The Care Ecosystem Response to COVID-19: Accelerating Research on Dementia Care that Meets the Needs of Caregivers and Persons with Dementia during COVID-19

护理生态系统对 COVID-19 的响应:加速痴呆症护理研究,满足 COVID-19 期间护理人员和痴呆症患者的需求

基本信息

项目摘要

PROJECT SUMMARY/ABSTRACT Dementia causes substantial burdens for patients and caregivers, which have been exacerbated by the COVID- 19 pandemic. The current state of dementia care is inadequate to meet the needs of this growing, vulnerable population. Scalable, effective, and person-centered dementia care models that are aligned with value-based healthcare reforms are needed now. The Care Ecosystem is an accessible, remotely delivered team-based dementia care model, designed to add value for patients, providers and payers in complex organizational and reimbursement structures. Care is delivered via the phone and web by unlicensed Care Team Navigators, who are trained and supervised by a team of dementia specialists with nursing, social work, and pharmacy expertise. Care Protocols guide proactive, quality care that is documented in the electronic health record. The evidence base to date suggests that the Care Ecosystem improves outcomes important to people with dementia, caregivers, and payers when delivered in a controlled research environment, including reduced emergency department visits, higher quality of life for patients and lower caregiver depression. We propose a rapid pragmatic trial in 6 health systems serving geographically and culturally diverse populations. We will leverage technology, delivering care via the phone and web and using electronic health records to monitor quality improvements and evaluate outcomes while maximizing external validity. In Aim 1, we will use implementation science to identify the model adaptations, facilitators, and barriers to implementing and sustaining the Care Ecosystem during the COVID-19 pandemic. In Aim 2 we will use mixed methods to rigorously evaluate the effectiveness of the Care Ecosystem on outcomes important to patients, caregivers, healthcare providers, and health systems during the pandemic. In Aim 3, we will characterize the patient and caregiver factors associated with treatment benefit. This will include investigating effectiveness in underrepresented groups and elucidating unmet needs that will guide future development work. By simultaneously evaluating the real-world effectiveness and implementation strategies in diverse health systems, this project will bridge the science-practice gap in dementia care during an unprecedented time of heightened strain on family caregivers, healthcare providers and health systems. Furthermore, this work will pave the way for expanding access to high quality dementia care in the future, mitigating the negative impact of dementia on patients and their families across the nation.
项目总结/文摘

项目成果

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Katherine Laurel Possin其他文献

Katherine Laurel Possin的其他文献

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{{ truncateString('Katherine Laurel Possin', 18)}}的其他基金

The Care Ecosystem Response to COVID-19: Accelerating Research on Dementia Care that Meets the Needs of Caregivers and Persons with Dementia during COVID-19
护理生态系统对 COVID-19 的响应:加速痴呆症护理研究,满足 COVID-19 期间护理人员和痴呆症患者的需求
  • 批准号:
    10324344
  • 财政年份:
    2022
  • 资助金额:
    $ 296.74万
  • 项目类别:
A Pragmatic Trial of the UCSF Brain Health Assessment for the Detection of Cognitive Impairment in Primary Care
加州大学旧金山分校脑健康评估用于检测初级保健中认知障碍的实用试验
  • 批准号:
    10524698
  • 财政年份:
    2022
  • 资助金额:
    $ 296.74万
  • 项目类别:
A Pragmatic Trial of the UCSF Brain Health Assessment for the Detection of Cognitive Impairment in Primary Care
加州大学旧金山分校脑健康评估用于检测初级保健中认知障碍的实用试验
  • 批准号:
    10705314
  • 财政年份:
    2022
  • 资助金额:
    $ 296.74万
  • 项目类别:
PossinK, NIH, R01 Supplement P0568851 4/4/2023
PossinK,NIH,R01 补充 P0568851 4/4/2023
  • 批准号:
    10820892
  • 财政年份:
    2022
  • 资助金额:
    $ 296.74万
  • 项目类别:
Reimagining Precision Medicine Approaches to AD Diagnosis
重新构想 AD 诊断的精准医学方法
  • 批准号:
    10604257
  • 财政年份:
    2021
  • 资助金额:
    $ 296.74万
  • 项目类别:
Reimagining Precision Medicine Approaches to AD Diagnosis
重新构想 AD 诊断的精准医学方法
  • 批准号:
    10382435
  • 财政年份:
    2021
  • 资助金额:
    $ 296.74万
  • 项目类别:
Reimagining Precision Medicine Approaches to AD Diagnosis
重新构想 AD 诊断的精准医学方法
  • 批准号:
    10211331
  • 财政年份:
    2021
  • 资助金额:
    $ 296.74万
  • 项目类别:
The UCSF Brain Health Assessment for the Detection of Cognitive Impairment Among Diverse Populations in Primary Care
加州大学旧金山分校大脑健康评估,用于检测初级保健中不同人群的认知障碍
  • 批准号:
    10100827
  • 财政年份:
    2020
  • 资助金额:
    $ 296.74万
  • 项目类别:
The UCSF Brain Health Assessment for the Detection of Cognitive Impairment Among Diverse Populations in Primary Care
加州大学旧金山分校大脑健康评估,用于检测初级保健中不同人群的认知障碍
  • 批准号:
    10260511
  • 财政年份:
    2017
  • 资助金额:
    $ 296.74万
  • 项目类别:
The UCSF Brain Health Assessment for the Detection of Cognitive Impairment Among Diverse Populations in Primary Care
加州大学旧金山分校大脑健康评估,用于检测初级保健中不同人群的认知障碍
  • 批准号:
    9766416
  • 财政年份:
    2017
  • 资助金额:
    $ 296.74万
  • 项目类别:
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