Improving PrimAry Care Through Industrial and Systems Engineering (I-PrACTISE)

描述（由申请人提供）：医学研究所、国家工程院、国家研究委员会和由医疗保健研究和质量机构和国家科学基金会资助的讲习班都得出结论并建议工业和系统工程师（ISYE）、卫生服务和临床和转化研究人员以及执业临床医生之间的合作需要提高医疗保健质量和安全。我们计划通过一个小型会议来加速这些合作，特别是在初级保健领域。会议将制定一项研究议程，并确定研究这些议程的战略和机制，通过初级保健从业者和研究人员与ISYE研究人员的合作，推进初级保健实践。我们关注初级保健有五个原因。首先，初级保健对一个国家公民的健康至关重要。所有美国公民，尤其是重点人群，都可能从我们的长期目标中受益。第二，人们普遍认为初级保健专业人员在太少的时间里有太多的事情要做。第三，初级保健中来自高水平协调、信息需求和信息寻求的认知复杂性被严重低估。第四，也许正是因为这些现实，越来越少的医科学生进入初级保健行业。第五，人们已经希望通过实施“以患者为中心的医疗之家”模式来重新设计初级保健。总之，有证据表明，美国的初级保健需要彻底改变，以满足美国的卫生保健需求。我们的会议将召集来自ISYE和初级保健的全国公认的专家来制定一个研究议程，以促进初级保健实践的转变，以满足当前和未来美国医疗保健的挑战。由于会议将广泛地为初级保健建立一个研究议程，而不是在一个特定领域（例如电子健康记录设计），因此很可能会涉及所有AHRQ组合领域。我们正在向AHRQ申请资金，用于：1)创建会议公告活动，并提供旅费报销，以吸引国内专家；2)制定和实施我们的成果和会后传播活动；3)进行会议影响评价，以改进未来的会议。

DESCRIPTION (provided by applicant): The Institute of Medicine, National Academy of Engineering, National Research Council, and workshops funded by the Agency for Healthcare Research and Quality and the National Science Foundation have all concluded and recommended that collaborations between industrial and systems engineers (ISYE), health services and clinical and translational researchers, and practicing clinicians are needed to improve healthcare quality and safety. We plan to accelerate these collaborations, and do so specifically in primary care, with a small conference. The conference will develop a research agenda, and identify strategies and mechanisms for studying them, for advancing primary care practice through the collaboration of primary care practitioners and researchers with ISYE researchers. We focus on primary care for five reasons. First, primary care is essential to the health of a country's citizens. All US citizens, especially priority populations, may benefit from our long- term objectives. Second, it is widely accepted that primary care professionals have too much to do in too little time. Third, the cognitive complexity in primary care from high levels of coordination, information need, and information seeking is vastly underappreciated. Fourth, it is perhaps because of these realities that fewer medical students are going into primary care. Fifth, there is already a desire to re-engineer primary care by implementing the "patient-centered medical home" model. In summary, evidence suggests that primary care in the US is in need of radical change to address the US heath care needs. Our conference will convene nationally recognized experts from ISYE and primary care to develop a research agenda to promote primary care practice transformation to meet current and future US healthcare challenges. Because the conference will build a research agenda for primary care broadly, and not in one particular area (e.g. electronic health record design) it is likely that all AHRQ portfoio areas will be addressed. We are applying to AHRQ for funding to: 1) create conference announcement activities and offer travel reimbursement to attract national experts; 2) develop and implement our deliverables and post-conference dissemination activities; and 3) conduct conference impact evaluation to improve future conferences.