Transforming Primary Care Conference

描述（由申请人提供）：医疗保健研究和质量机构已承诺投入约400万美元，以增加对PCMH转化的理解，并通过R18-HS 019150 - 02进行传播。本提案中提出的活动只需相对较少的额外投资，就可以利用这些调查团队正在进行的工作来综合和传播PCMH知识库。此外，通过U18-HS 020988 IMPaCT计划，我们和其他受助人可以为所涉及的17个州的初级保健推广服务基础设施的发展提供信息。宾夕法尼亚州立大学医学院（PSCOM）提议召开一次会议，将14名R18受赠者与公认的PCMH专家聚集在一起，讨论在14项研究中关键主题领域确定的最佳实践策略。这些领域包括：（1）背景，（2）定性研究方法，（3）护理管理，（4）基于团队的护理/买入，（5）心理模型和（6）患者观点。据我们所知，这次收集的结果将是迄今为止PCMH评价结果最大的交叉研究汇编之一。我们将利用由Ben Crabtree，PhD，MA开发的方法建模的论文开发方法，Ben Crabtree是国家示范项目的关键评估员，也是定性研究方法的公认领导者。会议结束后，在会议上确定的主要作者将指导他们的团队完成写作过程。会议的主要结论将通过多管齐下的战略传播，包括期刊文章、政策简报、播客和网络视频。我们将利用与受邀专家和受赠者建立的关系，与国家级组织建立联系，如Qualis Health的安全网医疗家庭倡议;英联邦基金受赠者和PCMH评估者协作组织;北美初级保健研究小组（NAPCRG）; MacColl研究所;美国家庭医生学会;美国医师学院;罗伯特·伍德约翰逊基金会的质量调整力量;实践改进和创新中心在以患者为中心的初级保健协作（PCPCC）。此外，我们将利用参与U18-HS 020988 -01影响补助金的17个州正在开发的初级保健推广服务基础设施。 公共卫生相关性：以病人为中心的医疗之家（PCMH）被吹捧为“重振初级保健，降低医疗保健成本，提高质量和为成人和儿童提供更多'以病人为中心'的护理”的手段。5为了让PCMH发挥这一潜力，我们必须了解如何实现模型，以便在给定各种上下文因素的情况下最大限度地利用它。通过这次会议产生的结果将促进这种理解，从而推动我们走向一个医疗保健系统，可以提供及时，负担得起的和有效的医疗保健，我们所有人。

DESCRIPTION (provided by applicant): The Agency y for Healthcare Research and Quality has committed approximately $4 million to increase understanding of PCMH transformation and spread through R18-HS019150-02.With a relatively small additional investment, the activities put forth in this proposal can leverage the work being done through by these investigative teams to synthesize and disseminate PCMH knowledge-base. Furthermore, through the U18-HS020988 IMPaCT program, we and other grantees can inform development of the primary care extension service infrastructure across the 17 states involved. The Pennsylvania State College of Medicine (PSCOM) is proposing a conference that will bring the 14 R18 grantees together with recognized PCMH experts to discuss best practice strategies identified in critical topical areas that cut across the 14 studies. These areas include: (1) context, (2) qualitative research methodology, (3) care management, (4) team-based care/buy-in, (5) mental models and (6) patient perspectives. To our knowledge, the findings resulting from this gathering will represent one of the largest cross-study compilations of PCMH evaluation findings to date. We will utilize a paper development method modeled after an approach developed by Ben Crabtree, PhD, MA, a key evaluator in the National Demonstration Project and recognized leader in qualitative research approaches. Following the conference, lead authors identified at the conference will guide their team through the writing process. Key conference findings will be will be disseminated via a multi-pronged strategy including journal articles, policy briefs, podcasts and web videos. We will utilize established relationships with invited experts and grantees to reach national-level organizations such as Qualis Health's Safety Net Medical Home Initiative; Commonwealth Fund grantees and the PCMH Evaluators' Collaborative; North American Primary Care Research Group (NAPCRG); the MacColl Institute; American Academy of Family Physicians; American College of Physicians; Robert Wood Johnson Foundation's Aligning Forces for Quality; Center for Practice Improvement and Innovation at the Patient-Centered Primary Care Collaborative (PCPCC). Additionally, we will leverage the primary care extension service infrastructure being developed by the 17 states involved in the U18-HS020988-01 Impact grant. PUBLIC HEALTH RELEVANCE: The Patient Centered Medical Home (PCMH) has been touted as a means to "reinvigorate primary care, lower health care costs, enhance quality and produce more 'patient-centered' care for adult and child populations."5 In order for the PCMH to fulfill this potential, we must understand how to implement the model to get the most out of it, given a variety of contextual factors. The findings generated through this conference will advance this understanding, thereby moving us toward a health care system that can provide timely, affordable and effective health care to us all.