Personalizing Care for Obese Patients in an Urban Health System

描述（由申请人提供）：今天，患者和提供者比以往任何时候都有更多的医疗保健选择。不仅在病人中，而且在医生中，对科学都存在相当大的怀疑和缺乏理解。如果没有系统的、基于证据的指导来适当和有效地使用多种治疗方案，以及考虑患者的偏好，治疗的快速增长和复杂性只会增加现有的关于哪种选择最适合每个患者的混乱。 拟议的以患者为中心的结局研究中心（PCORC）的目标是充分利用和进一步发展亨利福特医疗系统（HFHS）的研究基础设施和临床资产，以开展以患者为中心的结局研究（PCOR）。PCOR证据将指导护理，以便在底特律大都市的城市和郊区患者群体中实现患者期望的结果。该中心将分为四个不同的核心（患者参与核心、研究设计和分析/测量核心、患者数据网络核心和实施/传播核心），具有不同的功能。该中心目前提出了三个PCOR项目，这些项目侧重于我们选定的肥胖患者护理主题。HFHS PCORC将最大限度地提高我们的卫生保健系统环境中的规划和科学效率，促进资源的共享使用以及流程和程序的标准化，促进PCOR/比较有效性研究（CER）方法的培训，并促进研究结果向医学界的快速传播，并将这些结果转化为我们系统的临床实践。 该中心将通过发展新的变革和组织振兴方法方面的专门知识， 通过教学课程工作、在全国会议上的教育会议和针对具体内容的教育研讨会。这些教育经验将使中心的工作人员能够学习如何开发和进行创新的PCOR研究，为患者护理中的许多紧迫问题提供证据。本中心将通过实施所建议的项目来展示其能力。

DESCRIPTION (provided by applicant): Today, patients and providers are presented with more health care options than ever before. There is considerable doubt and lack of understanding of science not only among patients, but also among physicians. Without systematic, evidence-based guidance for the appropriate and efficient use of the multitude of treatment options, as well as the consideration of patient preferences, the rapid growth and complexity of treatments will only add to the existing confusion about which option is best for each individual patient. The objective of the proposed Patient-Centered Outcome Research Center (PCORC) is to fully leverage and further develop the research Infrastructure and clinical assets of Henry Ford Health System (HFHS) in order to conduct Patient-Centered Outcomes Research (PCOR). The PCOR evidence will guide care in order to achieve patient-desired outcomes in our urban and suburban patient populations located throughout Metropolitan Detroit. The Center will be organized into four different Cores (Patient Engagement Core, Study Design and Analysis/Measurement Core, Patient Data Network Core, and Implementation/Dissemination Core) with different functions. The Center currently has three PCOR projects proposed that are focused on our selected theme of caring for the obese patient. The HFHS PCORC will maximize programmatic and scientific efficiency within our health care system setting, promote shared use of resources and standardization of processes and procedures, promote training in PCOR/Comparative Effectiveness Research (CER) methods, and facilitate rapid dissemination of research findings to the medical community and translation of those results into our system's clinical practice. The Center will bliild on existing research capabilities by developing expertise in novel PCOR methods through didactic course work, educational sessions at national meetings and content-specific educational seminars. These educational experiences will allow the Center staff to learn how to develop and conduct innovative PCOR studies that will provide evidence for the many pressing issues in patient care. The Center wiil demonstrate its proficiency through the conduct of the proposed proiects.