Conceptualizing the problem of implementation: a systems engineering perspective applied in substance abuse treatment

概念化实施问题:系统工程视角应用于药物滥用治疗

基本信息

  • 批准号:
    9256452
  • 负责人:
  • 金额:
    $ 15.47万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2015
  • 资助国家:
    美国
  • 起止时间:
    2015-05-01 至 2020-04-30
  • 项目状态:
    已结题

项目摘要

 DESCRIPTION (provided by applicant): Candidate: Andrew Quanbeck, Ph.D., is a health systems engineer seeking to launch an independent research career in implementation science, focused in the clinical area of addiction and drug abuse treatment. Systems engineers draw upon theories and principles from diverse scientific fields and apply them to problems in the real world. Having been trained as a systems engineer with a focus on healthcare systems, I have become especially interested in a critical problem in healthcare: the abysmal statistics on the rate of adoption of evidence-based practices. I formulate the process of implementation as a series of decisions made under uncertainty by healthcare stakeholders with potentially divergent values, and illustrate the many ways that implementation can fail from a systems perspective. My near-term goal is to learn and apply the technique of multi-attribute utility theory to assess the perceived value of an evidence-based practice for addiction treatment from the perspective of key healthcare stakeholders, and use it as a basis to identify and mitigate potential causes of failure. My long-term career goal is to work towards solving the problem of implementation in healthcare, and a mentored career award will help me gain the further training I need to do it. Development plan: Multi-attribute utility theory falls under the general discipline of decision analysis, a field with which I have little experience. My primary mentor (Dr. Gustafson) is a pioneer in applying multi-attribute utility theory to healthcare problems, with 33 articles publishd on the topic. Dr. Gustafson will guide me in developing the expertise in multi-attribute utility theory and implementation science I need to fulfill my career goals. Dr. Gustafson will be joined by a world-class mentoring team, including Dr. John Mullahy, Professor of Population Health Sciences and an internationally known authority on health economics (particularly in the area of drug abuse); Dr. Ramon Aldag, Professor of Management, former President of the Academy of Management and an expert on behavioral decision-making; Dr. Oguzhan Alagoz, Associate Professor of Industrial & Systems Engineering and an expert in medical decision making; Dr. Barbara Bowers, Professor of Nursing and an international authority on mixed-methods research; and Dr. Randall Brown, Associate Professor of Family Medicine and head of the University of Wisconsin Addiction Medicine Residency program. Environment: The University of Wisconsin has a worldwide reputation as a research university, ranking second among public universities in overall research expenditures. The University's College of Engineering's Center for Health Enhancement Systems Studies (CHESS) offers an unparalleled environment to conduct research on healthcare implementation science. Over the past 25 years CHESS has developed an international reputation for its innovative application of systems engineering principles and designs to healthcare, specifically in areas of organizational and individual change. Housed in the Department of Industrial & Systems Engineering, CHESS has played a key role in making the University of Wisconsin the world's leading health systems engineering research department in terms of research funding. CHESS, currently home to two R01-level NIH implementation studies, holds a trove of implementation research data and connections with research participants that is unparalleled in the field of implementation science, allowing examination of cross-cutting implementation issues between different healthcare organizations. Research plan: The research plan capitalizes on the strong research environment CHESS affords by studying a group of healthcare clinics seeking to implement an evidence-based practice for addiction named A-CHESS. The objective of the research plan is to develop and pilot test a multi-attribute utility model that assesses the perceived value of an evidence-based practice from multiple stakeholder perspectives. Several fields- decision science, health economics, behavioral economics, and game theory, among others-all suggest ideas that can help explain how people make decisions under uncertainty. I will first seek to develop the multi- attribute utility model, using a mixed methods approach, in three pilot clinics. The content of the model will be developed and validated through qualitative interviews with clinic managers, staff, and patients. Then, I will test how the model correlates with the uptake of A-CHESS by surveying managers, staff, and patients from clinics engaged in implementation. Achieving these aims will elucidate how to integrate the multi-attribute utility model into a comprehensive implementation strategy, and will generate preliminary data to conduct a prospective R01 implementation study testing this strategy. Ultimately, fulfillment of the career development and research plan will offer a data-driven means of assessing the potential impact of evidence-based practice adoption using multi-attribute utility theory, an approach that is well-established in the health economics literature. The resulting product will be a diagnostic tool for assessing the prospects of evidence-based practice adoption and refining implementation strategies to make adoption more appealing to critical stakeholders.
 描述(由申请人提供):候选人:Andrew Quanbeck博士,是一名卫生系统工程师,寻求在实施科学方面开展独立的研究事业,专注于成瘾和药物滥用治疗的临床领域。系统工程师从不同的科学领域中汲取理论和原理,并将其应用于真实的世界中的问题。作为一名专注于医疗系统的系统工程师,我对医疗保健中的一个关键问题特别感兴趣:关于循证实践采用率的糟糕统计数据。我制定的实施过程中的一系列决策的不确定性下作出的医疗利益相关者具有潜在的不同的价值观,并说明了许多方式,实施可能会失败,从系统的角度来看。我的近期目标是学习和应用多属性效用理论的技术,从关键医疗利益相关者的角度评估成瘾治疗循证实践的感知价值,并将其作为识别和减轻失败的潜在原因的基础。我的长期职业目标是致力于解决医疗保健领域的实施问题,一个指导性的职业奖励将帮助我获得所需的进一步培训。发展计划:多属性效用理论福尔斯属于决策分析的一般学科,我对这个领域几乎没有经验。我的主要导师(Gustafson博士)是将多属性效用理论应用于医疗保健问题的先驱,发表了33篇关于该主题的文章。Gustafson博士将指导我发展多属性效用理论和实施科学方面的专业知识,以实现我的职业目标。Gustafson博士将与一个世界级的指导团队一起工作,其中包括人口健康科学教授、国际知名的卫生经济学权威John Mullahy博士Ramon Aldag博士,管理学教授,管理学院前院长,行为决策专家; Oguzhan Alagoz博士,工业与系统工程副教授,医学决策专家; Barbara Bowers博士,护理学教授,混合方法研究的国际权威;兰德尔·布朗博士,家庭医学副教授,威斯康星州大学成瘾医学住院医师项目负责人。工作环境:威斯康星州大学作为一所研究型大学在世界范围内享有盛誉,在公立大学中的总体研究支出排名第二。该大学工程学院的健康增强系统研究中心(CHESS)提供了一个无与伦比的环境来进行医疗保健实施科学的研究。在过去的25年里,国际象棋已经发展了一个国际声誉,其创新的应用系统工程原理和设计的医疗保健,特别是在组织和个人的变化领域。坐落在工业与系统工程系,国际象棋发挥了关键作用,使威斯康星州的世界领先的卫生系统工程研究部门的研究资金方面的大学。CHESS目前拥有两项R 01级NIH实施研究,拥有大量实施研究数据和与研究参与者的联系,这在实施科学领域是无与伦比的,可以检查不同医疗机构之间的交叉实施问题。研究计划:该研究计划利用国际象棋强大的研究环境,通过研究一组寻求实施名为A-CHESS的成瘾循证实践的医疗诊所提供。研究计划的目标是开发和试点测试多属性效用模型,从多个利益相关者的角度评估基于证据的实践的感知价值。决策科学、健康经济学、行为经济学和博弈论等多个领域都提出了一些有助于解释人们如何在不确定性下做出决策的想法。我将首先寻求开发多属性实用模型,使用混合方法的方法,在三个试点诊所。的内容 将通过与诊所管理人员、工作人员和患者的定性访谈来开发和验证模型。然后,我将测试该模型与A-CHESS的吸收相关性,调查管理人员,工作人员和参与实施的诊所的患者。实现这些目标将阐明如何将多属性效用模型整合到一个全面的实施战略,并将产生初步的数据进行前瞻性的R 01实施研究测试这一战略。最终,职业发展和研究计划的实现将提供一种数据驱动的方法,使用多属性效用理论评估循证实践采用的潜在影响,这是一种在卫生经济学文献中已经确立的方法。由此产生的产品将是一个诊断工具,用于评估采用循证实践的前景,并完善实施战略,使采用对关键利益攸关方更具吸引力。

项目成果

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Andrew Quanbeck其他文献

Andrew Quanbeck的其他文献

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{{ truncateString('Andrew Quanbeck', 18)}}的其他基金

Clinic-level implementation of mHealth to improve HIV viral suppression for patients with substance use disorders
临床层面实施移动医疗以改善药物滥用障碍患者的 HIV 病毒抑制
  • 批准号:
    10609091
  • 财政年份:
    2022
  • 资助金额:
    $ 15.47万
  • 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
  • 批准号:
    9753819
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Promoting the implementation of clinical guidelines for opioid prescribing in primary care using systems consultation
利用系统咨询促进初级保健中阿片类药物处方临床指南的实施
  • 批准号:
    10427364
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
  • 批准号:
    10394239
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
  • 批准号:
    9919469
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Promoting the implementation of clinical guidelines for opioid prescribing in primary care using systems consultation
利用系统咨询促进初级保健中阿片类药物处方临床指南的实施
  • 批准号:
    10198891
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Integrating mHealth for Alcohol Use Disorders into Clinical Practice
将针对酒精使用障碍的移动医疗融入临床实践
  • 批准号:
    10152469
  • 财政年份:
    2018
  • 资助金额:
    $ 15.47万
  • 项目类别:
Conceptualizing the problem of implementation: a systems engineering perspective applied in substance abuse treatment
概念化实施问题:系统工程视角应用于药物滥用治疗
  • 批准号:
    8869335
  • 财政年份:
    2015
  • 资助金额:
    $ 15.47万
  • 项目类别:

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