Improving Child Health by Disseminating Patient Centered Outcomes Research

描述(由申请人提供)：研究证明，在照顾患有慢性病的儿童方面，证据和实践之间存在重大差距。美国儿科委员会(ABP)建议与辛辛那提儿童医院医疗中心(CCHMC)合作开发一项计划，以有效传播以患者为中心的结果研究，以改善慢性病儿童的护理和结果，最初的重点是优化用药的交付和结果。总部基地可以显著影响近6万名积极临床实践的文凭医生的执业行为。在过去的十年里，作为与其他24个美国医学专科委员会(ABMS)委员会更大努力的一部分，总部基地制定了一项旨在改善儿童护理和结果的认证维护(MOC)计划。总部基地MOC项目标准允许对医生参与协作改进网络和自定进度的、专家开发的基于Web的改进活动的实践绩效进行衡量，医生可以在自己的执业环境中完成这些活动。在过去的两年里，有15,000名儿科医生完成了其中一项活动。CCHMC支持合作改善网络，这些网络是研究和改进儿童治疗有效性的独特实验室，其中包括三个专注于慢性病(例如心脏病、胃肠病和风湿病)的实验室。总部基地以MOC积分奖励医生参与网络。到目前为止，总部基地已经通知了外交官们MOC项目的要求和批准的活动的可用性，但没有积极地向其儿科外交官宣传这些活动。总部基地将制定、实施和评估一项翻译营销方法计划，其具体目标是增加儿科医生对以患者为中心的证据的使用，以改善慢性病儿童的护理和结果，特别关注用药依从性，以便在2016年1月之前：“所有儿科心脏病学、胃肠病学和风湿病学的专家要么参与相关的协作改善网络，强调用药依从性是慢性病管理的一个关键因素；要么完成总部基地为MOC开发的基于网络的用药依从性模块，以及”25%的儿科专科医生和75%的心脏病、胃肠病学和风湿病学专家风湿病专家将完成总部基地赞助的知识自我评估，对目前关于服药依从性的最佳证据进行评估。这些传播工作将为总部基地如何最好地支持儿科医生获取和实施相关新证据提供经验教训。该计划还将向其他ABMS董事会展示医生参与MOC如何导致以患者为中心的结果研究的传播。1

DESCRIPTION (provided by applicant): 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