Conference - Physician-Level Interventions: What Works to Improve Quality of Care

会议 - 医生级别的干预措施：什么可以提高护理质量

• 批准号: 8259624
• 负责人: Daniel Wolfson
• 金额: $ 3.33万
• 依托单位: AMERICAN BOARD OF INTERNAL MEDICINE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8259624
• 关键词: Conference; Physician; Level; Interventions; What

DESCRIPTION (provided by applicant): Project Summary/Narrative Physician-Level Interventions: What Works to Improve Quality of Care? Since the Institute of Medicine published the report Crossing the Quality Chasm in 2001, there has been heightened interest on the part of public and private payers to address quality issues that stem from a U.S. healthcare system widely recognized to be disorganized and uncoordinated. Federal and state governments, as well as private employers by proxy of their health plans, have embraced a number of interventions to enhance quality and curb the growth of health care spending, such as pay-for-performance, public reporting, and the patient-centered medical home. In recent years, an increasing number of these interventions have targeted physicians, given their central role in driving medical decision making, with implications for both cost and quality. Additionally, these types of interventions are included in the Affordable Care Act (March 2010), and are anticipated to be part of the implementation plans for the recently introduced National Quality Strategy (March 2011). This project - Physician-Level Interventions: What Works to Improve Quality of Care? - aims to examine and evaluate the efficacy of various clinician-directed quality interventions and to inform future strategies and decisions of public and private payers and peer regulators. To achieve this aim, the project will produce an initial document within the first six months that begins to describe what we know (and don't know) about a set of well-defined market, regulatory, and professional standard setting interventions targeting practicing clinicians. This initial research will be used to inform the conference to be held at the midpoint in the grant year. The invitation-only conference of policy makers, private sector leaders, and researchers will discuss and debate the implications of this emerging, though not yet complete, evidence summary. The conference will also provide a forum for a substantive conversation about whether the strategies to enhance physician performance continue to provide the best approaches and opportunities to advance reform of the healthcare system as it relates to medicine. By the end of the grant year, the goal is to produce an evidence summary, informed by the conference discussion, and to publish this summary in a peer-reviewed journal read widely by policymakers in order to more broadly disseminate the results to the field and to guide and encourage future research that crosses subfields of research. PUBLIC HEALTH RELEVANCE: Project Narrative Physician-Level Interventions: What Works to Improve Quality of Care? There has been an increased interest in addressing quality issues and costs that result from an unorganized and uncoordinated US healthcare system, expected to be advanced further with health care reform. A large number of interventions have targeted physicians, given their central role in driving medical decision making, with its implications for overall health care quality and costs. This project - Physician-Level Interventions: What Works to Improve Quality of Care? - will focus on the development and dissemination of research that examines the evidence related to a targeted number of interventions focused on enhancing physician performance.

描述（由申请人提供）： 项目摘要/叙述医师级别的干预措施：什么可以提高护理质量？自 2001 年医学研究所发布《跨越质量鸿沟》报告以来，公共和私人付款方对解决质量问题的兴趣日益浓厚，这些问题源于美国医疗保健系统，人们普遍认为该系统组织混乱且不协调。联邦和州政府以及私人雇主通过其健康计划采取了一系列干预措施来提高质量并遏制医疗保健支出的增长，例如按绩效付费、公开报告和以患者为中心的医疗之家。近年来，越来越多的干预措施以医生为目标，因为他们在推动医疗决策方面发挥着核心作用，对成本和质量都有影响。此外，这些类型的干预措施已纳入《平价医疗法案》（2010 年 3 月），并预计将成为最近推出的国家质量战略（2011 年 3 月）实施计划的一部分。该项目 - 医生级别的干预措施：什么可以提高护理质量？ - 旨在检查和评估各种临床医生指导的质量干预措施的有效性，并为公共和私人付款人和同行监管机构的未来战略和决策提供信息。为了实现这一目标，该项目将在前六个月内制定一份初始文件，开始描述我们所知道（和不知道）的一系列针对执业临床医生的明确市场、监管和专业标准制定干预措施。这项初步研究将用于为在资助年中举行的会议提供信息。这次仅限受邀参加的政策制定者、私营部门领导人和研究人员会议将讨论和辩论这一新兴证据摘要（尽管尚未完整）的影响。会议还将提供一个论坛，进行实质性对话，讨论提高医生绩效的策略是否继续为推进与医学相关的医疗保健系统改革提供最佳方法和机会。到资助年结束时，我们的目标是根据会议讨论得出一份证据摘要，并将该摘要发表在政策制定者广泛阅读的同行评审期刊上，以便更广泛地向该领域传播结果，并指导和鼓励跨研究子领域的未来研究。 公共卫生相关性： 项目叙述医师级别的干预措施：什么可以提高护理质量？人们越来越关注解决由无组织和不协调的美国医疗保健系统造成的质量问题和成本，预计随着医疗保健改革的推进，这些问题将得到进一步推进。鉴于医生在推动医疗决策方面的核心作用，以及对整体医疗保健质量和成本的影响，大量干预措施都针对医生。该项目 - 医生级别的干预措施：什么可以提高护理质量？ - 将重点关注研究的开发和传播，这些研究检查与旨在提高医生绩效的目标干预措施相关的证据。