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: 8427701
• 负责人: DAVID J CASARETT
• 金额: $ 16.14万
• 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/8427701
• 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. PUBLIC HEALTH RELEVANCE: In the U.S. today, more than 5,000 hospices provide care for more than 1.5 million patients every year. 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). The goal of this project is to demonstrate the feasibility of using an electronic health record-based network (CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness) to advance the evidence base of hospice care.

描述（由申请人提供）：今天，在美国，每年有5,000多个临终关怀机构为150多万患者提供护理。这些病人在自己家里、疗养院、医院和专门的临终关怀单位接受护理。为了提供高质量的护理，是称职的，病人和家庭为中心，协调，和同情，临终关怀需要一个证据基础的比较有效性研究（CER）。然而，CER数据不太可能主要来自随机对照试验。这些试验在临终关怀环境中非常困难，因为大多数临终关怀患者无法参与。此外，患者在疾病过程中很晚才登记临终关怀，使得临床试验非常困难。 因此，为了以其他方式推进CER临终关怀的科学，研究小组开发了一个创新的CER临终关怀网络（CHOICE：组织调查比较有效性的临终关怀联盟）。该项目的总体目标是调查EHR衍生的临终关怀数据的可行性和有效性，并建立CHOICE网络在回答关键的临终关怀CER问题中的价值。 公共卫生相关性：在今天的美国，每年有5,000多家临终关怀机构为150多万患者提供护理。为了提供合格的高质量护理， 以病人和家庭为中心，协调和富有同情心，临终关怀需要一个比较有效性研究（CER）的证据基础。该项目的目标是证明使用基于电子健康记录的网络（选择：临终关怀联盟组织调查比较有效性）的可行性，以推进临终关怀的证据基础。