UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)

描述（由申请人提供）：我们建议在达拉斯德克萨斯大学西南医学中心（UTSW）、帕克兰健康与医院系统（Parkland）、儿童医疗中心（Children’s）和北德克萨斯退伍军人管理局卫生系统（Dallas VA）建立一个以患者为中心的结果研究（PCOR）和比较有效性研究（CER）的综合中心。该中心的主题是在得不到充分服务的患者、人群和环境中，包括那些由安全网系统提供服务的患者、人群和环境中的PCOR/CER。我们将利用UTSW、Parkland、Children’s、Dallas VA、UTSW CTSA和所有UTSW学术机构的资源，并广泛参与实现以下目标所需的利益相关者：发展基础设施和项目，以增加PCOR/CER的专业知识和研究活动。2. 在PCOR/CER中为教师、学员和学生创建正式的教育、培训、指导和职业发展活动，并在校园内扩大对PCOR/CER的理解。3. 建立支持有意义的利益相关者参与所需的结构、政策和程序。4. 开展PCOR/CER以改善服务不足的患者和人群的护理结果。5. 向研究人员、卫生系统以及地方、州和国家利益攸关方传播调查结果。6. 对我们的进步进行形成性和总结性的评估，并克服任何通往成功的障碍。我们从所有西南大学和合作机构的领导人那里得到了强有力的财政承诺。三个项目将利用电子病历中的数据进行观察和干预研究，以改善对高风险、服务不足的患者和人群的护理。所有项目都将在整个研究、实施和传播过程中让利益相关者参与进来。我们将与ahrq资助的约翰霍普金斯大学EPC和DEclDE卓越中心合作。我们将与德克萨斯大学其他5个姊妹健康科学中心（分别位于休斯顿、圣安东尼奥、加尔维斯顿和泰勒）合作，所有这些中心都有安全网络附属机构，以传播我们的研究结果。所有活动的目的都是促进PCOR/CER，以改善向得不到充分服务的人群提供以患者为中心、循证、高质量、公平和高效的护理。

DESCRIPTION (provided by applicant): We propose creating an integrated Center for patient-centered outcomes research (PCOR) and comparative effectiveness research (CER) at the University of Texas Southwestern Medical Center in Dallas (UTSW), Parkland Health and Hospital System (Parkland), Children's Medical Center (Children's), and the North Texas Veterans Administration Health Systems (Dallas VA). The theme of the Center is PCOR/CER in underserved patients, populations, and settings, including those served by safety net systems. We will leverage the resources at UTSW, Parkland, Children's, Dallas VA, UTSW CTSA and all UTSW academic institutions, and broadly engage stakeholders needed to achieve the following aims: 1. Develop the infrastructure and programs to increase expertise and research activity in PCOR/CER. 2. Create formal education, training, mentorship and career development activities in PCOR/CER for faculty, trainees, and students, and expand understanding of PCOR/CER across our campus. 3. Establish the structures, policies and procedures needed to support meaningful stakeholder engagement. 4. Conduct PCOR/CER to improve the outcomes of care among underserved patients and populations. 5. Disseminate findings to researchers, health systems, and local, state and national stakeholders. 6. Perform formative and summative evaluation of our progress and overcome any barriers to success. We have strong financial commitments from the leaders of all UTSW and partner institutions. Three projects will harness data in the electronic medical record to conduct observational and interventional studies to improve care for high risk, underserved patients and populations. All projects will engage stakeholders throughout the research, implementation, and dissemination process. We will partner with the AHRQ-funded Johns Hopkins University EPC and DEclDE Centers of Excellence. We will collaborate with our 5 other sister Univ. of TX Health Science Centers (in Houston, San Antonio, Galveston, Tyler) ~all who have safety net affiliates to disseminate our findings. All activities aim to promote PCOR/CER to improve the delivery of care to the underserved that is patient-centered, evidence-based, high quality, equitable, and efficient.