患者和提供者对有意停药的看法-猫眼课题宝

患者和提供者对有意停药的看法

批准号：

9768231

负责人：

Amy Linsky

金额：

$0.0万

依托单位：

VA BOSTON HEALTH CARE SYSTEM

依托单位国家：

美国

项目类别：

财政年份：

2014

资助国家：

美国

项目状态：

已结题

起止时间：

2014-05-01 至 2019-04-30

来源：

https://reporter.nih.gov/project-details/9768231

关键词：

Address Adverse drug event Area Attention Attitude Behavior Belief Boston Caring Client satisfaction Clinical Communication Databases Development Diagnostic Imaging Drug Interactions Electronic Health Record Event Failure Frequencies Future Goals Guidelines Health Health Care Costs Health Personnel Health Services Healthcare Healthcare Systems Internist Intervention Knowledge Laboratories Lead Leadership Literature Measures Medical Medical Records Medication Management Methods Overdose Participant Patient-Centered Care Patients Perception Pharmaceutical Preparations Physiological Polypharmacy Prevalence Process Provider Qualitative Research Quality of Care Quality of life Regimen Research Research Personnel Research Training Risk Safety Socioeconomic Status Survey Methodology Surveys System Testing Therapeutic Uncertainty Veterans Wages Work adverse outcome clinical decision-making cost design drug withdrawal health information technology health literacy high risk improved interest medication compliance medication safety patient oriented patient safety pharmacy benefit preference reduce symptoms shared decision making successful intervention therapy development tool treatment as usual

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DESCRIPTION (provided by applicant): This is the second submission of a VA HSR&D CDA proposal to provide five years of salary support to Amy Linsky, MD, MSc toward her goal of developing into a VA independent investigator and expert on medication safety research. Dr. Linsky is a general internist and an investigator in the HSR&D Center for Organization, Leadership, and Management Research (COLMR) at VA Boston Healthcare System. This proposal delineates the research and training objectives that will lead to Dr. Linsky's maturation into an independent health services researcher while contributing to the fields of patient safety and quality of care, especially as thy pertain to appropriate medication use. The first proposed research objective will center on elucidating Veterans' and clinicians' perspectives on intentional medication discontinuation, a part of the prescribing process that to date has not been explored. Building on qualitative work in progress, Dr. Linsky will develop two survey instruments: one to elicit patients' attitudes and beliefs and the other to understand how clinicians view overmedication and potential medication discontinuation. Bringing the Veterans' preferences into clinical decision making is concordant with other efforts in the VA to promote patient-centered care. The VA is a vanguard of health information technology, with a well-established and integrated electronic health record. Despite this, medication discrepancies, with potential to cause serious harm to patients, persist. One type of discrepancy, therapeutic duplication, can lead to unintentional overdose. The second research objective proposes to identify the prevalence of this safety concern within VA nationally and to identify correlates of these duplications. To effect meaningful change in prescribing, the results of these first two research objectives will be combined with relevant findings in the literature to develop and pilot test an intervention intended to promote consideration of

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