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).

摘要 医疗保健系统的目标和技术设计核心 (‘设计核心’)是为了适应和扩展新的设计方法， 部署和评估为其量身定制的支持技术的服务 患有多种慢性病(MCC)的老年人及其照顾者。 我们将转化数字健康领域的创新研究，为 在不同的初级保健做法中可持续实施。 人们对改变医疗服务的技术充满热情 送货。有人提出，技术可以提高质量，减少 医疗保健成本，增加患者成功参与的能力 治疗决策和自我护理行为，改善与患者的沟通 一个初级保健团队，将治疗从诊所转移到人们的家中，并部署各种设备来 帮助将服务嵌入到人们的日常生活中。不幸的是，对于所有证据表明 这种技术可以在受控条件下工作，我们发现了几种技术故障 发展和评估，阻碍了对患有MCC的老年人的医疗服务的有意义的影响。 设计核心的目标是推动将技术整合到老年人医疗服务中的研究 患有MCC的成年人和他们的照顾者。我们的具体目标是： 目标1为调查人员提供设计、评估和实施技术支持的专业知识 为患有MCC的老年人及其照顾者提供的服务。 目标2创建原型技术支持的服务，专为患有MCC和以下症状的老年人设计 焦虑或抑郁，以便更有效地与临床医生沟通。 目标3制定和分发一份方法指南，总结应用用户-- 中心设计(UCD)，为患有MCC的老年人优化技术支持的服务。 设计核心将成为技术支持的设计和评估的全国专业知识中心 为患有MCC的老年人提供服务(目标1)。我们将扩展CBITs积累了8年和70多年的专业知识 支持技术服务的设计、开发和评估的项目。我们将设计一种 通过“参考”项目设计MCC专用技术原型(目标2)。然后我们将整合我们的工作 与全国其他领导人合作，制定支持技术开发的初步指南 适合初级保健环境和患有MCC的老年人的服务(目标3)。