The University of Washington Patient Centered Outcomes Research Partnership (PCOR

描述(由申请人提供)：美国的医疗保健系统面临着复杂的问题，即哪些医疗保健决定真正改善了人口健康。要回答这些问题，我们需要新的研究人员，他们能够对以患者为中心的结果进行创新、务实的研究，并对医疗治疗的比较有效性进行研究。这些研究人员必须能够在不同和复杂的医疗保健环境中实施比较有效性研究(CER)和以患者为中心的结果研究(PCOR)的结果。我们建议有一个利益相关者驱动的教育和体验式培训计划，为进行CER和PCOR的科学家和临床医生做好准备。我们的计划包括为美国印第安人和阿拉斯加原住民提供以社区为基础的医疗保健，这两个群体基本上没有得到充分的服务。学员将受益于由华盛顿大学CER/PCOR专家指导的体验式培训，并由我们的四个合作伙伴指导：城市印第安人健康研究所、阿拉斯加中南部基金会、瑞典医疗中心、华盛顿、怀俄明州、阿拉斯加、蒙大拿州和爱达荷州实践与研究网络。我们的具体目标是：1)与我们的伙伴组织合作，修订现有的CER/PCOR课程，并开发新的面对面培训课程，以满足我们合作伙伴的需求；2)开发与我们的面对面培训相辅相成的异步在线培训模块；3)从我们的合作组织中招募和培训24名缺乏或需要提高CER/PCOR技能的新学员。我们还将为西雅图大学和其他总部位于西雅图的研究和临床组织的K和T32项目的参与者提供CER/PCOR培训。我们将帮助所有学员开发协作的CER/PCOR试点研究；4)与我们的合作伙伴共同开发有指导的培训体验；5)开发一个高级同行培训网络，其重点将是观察数据、激发利益相关者和患者的视角，以及在研究和实践中开发和使用以患者为中心的结果；以及6)使用包括持续流程改进和社交网络分析在内的创新方法来评估我们的计划，并努力将其转化为可持续的努力，可以在美国其他地点实施。我们的首要目标是为以患者为中心的结果研究伙伴开发一个合作伙伴驱动的模式。这一伙伴关系还将努力制定和开展减少健康差距的《消除对妇女歧视公约》/《儿童权利公约》研究。我们的努力将直接影响公共卫生和医疗保健系统的质量，并发展可持续合作，以改善我们地区的医疗保健。

DESCRIPTION (provided by applicant): Healthcare systems in the US face complex questions regarding what healthcare decisions truly improve population health. To answer such questions, we need new investigators who can conduct innovative, pragmatic research on patient-centered outcomes and on the comparative effectiveness of medical treatments. These investigators must be able to implement the findings of comparative effectiveness research (CER) and patient-centered outcomes research (PCOR) in varied and complex healthcare settings. We propose to have a stakeholder-driven educational and experiential training program to prepare scientists and clinicians for conducting CER and PCOR. Our program includes a focus on community-based healthcare for American Indians and Alaska Natives, a largely underserved population. Trainees will benefit from experiential training mentored by experts in CER/PCOR at the University of Washington and also mentored by our four partners: the Urban Indian Health Institute, Southcentral Foundation of Alaska, Swedish Medical Center, and the Washington, Wyoming, Alaska, Montana, and Idaho Practice and Research Network. Our specific aims are to: 1) Collaborate with our partner organizations, revise an existing CER/PCOR curricula and develop new in-person training sessions that meet our partners' needs; 2) Develop asynchronous, online training modules that complement our in-person training; 3) Recruit and train a cadre of 24 new trainees from our partner organizations who lack or need improved CER/PCOR skills. We will also offer CER/PCOR training to participants in K and T32 programs at UW and other Seattle-based research and clinical organizations. We will help all trainees develop collaborative CER/PCOR pilot studies; 4) Develop a mentored training experience jointly with our partners; 5) Develop an advanced peer-training network that will focus on observational data, on eliciting stakeholder and patient perspectives, and on developing and using patient-centered outcomes in research and practice; and 6) Use innovative approaches, including continuous process improvement and social network analysis, to evaluate our program and strive to translate it into a sustainable effort that can be implemented in other sites across the US. Our overarching goal is to develop a partner-driven model for a Patient-Centered Outcomes Research Partnership. This Partnership will also strive to develop and conduct CER/PCOR studies that will reduce health disparities. Our effort will directly affect the quality of public health and healthcare systems and develop sustainable collaborations to improve healthcare in our region.