Understanding Health Care Delivery Systems PCOR Adoption and System Performance

了解医疗保健服务系统 PCOR 采用和系统性能

• 批准号: 9340121
• 负责人: CHERYL DAMBERG
• 金额: $ 349.37万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9340121
• 关键词: Understanding; Health; Care; Delivery; Systems

 DESCRIPTION (provided by applicant): The characteristics of health systems and the environment they operate in affect the effective implementation of patient centered outcome research (PCOR) practices. This, in turn, influences the quality of healthcare patients receive. Yet little is known about the specific characteristics of health systems today that make them more effective at delivering high quality patient care, in part because so much has changed within health care systems due to recent innovations and new models of patient care. The fundamental purpose of the Data Core is to support the work being conducted within the RAND-Penn State Center of Excellence, which is focused on identifying key attributes of health care systems that are likely to be important for successful implementation of PCOR practices and, hence, improved patient outcomes. The data core will accomplish this in two main ways. First, it will focus on collecting, improving, and analyzing primary and secondary data in five regions so as to assist Center investigators with the identification and testing of key characteristics of health systems that may be associated with improved patient outcomes. Second, through this research, the Data Core will develop a novel taxonomy of health systems that can be used to classify health care systems and identify those that are highly effective in implementing PCOR practices. The Data Core also will provide the essential infrastructure for maximizing the efficiency, consistency and quality of the data operations and research conducted throughout the Center of Excellence. This will be accomplished by minimizing unnecessary duplication of effort involved with cleaning data, creating measures, constructing data files, and resolving difficult methodological problems. The Data Core will help to facilitate sharing of information and metrics useful for analyses across the component projects and other investigators in the field.

 描述(由申请人提供)：卫生系统的特点及其运行环境影响以患者为中心的结果研究(PCOR)实践的有效实施。这反过来又会影响患者接受的医疗保健的质量。然而，人们对当今医疗体系的具体特征知之甚少，这些特征使它们能够更有效地提供高质量的患者护理，部分原因是由于最近的创新和新的患者护理模式，医疗体系内发生了很大变化。数据核心的基本目的是支持兰德-宾夕法尼亚州立大学卓越中心内正在进行的工作，该工作的重点是确定医疗保健系统的关键属性，这些关键属性可能对成功实施PCOR实践非常重要，从而改善患者的预后。数据核心将通过两种主要方式实现这一点。首先，它将专注于收集、改进和分析五个地区的主要和次要数据，以协助中心调查人员确定和测试可能与改善患者预后相关的卫生系统的关键特征。第二，通过这项研究，数据核心将开发一种新的卫生系统分类法，可用于对卫生保健系统进行分类，并确定哪些系统在实施PCOR做法方面非常有效。 数据核心还将提供必要的基础设施，以最大限度地提高整个英才中心进行的数据业务和研究的效率、一致性和质量。这将通过最大限度地减少清理数据、创建措施、构建数据文件和解决困难的方法问题所涉及的不必要的重复工作来实现。数据核心将有助于分享对各构成部分项目和外地其他调查员的分析有用的信息和衡量标准。