The Virtual Patient for Improving Quality of Care in Primary Healthcare

项目总结 虽然创伤生活经历和心理健康之间的关系一直很好- 已建立的新研究揭示了创伤性生活事件对身体的影响 健康。这些研究直接证明了身体健康问题的积极风险。 由于创伤事件以及通过创伤后应激障碍(PTSD)和 抑郁症。初级卫生保健(PHC)是进入卫生保健系统的主要切入点 与创伤相关的精神健康障碍。然而，通常的初级卫生保健，特别是对 弱势族裔群体，可能由于诊断不足和 治疗。 马萨诸塞州总医院/哈佛大学哈佛难民创伤项目(HPRT) 医学院、卡罗林斯卡研究所(KI)和林恩社区卫生中心(LCHC) 通过这笔赠款，将是首批开发基于计算机的模拟培训或 虚拟患者(VP)用于识别和治疗与创伤相关的心理健康和 健康障碍。这笔赠款特别值得注意的是它对医疗/精神健康的关注 护理低收入、文化多样性、英语水平低(LEP)的患者。 这笔赠款的主要研究目标包括：(1)HPRT在LCHC开发VP原型 和KI，可以有效地培训PHC提供者关于健康和治疗的诊断和治疗 不同文化背景的创伤后PHC患者的心理健康问题 VP对改善LEP患者护理质量影响的初步检验(3) 将副总裁培训电子集成到LCHC设置中，以供所有LCHC访问 提供者；(4)为全州和全国传播和研究 将副总裁的概括作为一项重大的热门创新。 这笔赠款是对受贫困和贫穷影响的社区的初级保健中心的重大贡献。 暴力。作为热门创新的副总裁可以提供可持续的培训和护理质量 改善弱势患者和他们的PHC提供者。

PROJECT SUMMARY While the relationship between traumatic life experiences and mental health has been well- established, new research studies are revealing the impact of traumatic life events on physical health. These studies are demonstrating the positive risk for physical health problems directly due to trauma events as well as mediated through posttraumatic stress disorder (PTSD) and depression. Primary health care (PHC) is the primary entry point to the health care system for trauma related mental health disorders. Yet, the usual primary health care, especially for disadvantaged ethnic groups, may be less than optimal due to under-diagnosis and under- treatment. The Harvard Program in Refugee Trauma (HPRT) at Massachusetts General Hospital/Harvard Medical School, the Karolinska Institutet (KI), and the Lynn Community Health Center (LCHC) through this grant will be one of the first to develop a computer-based simulation training or Virtual Patient (VP) for the identification and treatment of trauma-related mental health and health disorders. This grant is especially noteworthy for its focus on the medical/mental health care of low-income, culturally diverse patients with low English proficiency (LEP). Major research goals of this grant include: (1) development of a VP prototype at LCHC by HPRT and KI that can effectively train PHC providers on the diagnosis and treatment of health and mental health problems in traumatized PHC patients from culturally diverse backgrounds; (2) preliminary testing of impact of the VP on improving the quality of care of LEP patients; (3) electronically integrating the VP training into the LCHC settings for access by all LCHC providers; (4) establishing guidelines for state-wide and national dissemination and research on the generalization of the VP as a major HIT innovation. This grant represents a major contribution in the PHC of communities affected by poverty and violence. The VP as a HIT innovation can provide sustainable training and quality of care improvement for disadvantaged patients and their PHC providers.