CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness

CHOICE：组织临终关怀联盟调查比较有效性

• 批准号: 8541805
• 负责人: DAVID J CASARETT
• 金额: $ 13.54万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8541805
• 关键词: CHOICE; Coalition; Hospices; Organized; Investigate

DESCRIPTION (provided by applicant): In the U.S. today, more than 5,000 hospices provide care for more than 1.5 million patients every year. These patients receive care in their own homes, in nursing homes, in hospitals, and in dedicated hospice units. In order to provide high quality care that is competent, patient- and family- centered, coordinated, and compassionate, hospices need an evidence base of comparative effectiveness research (CER). However, it is unlikely that CER data will come primarily from randomized controlled trials. These trials are very difficult in the hospice setting because the majority of hospice patients are unable to participate. Moreover, patients enroll in hospice very late in the course of illness, making clinicl trials very difficult. Therefore, in order to advance the science of CER for hospice care in other ways, the research team has developed an innovative CER hospice network (CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness). The overarching goal of the proposed project to investigate the feasibility and validity of EHR-derived hospice data, and to establish the value of the CHOICE network in answering key hospice-focused CER questions.

描述（由申请人提供）：在今天的美国，每年有5000多家临终关怀医院为150多万病人提供护理。这些病人在自己的家中、疗养院、医院和专门的临终关怀病房接受护理。为了提供称职的、以病人和家庭为中心的、协调的和富有同情心的高质量护理，安宁疗护需要一个比较有效性研究（CER）的证据基础。然而，CER数据不太可能主要来自随机对照试验。这些试验在安宁疗护环境中非常困难，因为大多数安宁疗护病人无法参与。此外，病人在疾病过程中很晚才加入安宁疗护，使得临床试验非常困难。