权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Dyadic Processes in the Patient-Provider Relationship

医患关系中的二元流程

基本信息

批准号：
8501682
负责人：
MALLORY O JOHNSON
金额：
$ 15.49万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2014-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8501682
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Adherence Applications Grants Area California Caring Clinic Clinical Clinical Sciences Complement Complex Coupled Data Data Analyses Data Collection Development Electronic Health Record Electronic Mail Electronics Equilibrium Foundations Funding Future HIV Health Institutes International Intervention Link Manuscripts Measures Medical Medical Informatics Medicine Mentors Midcareer Investigator Award in Patient-Oriented Research Modeling Morbidity - disease rate Outcome Patient Preferences Patients Policies Population Positioning Attribute Primary Health Care Principal Investigator Process Provider Public Health Publishing Quality of life Records Research Research Infrastructure Research Personnel Resources Role San Francisco Seeds Side Structure System Talents Technology Time Training Translational Research Treatment outcome United States United States National Institutes of Health Universities base career career development design empowerment evidence base health care delivery improved innovation interest mortality patient oriented research preference professor programs psychosocial public health relevance research and development research study satisfaction shared decision making social theories tool treatment adherence

项目摘要

DESCRIPTION (provided by applicant): Dr. Mallory Johnson is Associate Professor in the Department of Medicine at the University of California San Francisco. Over the past decade, he has developed a thriving program of multi-disciplinary collaborative research focused on improving HIV treatment outcomes through patient empowerment. The purpose of this K24 is to request the necessary funding to (1) provide expanded mentoring of early career clinician- researchers in patient-oriented research (POR), and (2) extend his current research program to the study of patient-provider dyads, which will be studied through the integration of research tools into electronic health records (EHR) systems. Dr. Johnson's trainees have emerged as research clinicians interested in conducting POR. There is a critical need for a better understanding of how the patient-provider relationship influences health outcomes and how these relationships can be augmented to improve outcomes. Much of the existing research on this topic is limited to a single perspective of the patient-provider relationship, but seldom do studies attempt to understand the relationship and its implications simultaneously from the patients and providers. Understanding how to measure and analyze the relationship from these two sides is a critical step in developing an effective model for interventions. Further, it is clear that medical informatics will become an increasingly central base of healthcare delivery in the United States and developing world. The proposed research emphasizes the contextual role of EHRs and other technologies (such as email, patient access to online information portals, etc) on the patient-provider dyads, with an emphasis on decisional balance preferences. Therefore, the candidate seeks to bridge these areas through gaining expertise in medical informatics, provider relations, dyadic data analysis, and international collaborative research to remain on the cutting edge of this rapidly evolving field. The K24 support would insure sufficient time to pursue this natural progression of his research while protecting time to devote to mentoring future clinician investigators in POR. The plans for development, research, and mentoring were designed to complement each other and to create a synergistic effect of mentoring and research in a new direction of POR. The proposed mentoring, research, and career development activities actively leverage existing infrastructure, resources and training initiatives provided by NIH, including the candidate's active research program, the Center for AIDS Prevention Studies (CAPS), the Center for AIDS Research (CFAR), and the Clinical and Translational Science Institute (CTSI) at UCSF.

描述（由申请人提供）：马洛里约翰逊博士是加州大学旧金山弗朗西斯科医学系副教授。在过去的十年中，他开发了一个蓬勃发展的多学科合作研究计划，重点是通过患者赋权来改善艾滋病毒治疗结果。该K24的目的是申请必要的资金，以（1）在以患者为导向的研究（POR）中为早期职业临床医生-研究人员提供扩展的指导，以及（2）将其当前的研究计划扩展到患者-提供者二元关系的研究，这将通过将研究工具集成到电子健康记录（EHR）系统中进行研究。约翰逊博士的受训人员已经成为对进行POR感兴趣的临床研究人员。迫切需要更好地了解患者与提供者的关系如何影响健康结果，以及如何增强这些关系以改善结果。现有的研究大多局限于单一视角的医患关系，但很少有研究试图同时从患者和提供者的角度来理解这种关系及其影响。了解如何从这两个方面衡量和分析关系是制定有效干预模式的关键一步。此外，很明显，医学信息学将成为美国和发展中国家医疗保健提供的日益核心的基础。拟议的研究强调EHR和其他技术（如电子邮件，患者访问在线信息门户网站等）的患者-提供者的二元关系的上下文作用，强调决策平衡的偏好。因此，候选人寻求通过获得医学信息学，供应商关系，二元数据分析和国际合作研究方面的专业知识来弥合这些领域，以保持在这个快速发展的领域的前沿。K24的支持将确保有足够的时间来追求他的研究的自然进展，同时保护时间，致力于指导未来的临床研究人员在POR。发展、研究和指导计划旨在相互补充，并在POR的新方向上创造指导和研究的协同效应。建议的指导，研究和职业发展活动积极利用现有的基础设施，资源和NIH提供的培训计划，包括候选人的积极研究计划，艾滋病预防研究中心（CAPS），艾滋病研究中心（CFAR）和临床和转化科学研究所（CTSI）在UCSF。