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

德州大学西南以患者为中心的结果研究中心 (PCOR)

• 批准号: 9354431
• 负责人: Ethan A Halm
• 金额: $ 100万
• 依托单位: UT SOUTHWESTERN MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9354431
• 关键词: UT; Southwestern; Center; Patient; Centered

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.

描述（由申请人提供）：我们建议在达拉斯的德克萨斯大学西南医学中心（UTSW）、帕克兰健康和医院系统（Parkland）、儿童医疗中心（Children's）和北德克萨斯退伍军人管理局健康系统（达拉斯VA）创建一个以患者为中心的结局研究（PCOR）和比较有效性研究（CER）综合中心。该中心的主题是在服务不足的患者、人群和环境中的PCOR/CER，包括安全网系统所服务的患者、人群和环境。我们将利用UTSW，帕克兰，儿童，达拉斯弗吉尼亚州，UTSW CTSA和所有UTSW学术机构的资源，并广泛参与利益相关者需要实现以下目标：1。发展基础设施和方案，以增加变革和组织振兴方案/核证的排减量方面的专门知识和研究活动。2.创建正式的教育，培训，指导和职业发展活动在PCOR/CER的教师，学员和学生，并扩大对PCOR/CER在我们的校园的理解。3.建立必要的结构、政策和程序，以支持利益攸关方有意义的参与。4.进行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、州和国家利益相关者传播研究结果。6.对我们的进展进行形成性和总结性评估，并克服成功的任何障碍。我们有来自所有UTSW和合作机构的领导人的强有力的财政承诺。三个项目将利用电子病历中的数据进行观察性和干预性研究，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攸关方参与。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。我们将与我们的其他5个姐妹德克萨斯大学健康科学中心（在休斯顿，圣安东尼奥，加尔维斯顿，泰勒）-所有谁有安全网附属机构传播我们的研究结果。所有活动的目的都是促进变革和组织振兴方案/核证的排减量方案，以改善向服务不足者提供的以病人为中心、以证据为基础、高质量、公平和高效的护理。

项目成果

Comparison of Pharmacy Refill Data With Chemical Adherence Testing in Assessing Medication Nonadherence in a Safety Net Hospital Setting.

• DOI: 10.1161/jaha.122.027099
• 发表时间: 2022-10-04
• 期刊: JOURNAL OF THE AMERICAN HEART ASSOCIATION
• 影响因子: 5.4
• 作者: Osula, David;Wu, Bryan;Schesing, Kevin;Das, Sandeep R.;Moss, Elizabeth;Alvarez, Kristin;Clark, Christopher;Halm, Ethan A.;Brown, Nancy J.;Vongpatanasin, Wanpen
• 通讯作者: Vongpatanasin, Wanpen

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System.

安全网医院系统中乳腺癌、肺癌和结肠癌患者住院姑息治疗咨询订单的预测因素。

• DOI: 10.1177/1049909117733473
• 发表时间: 2018
• 期刊: The American journal of hospice & palliative care
• 作者: Smith,LaurenN;Rhodes,RamonaL;Xuan,Lei;Halm,EthanA
• 通讯作者: Halm,EthanA

Impact of Concurrent Medication Use on Pancreatic Cancer Survival-SEER-Medicare Analysis.

• DOI: 10.1097/coc.0000000000000359
• 发表时间: 2018-08
• 期刊: American journal of clinical oncology
• 作者: Beg MS;Gupta A;Sher D;Ali S;Khan S;Gao A;Stewart T;Ahn C;Berry J;Mortensen EM
• 通讯作者: Mortensen EM

The Influence of Financial Strain on Health Decision-Making.

财务压力对健康决策的影响。

• DOI: 10.1007/s11606-017-4296-3
• 发表时间: 2018
• 期刊: Journal of general internal medicine
• 影响因子: 5.7
• 作者: Nguyen,OanhKieu;Higashi,RobinT;Makam,AnilN;Mijares,JuanC;Lee,SimonCraddock
• 通讯作者: Lee,SimonCraddock

Risk of amphetamine use disorder and mortality among incident users of prescribed stimulant medications in the Veterans Administration.

退伍军人管理局处方兴奋剂药物使用者的安非他明使用障碍和死亡风险。

• DOI: 10.1111/add.14122
• 发表时间: 2018
• 期刊: Addiction (Abingdon, England)
• 作者: Westover,ArthurN;Nakonezny,PaulA;Halm,EthanA;Adinoff,Bryon
• 通讯作者: Adinoff,Bryon