Data Collection & Management Core/Gery Ryan

岩心描述 该中心将有4个项目 项目1：基于临床医生的适当性 项目2：基于成果的拨款 项目3：患者偏好适当 项目4：基于经济的拨款 该中心的所有四个项目都将利用以各种方式从四个国家地点的执业脊椎指压治疗提供者的样本中收集的患者数据。将在项目的第一年选定国家地点，这些地点将代表该国的主要地区，以提高调查结果在整个美国的普遍性。在四个地点中，我们将分别挑选和招募20名执业脊医（即，共80个）。如果脊医有兴趣参加，我们会检查他们是否符合以下资格要求：（a）他们通常每天至少看5名接受慢性颈椎疼痛治疗的患者;（B）他们愿意让我们的团队招募面试，并通过他们的访问跟踪10名患者。 2-日期间;（c）让我们查阅和摘录随机抽取的10个病人的病历和10名受访者的资料;及（d）他们会提供有关自己和执业情况的基本资料。 每个项目的数据收集要求略有不同，但高度重叠，包括：（a）患者档案的抽象（项目1）;（B）面对面的病人访谈（项目1、2和4）;（c）对治疗接触的观察（项目3）;（d）;提供者访谈（项目1、2、3、4）;（e）关于每种做法的问卷调查（项目1、3）;以及（f）患者后续电话访谈（项目1、2、3、4）。 我们没有让每个项目收集自己的国家数据，而是创建了一个数据收集和管理核心（DCMC）或整个中心。这不仅提高了成本效益，而且确保了项目和数据的高度集成。

Core Description The Center will have 4 projects ¿ Project 1: Clinician Based Appropriateness ¿ Project 2: Outcomes Based Appropriateness ¿ Project 3: Patient Preferences Appropriateness ¿ Project 4 : Economic Based Appropriateness All the four Projects in the Center will utilize data collected in various ways from patients seen by a sample of practicing chiropractic providers in four national sites. The national sites will be selected during the first year of the project and will represent major regions of the country to enhance the generalizability of the findings to the United States overall. Within each ofthe four sites, we will identify and recruit a sample of 20 practicing chiropractors (i.e., 80 in total). If a chiropractor is interested in participating, we then will check to see if they meet the following eligibility requirements: (a) they typically see at least 5 patients a day who are being treated for chronic cervical pain; (b) they are willing to allow our team to recruit interview and shadow 10 patients through their visit over a 2-day period; (c) they will allow us to review and abstract 10 random patient charts and the 10 whom we interview; and (d) they will provide basic information about themselves and their practices. Each project has slightly different, but highly overlapping, data collection requirements, including: (a) the abstraction of patient files (Project 1); (b) face-to-face patient interviews (Project 1,2 4); (c) observations of treatment encounters (Project 3); (d); provider interviews (Projects 1,2,3,4); (e) questionnaires about each practice (Project 1, 3); and (f) patient follow-up telephone interviews (Projects 1, 2,3 4). Rather than have each project collect its own national data we have created one Data Collection and Management Core (DCMC) or the whole Center. This not only results in costs efficiencies but also ensures a much great level of integration of the projects and the data.