Healthcare System & Technology Design Core

健康医疗体系

• 批准号: 10670214
• 负责人: DAVID CURTIS MOHR
• 金额: $ 16.79万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10670214
• 关键词: Acceleration; Administrator; American; Behavior; Behavior Therapy; Capsicum; Caregivers; Caring; Clinic; Clinical; Communication; Consultations; Cost Savings; Decision Making; Dementia; Development; Devices; Disabled Persons; Elderly; Elements; Evaluation; Evidence based intervention; Face; Failure; Family; Frail Elderly; Future; Goals; Health Care Costs; Health Technology; Healthcare Systems; Home; Human; Intervention; Knowledge; Methodology; Methods; Modeling; Outcome; Patients; Pattern; Persons; Pilot Projects; Piper; Process; Randomized, Controlled Trials; Research; Research Personnel; Self Care; Services; Technology; Textiles; Translating; Universities; Work; anxiety symptoms; depressive symptoms; design; digital health; experience; frailty; health care service; implementation science; improved; innovation; model design; multiple chronic conditions; primary care practice; primary care setting; primary care team; prototype; service delivery; technology development; technology validation; user centered design

ABSTRACT The objective of the Healthcare System & Technology Design Core (`Design Core') is to adapt and extend new methods for the design, deployment and evaluation of technology-enabled services tailored for older adults with multiple chronic conditions (MCC) and their caregivers. We will translate innovative research in digital health, building to scale for sustainable implementation in diverse primary care practices. Significant enthusiasm exists for technologies to transform healthcare service delivery. It has been proposed that technologies can improve quality and reduce the cost of healthcare, increase a patient's capacity to successfully engage in treatment decision-making and self-care behaviors, improve communication with a primary care team, moving treatment outside of clinics into peoples' homes and deploy a variety of devices to help embed services into the fabric of peoples' everyday lives. Unfortunately, for all the evidence demonstrating that such technologies can work under controlled conditions, we have identified several failures of technology development and evaluation that hinder meaningful impact on healthcare services for older adults with MCC. The Design Core's goal is to spur research on the integration of technologies into healthcare services for older adults with MCC and their caregivers. Our specific aims are to: Aim 1 Provide expertise to investigators in the design, evaluation and implementation of technology-enabled services for older adults with MCC and their caregivers. Aim 2 Create a prototype technology-enabled service, designed for older adults with MCC and symptoms of anxiety or depression, to communicate more effectively with their clinicians. Aim 3 Develop and disseminate a methodology guide that summarizes best practices for applying user- centered design (UCD) to optimize technology-enabled services for older adults with MCC. The Design Core will become a national hub of expertise in the design and evaluation of technology-enabled services for older adults with MCC (Aim 1). We will extend CBITs' expertise accumulated over 8 years and 70+ projects to support the design, development, and evaluation of technology-enabled services. We will devise an MCC-specific technology design prototype through a `reference' project (Aim 2). We will then integrate our work with other leaders nationally, producing an initial guide for supporting the development of technology enabled services appropriate for primary care settings and among older adults with MCC (Aim 3).

抽象的 医疗系统和技术设计核心的目的 （“设计核心”）是为了适应和扩展设计的新方法， 针对技术量身定制的技术服务的部署和评估 患有多个慢性病（MCC）的老年人及其护理人员。 我们将翻译数字健康方面的创新研究，以扩展为 多种初级保健实践中的可持续实施。 对于转变医疗服务的技术而存在着极大的热情 送货。已经提出，技术可以提高质量并降低 医疗保健成本，增加患者成功参与的能力 治疗决策和自我保健行为，改善与 一个初级保健团队，将诊所以外的治疗转移到人们的家中，并部署各种设备 帮助将服务嵌入人们的日常生活中。不幸的是，所有证明的证据 这样的技术可以在受控条件下起作用，我们已经确定了几个技术故障 开发和评估阻碍了MCC老年人对医疗服务的有意义影响。 设计核心的目标是刺激将技术集成到医疗服务中的研究 成年人与MCC及其护理人员。我们的具体目的是： AIM 1向研究，评估和实施技术的研究人员提供专业知识 MCC及其护理人员的老年人的服务。 AIM 2创建一个原型技术的服务，为具有MCC和症状的老年人设计 焦虑或抑郁，与临床医生更有效地沟通。 AIM 3开发并传播一项方法指南，该指南总结了应用用户的最佳实践 - 中心设计（UCD）以优化具有MCC老年人的技术支持服务。 设计核心将成为基于技术的设计和评估方面的全国专业知识枢纽 MCC老年人的服务（AIM 1）。我们将扩展CBIT的专业知识在8年中积累的专业知识和70多个 支持支持技术服务的设计，开发和评估的项目。我们将设计一个 通过“参考”项目（AIM 2），MCC特异性技术设计原型。然后我们将整合我们的工作 与全国其他领导者一起，制作了支持启用技术发展的初步指南 适用于初级保健环境的服务以及具有MCC的老年人（AIM 3）。