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

Mobile Telecare for Underserved African-American Elders with Heart Failure

为服务不足的患有心力衰竭的非洲裔美国老年人提供移动远程护理

基本信息

批准号：
8549599
负责人：
Hongtu Chen
金额：
$ 19.95万
依托单位：
ENVIRONMENT AND HEALTH GROUP, INC.
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-25 至 2015-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8549599
关键词：
Accident and Emergency department Acute Adherence Affect African American Attitude Car Phone Cardiac Caring Case Management Chronic Clinical Clinical Trials Collaborations Communication Communities Community Hospitals Computer software Congresses Data Devices Diagnosis Effectiveness Elderly Evaluation Family Foundations Goals Health Health Personnel Health Professional Heart Heart failure High Prevalence Hospitalization Hospitals Individual Institutes Intervention Lead Length of Stay Managed Care Medicaid Medical Medicare Medicare/Medicaid Modeling Outcome Participant Patients Phase Physicians Population Prevalence Preventive Protocols documentation Provider Qualifying Quality of Care Quality of life Randomized Clinical Trials Randomized Controlled Trials Recommendation Reporting Resources Risk Sample Size Self Care Services Small Business Innovation Research Grant Solutions South Carolina Specialist System Target Populations Technology Testing Time United States United States Centers for Medicare and Medicaid Services Visit Vulnerable Populations base beneficiary care seeking collaborative care community based care comparison group cost cost effective cost effectiveness design dual eligible experience follow-up health disparity health literacy high risk hospital readmission improved innovation intervention program medical specialties payment phase 1 study phase 2 study preference prevent programs public health relevance randomized trial skills software development successful intervention telecare treatment as usual

项目摘要

Title: Mobile Telecare for Underserved African-American Elders with Heart Failure Abstract Older adults who are dually eligible for Medicare and Medicaid are among the sickest and poorest individuals covered in either program. Although they have a significantly higher prevalence of chronic conditions, such as heart failure (HF) than all other Medicare beneficiaries, as few as 2% of dual eligible patients receive the type of case management or care coordination that can prevent hospitalizations and emergency department visits for acute medical problems. African-Americans are particularly at risk, having the highest rates of HF-related hospitalizations compared to all other Medicare beneficiaries. In this Phase I SBIR, we will conduct a pilot clinical trial to test a care coordination program designed for African-American dual eligible older adults with HF who have been discharged from a regional hospital and who are being cared for by community-based health care providers. The proposed Mobile Heart Care Coordination (MHCC) program integrates telemonitoring through a Bluetooth-enabled device and mobile phone-based communication technologies that connect hospital-based cardiac care teams with community-based providers. The goal of the program is to provide coordinated post-discharge care in order to reduce potentially-avoidable hospitalizations and emergency room visits. This Phase I SBIR will develop and test the MHCC intervention's feasibility and short-term outcomes for dual eligible African-Americans with HF. In a Phase II application, we will conduct a randomized clinical trial with African-American dual-eligible older adults with HF to determine whether participants in the MHCC- enhanced program are less likely to be readmitted within 30 days of hospital discharge (primary hypothesis) and less likely to access emergency room care (secondary hypothesis) compared to the comparison group (usual care). The Phase I application will provide the necessary data to determine the sample size required for the larger adequately powered randomized controlled trial in Phase II. The subsequent Phase II application will result in an innovative, cost-effective, and nationally replicable care coordination model aimed at reducing potentially-avoidable hospitalizations and emergency room visits, and improving quality of care for all African- American dual eligible patients with HF.

标题：移动的医疗保健服务不足的非洲裔美国老年人与心力衰竭摘要老年人谁是双重资格的医疗保险和医疗补助是其中最生病和最贫穷的个人涵盖在任何一个方案中。尽管他们的慢性病患病率明显较高，心力衰竭（HF）比所有其他医疗保险受益人，只有2%的双重合格患者接受类型病例管理或护理协调，可以防止住院和急诊室就诊治疗急性疾病非洲裔美国人尤其处于危险之中，与所有其他医疗保险受益人相比。在第一阶段SBIR中，我们将进行试点一项临床试验，旨在测试为符合条件的非裔美国老年心力衰竭患者设计的护理协调计划已经从地区医院出院并由社区卫生机构照顾的人护理提供者。拟议的移动的心脏护理协调（MHCC）计划整合了远程监护通过蓝牙设备和基于移动的电话的通信技术，以医院为基础的心脏护理团队与以社区为基础的提供者。该计划的目标是提供协调出院后护理，以减少可能避免的住院和急诊探访第一阶段SBIR将开发和测试MHCC干预的可行性和短期结果，患有HF的双重合格非裔美国人。在第二阶段的申请中，我们将进行随机临床试验，与非裔美国人的双重资格的老年HF成人，以确定参与者在MHCC- 加强计划不太可能在出院后30天内再次入院（主要假设）与对照组相比，不太可能获得急诊室护理（次要假设）（常规护理）。第一阶段申请将提供必要的数据，以确定所需的样本量， II期更大的有充分把握度的随机对照试验。第二阶段的申请将建立一个创新的、具有成本效益的、可在全国推广的护理协调模式，可能避免的住院和急诊，并提高所有非洲人的护理质量，美国双重合格HF患者。