Enhancing Guidelines with Collaborative Care Agents

与协作护理代理加强指导方针

• 批准号: 7215695
• 负责人: DAVID A. DORR
• 金额: $ 15.07万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-03-15 至 2009-03-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7215695
• 关键词: Address; Caring; Case Manager; Clinical; Collaborations; Communication; Computer Simulation; Computers; Decision Making; Development; Eligibility Determination; Enrollment; Environment; Evaluation; Failure; Generic Drugs; Guideline Adherence; Guidelines; Health system; Healthcare; Individual; Information Systems; Information and Communication Theory; Maps; Methods; Modeling; Morbidity - disease rate; Needs Assessment; Outcome; Patients; Physicians; Process; Provider; Purpose; Quality of Care; Randomized Controlled Trials; Research; Role; Series; Services; Solutions; Staging; Standards of Weights and Measures; Structure; Terminology; Thesauri; Unified Medical Language System; base; care episode; care systems; collaborative care; compliance behavior; concept; cost; cost effectiveness; improved; research study; satisfaction; success

DESCRIPTION (provided by applicant): The purpose of this proposed research is to improve clinical care by enhancing collaborative care models through collaborative care agents and computer-supported guidelines. Specifically, we study the contribution of care managers - clinical professionals directly involved with creating patient specific care plans and communicating with other providers - as collaborative care agents in the implementation of information system initiatives such as computer-supported guidelines. Care managers are uniquely suited to aid in such initiatives, since they use participative, collaborative decision-making to create patient-specific care plans. Thus, they address a key failure of computer-supported guidelines: the inability to make patient specific, flexible plans from often inflexible guideline efforts. The research will consist of several stages: information need assessment and concept mapping; guideline creation by and adjustment for care managers; and evaluation of implemented guidelines. Using qualitative and quantitative methods, a controlled trial will be performed to assess the key aspects of care manager involvement in assuring implementation success. Outcomes considered will be satisfaction, perceived benefits, patient adherence and projected morbidity, and projected cost-effectiveness of care managers within a large health system. A quality improvement framework will be constructed from the key perceived benefits of care management to further aid in development and implementation of computer-supported guidelines. This proposed research will further our understanding not only of collaborative care models and information systems initiative, but also improve our understanding of the crucial role of collaborative care agents - dedicated people who help achieve the benefits of both collaborative care models and computer-supported guidelines.

描述（由申请人提供）： 本研究的目的是通过协同护理代理和计算机支持的指南，提高协同护理模式，以改善临床护理。具体来说，我们研究的贡献护理经理-临床专业人员直接参与创建患者的具体护理计划，并与其他供应商沟通-作为协作护理代理人在实施信息系统的举措，如计算机支持的指南。护理管理人员是唯一适合帮助这样的举措，因为他们使用参与，协作决策，以创建患者的具体护理计划。因此，他们解决了计算机支持的指南的一个关键失败：无法使患者的具体，灵活的计划，从往往不灵活的指南的努力。研究将包括几个阶段：信息需求评估和概念映射;指南创建和调整护理管理人员;和实施的指南的评估。使用定性和定量的方法，将进行对照试验，以评估护理经理参与确保实施成功的关键方面。考虑的结果将是满意度，感知的好处，病人的依从性和预计的发病率，并预计在一个大型卫生系统的护理管理人员的成本效益。质量改进框架将从护理管理的主要感知效益构建，以进一步帮助开发和实施计算机支持的指导方针。这项拟议中的研究将进一步我们的理解，不仅协作护理模式和信息系统的倡议，但也提高了我们的理解的关键作用的协作护理代理-专门的人谁帮助实现的好处，协作护理模式和计算机支持的指南。

项目成果

Care management dosage.

护理管理剂量。

• DOI: 10.1007/s11606-007-0138-z
• 发表时间: 2007
• 期刊: Journal of general internal medicine
• 影响因子: 5.7
• 作者: Dorr,DavidA;Wilcox,Adam;Jones,Spencer;Burns,Laurie;Donnelly,StevenM;Brunker,CherieP
• 通讯作者: Brunker,CherieP

Physician perspectives of nurse care management located in primary care clinics.

初级保健诊所护士护理管理的医生视角。

• DOI: 10.1891/152109807780845573
• 发表时间: 2007
• 期刊: Care management journals : Journal of case management ; The journal of long term home health care
• 作者: Wilcox,AdamB;Dorr,DavidA;Burns,Laurie;Jones,Spencer;Poll,Justin;Bunker,Cherie
• 通讯作者: Bunker,Cherie