Improving Child Health by Disseminating Patient Centered Outcomes Research

研究表明，在照顾患有自闭症的儿童方面，证据和实践之间存在着重大差距。 慢性病。美国儿科委员会（ABP）建议与 辛辛那提儿童医院医疗中心（CCHMC），以有效传播以患者为中心的结果 研究将改善慢性病儿童的护理和结果，最初的重点是 优化药物使用的交付和结果。 ABP可以显着影响近60，000名住院医师的医生实践行为， 积极的临床实践。在过去的十年里，ABP作为与其他24个美国人更大努力的一部分， 医学专业委员会（ABMS）委员会，制定了认证维护（MOC）计划 旨在改善儿童的护理和成果。主运行中心项目的ABP标准允许以下项目获得学分： 测量医生参与协作改进网络和自我改进的实践表现， 医生可以在自己的实践中完成的节奏，专家开发的基于Web的改进活动 设置.在过去两年中，超过15，000名儿科医生完成了其中一项活动。CCHMC支持 协作改进网络是研究和改进有效性的独特实验室 包括三种专注于慢性疾病的治疗方法（例如心脏病学，胃肠病学和 风湿病学）。ABP通过MOC信用奖励参与网络的医生。迄今为止，ABP已 已将主运行中心的计划要求和已批准活动的可用性通知了各主管部门，但尚未 积极向其儿科医师推广这些活动。 总部基地将开发，实施和评估一个计划的翻译营销方法与 增加儿科医生使用以患者为中心的证据以改善护理和结局的具体目标 在患有慢性病的儿童中，特别关注药物依从性，以便到2016年1月： “所有心脏病学、胃肠病学和风湿病学的儿科专科医生要么1）参加 一个相关的协作改进网络，强调药物依从性是关键 慢性疾病管理的因素或2）已完成ABP开发的基于网络的药物 用于MOC的依从性模块，以及 “25%的儿科专科医生和75%的心脏病学、胃肠病学和风湿病学 亚专家将完成ABP发起的对当前最佳证据的知识自我评估 关于药物依从性。 这些传播工作将为ABP如何最好地支持儿科医生的获取和 实施相关新证据。该计划还将向其他ABMS板演示如何 医生参与MOC可以传播以患者为中心的结果研究。 1

Studies document that significant gaps exist between evidence and practice in care for children with chronic illness. The American Board of Pediatrics (ABP) proposes to develop a program in collaboration with Cincinnati Children's Hospital Medical Center (CCHMC) to effectively disseminate patient-centered outcomes research that will improve care and outcomes for children with chronic illness, with an initial focus on optimizing the delivery and outcomes of medication use. The ABP can significantly influence the physician practice behavior of the almost 60,000 diplomates in active clinical practice. Over the last decade, the ABP, as part of a larger effort with the other 24 American Board of Medical Specialties (ABMS) boards, has developed a Maintenance of Certification (MOC) program designed to improve care and outcomes for children. The ABP standards for MOC programs allow credit for measuring performance in practice for physician participation in collaborative improvement networks and self- paced, expert-developed Web-based improvement activities that physicians can complete in their own practice setting. In the past two years, >15,000 pediatricians have completed one of these activities. CCHMC supports collaborative improvement networks that are unique laboratories for studying and improving the effectiveness of therapies in children, including three focused on chronic illness (e.g. cardiology, gastroenterology, and rheumatology). The ABP rewards physician participation in networks with MOC credit. To date, the ABP has notified diplomates of the MOC program requirements and the availability of approved activities but has not actively promoted these activities to its pediatric diplomates. The ABP will develop, implement, and evaluate a program of translational marketing methods with the specific aim of increasing pediatrician use of patient-centered evidence to improve care and outcomes in children with chronic illness, with a specific focus on medication adherence, so that by January 2016: " all pediatric subspecialists in cardiology, gastroenterology, and rheumatology are either 1) participating in one of the relevant collaborative improvement networks that emphasize medication adherence as a key factor in chronic disease management or 2) have completed an ABP-developed web-based medication adherence module for MOC, and " 25% of all subspecialty pediatricians and 75% of cardiology, gastroenterology, and rheumatology subspecialists will have completed ABP-sponsored knowledge self-assessments of current best evidence on medication adherence. These dissemination efforts will provide lessons for how the ABP can best support pediatrician acquisition and implementation of relevant new evidence. This program will also demonstrate to other ABMS boards how physician participation in MOC can lead to dissemination of patient-centered outcomes research. 1