTERNAL MEDICINE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8356647
• 关键词: SGIM; PCMH; Research; Conference

DESCRIPTION (provided by applicant): Abundant research indicates that healthcare delivery systems built around a strong foundation of primary care achieve higher quality of care, superior outcomes, and lower costs. However, due to poor reimbursement and compressed office visits, primary care is viewed as an unattractive career choice by young clinicians, which has led to a shortage of primary care providers in the US. This shortage will only worsen as provisions of the Affordable Care Act that expand access are implemented. In response to these challenges, the patient- centered medical home (PCMH) has emerged as a promising new vehicle for revitalizing primary care and for delivering comprehensive, patient-centered, cost-effective care. Notably, several studies of early adopters of the PCMH model found reductions in hospitalizations, emergency room use, and costs and improvements in quality of care and provider satisfaction These early findings have spawned new initiatives to implement the PCMH model by private insurers, professional societies, integrated healthcare systems, and federal and state healthcare programs, including the Veterans Health Administration, which in 2010 launched the nation's largest PCMH initiative, to date. Because these newer initiatives are targeting a broader spectrum of practices, evidence about the impact of the PCMH model and the barriers to implementation in these settings will be particularly valuable in informing future PCMH implementation. It is in this context that the Society of General Internal Medicine (SGIM), Society of Teachers of Family Medicine (STFM), and the Academic Pediatric Association (APA) propose a national invited conference to develop a research agenda to inform further adoption of the PCMH and disseminate preliminary results from ongoing initiatives. These three organizations hosted an initial agenda-setting conference on the PCMH in 2009. However, broader adoption of the PCMH raises new questions and issues regarding the dissemination, implementation, and sustainability of the PCMH model. The conference will convene researchers, representatives of key primary care professional organizations, health care purchasers, payers, patient advocates, and policy makers committed to the PCMH model. The five goals of the conference are to: 1) Review emerging evidence about the impact of the PCMH model on quality, access, and costs of care, including patient and family-centered measures of care. 2) Identify organizational and professional barriers in introducing specific elements of the PCMH model and transforming practices. 3) Examine payment models that have been proposed to support PCMH implementation and the practice investments and resources required for successful PCMH implementation. 4) Identify emerging trends and issues that are likely to impact PCMH implementation. 5) Examine the impact of the PCMH implementation on healthcare disparities. 1 PUBLIC HEALTH RELEVANCE: The goal of this grant is to convene a national invited conference to develop a research agenda that will support initiatives to implement the patient centered medical home (PCMH) model in primary care practices caring for adults and children. The conference will bring together a number important stakeholders, including primary care practitioners, researchers, health care purchasers, payers, patient advocates, and policy makers, and will review evidence about the impact of the PCMH model on quality, access, and costs of care, barriers to implementing the PCMH model in different types of practices, possible payment models for the PCMH, and the impact of the PCMH on racial and ethnic disparities in healthcare delivery. The conference will be sponsored by three major organizations - the Society of General Internal Medicine (SGIM), Society of Teachers of Family Medicine (STFM), and the Academic Pediatric Association (APA) - that are at the forefront of efforts to improve the delivery of primary care in the US. 1

描述(由申请人提供)：大量研究表明，建立在坚实的初级保健基础上的医疗保健提供系统可以实现更高的护理质量、更好的结果和更低的成本。然而，由于报销不佳和办公室就诊时间压缩，初级保健被年轻的临床医生视为缺乏吸引力的职业选择，这导致美国初级保健提供者短缺。随着《平价医疗法案》中扩大服务范围的条款的实施，这种短缺只会进一步恶化。为了应对这些挑战，以患者为中心的医疗之家(PCMH)已成为振兴初级保健和提供全面、以患者为中心、成本效益高的护理的一种有前途的新工具。值得注意的是，对PCMH模式的早期采用者进行的几项研究发现，住院、急诊室使用和成本减少，护理质量和提供者满意度提高。这些早期发现催生了私营保险公司、专业协会、综合医疗系统以及联邦和州医疗保健计划实施PCMH模式的新举措，包括退伍军人健康管理局，该机构在2010年启动了迄今为止美国最大的PCMH计划。由于这些较新的举措针对的是更广泛的做法，关于PCMH模式的影响和在这些环境中实施的障碍的证据将在指导未来PCMH的实施方面特别有价值。在这种情况下，普通内科医学学会(SGIM)、家庭医学教师学会(STFM)和儿科学术协会(APA)提议召开一次全国特邀会议，以制定研究议程，为进一步通过PCMH提供信息，并传播正在进行的倡议的初步成果。这三个组织在2009年主办了一次关于PCMH的初步议程制定会议。然而，更广泛地采用PCMH对PCMH模式的传播、实施和可持续性提出了新的问题和问题。会议将召集研究人员、主要初级保健专业组织的代表、卫生保健购买者、支付者、患者倡导者和致力于PCMH模式的政策制定者。会议的五个目标是：1)审查关于PCMH模式对护理质量、可获得性和成本的影响的新证据，包括以患者和家庭为中心的护理措施。2)确定在引入PCMH模式的具体要素和转变实践方面的组织和专业障碍。3)审查为支持PCMH实施而提出的支付模式，以及成功实施PCMH所需的实践投资和资源。4)确定可能影响PCMH实施的新趋势和问题。5)检查实施PCMH对医疗保健差距的影响。1 公共卫生相关性：这笔赠款的目标是召开一次全国受邀会议，以制定研究议程，支持在照顾成人和儿童的初级保健实践中实施以患者为中心的医疗之家(PCMH)模式的倡议。会议将汇集一些重要的利益相关者，包括初级保健从业者、研究人员、医疗保健购买者、支付者、患者权益倡导者和政策制定者，并将审查关于PCMH模式对医疗质量、获得机会和成本的影响、在不同类型的实践中实施PCMH模式的障碍、PCMH的可能支付模式以及PCMH对医疗保健提供中的种族和民族差异的影响的证据。这次会议将由三个主要组织赞助-普通内科医学协会(SGIM)、家庭医学教师协会(STFM)和学术儿科协会(APA)-这三个组织处于改善美国初级保健提供的努力的前沿。1