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Investigating the Payer Role in the Implementation of EBP in the Public Sector

调查公共部门实施 EBP 中付款人的角色

基本信息

批准号：
9173433
负责人：
Rebecca E Stewart
金额：
$ 6.01万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-11-16 至 2017-11-15
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9173433
关键词：
Academia Address Attitude Awareness Characteristics Climate Clinical Communities Competitive Bidding Complex County Development Developmental Disabilities Evidence based practice Evidence based treatment Funding Future Goals Government Health Personnel Health system Healthcare Improve Access Incentives Individual Intervention Interview Knowledge Leadership Learning Literature Medicaid Mental Health Mental Health Services Mentors Mentorship Methods National Institute of Mental Health National Research Service Awards Organizational Culture Patients Play Policies Positioning Attribute Provider Public Health Public Sector Publishing Qualitative Methods Research Research Personnel Research Support Resources Role Strategic Planning Structure Surveys Training Uncertainty base behavioral health career design experience experimental study implementation science improved mental state preference programs public health relevance skills uptake

项目摘要

DESCRIPTION (provided by applicant): The goal of this Ruth L. Kirschstein National Research Service Award is to support the applicant in developing the critical skills necessary for an independent research program in promoting the implementation of evidence- based practices (EBPs) in community mental health through payer policy and financing. This F32 application proposes research to address Objective 4 of the NIMH Strategic Plan: Strengthen the Public Health Impact of NIMH-Supported Research, specifically improving the uptake and implementation of effective research-based interventions by various stakeholders and improving access to effective mental health interventions. Specific training goals to be achieved under the mentorship of David S. Mandell, ScD, an expert in implementation science are to: 1) develop expertise in implementation science and payer incentives in community mental health and broader fields, 2) gain relevant experience in the design, methods, and analyses appropriate for the proposed project and future research in implementation science and community mental health, and 3) establish a network of collaborative and cross-disciplinary relationships to assist in current and future research endeavors. The research component of this F32 will investigate the important question of the payer's role in the implementation of EBP. Despite the critical role payers can play in incentivizing the use of EBP through various strategies, there is remarkably little research examining which incentives are used in public mental health systems. The goal of the proposed study is to examine the extent to which payers for publicly-funded community mental health care use different incentives, how they implement them, and the facilitators and barriers to their use. Specifically, the applicant proposes to build on preliminary results by developing and fielding a national survey of county and state-level payers to: 1) systematically identify, document, and describe incentives employed by payers in the public mental health system to increase the use of evidence- based practices among community mental health providers and 2) examine potential barriers and facilitators to the implementation of incentives proposed in the literature. The applicant will also use qualitative methods and conduct semi-structured interviews with payers, stratified by the extent to which they implement different incentives to increase use of EBP, to determine barriers and facilitators to the use of different strategies. Over the course of this project the applicant will develop expertise in the role of governmental entities and payers in the implementation and sustainment of EBP, and will gain critical knowledge and skills in implementation science, payer and incentive financing, and survey design and development with the expertise of an experienced and established team of mentors.

描述（由申请人提供）：这个露丝L的目标。Kirschstein国家研究服务奖旨在支持申请人发展独立研究计划所需的关键技能，以通过付款人政策和融资促进社区精神卫生循证实践（EBP）的实施。该F32应用程序提出了研究，以解决NIMH战略计划的目标4：加强NIMH支持的研究的公共卫生影响，特别是改善各种利益相关者对有效的基于研究的干预措施的吸收和实施，并改善获得有效的心理健康干预措施。在大卫S的指导下实现具体的培训目标。Mandell，ScD，实施科学专家将：1）发展社区心理健康和更广泛领域的实施科学和付款人激励方面的专业知识，2）获得适用于拟议项目和未来实施科学和社区心理健康研究的设计，方法和分析方面的相关经验，3）建立一个合作和跨学科的关系网络，以协助当前和未来的研究工作。F32的研究部分将调查付款人在EBP实施中的作用这一重要问题。尽管付费者可以通过各种策略在激励EBP的使用方面发挥关键作用，但很少有研究探讨公共精神卫生系统中使用了哪些激励措施。拟议研究的目标是检查公共资助的社区精神卫生保健的支付者使用不同激励措施的程度，他们如何实施这些激励措施，以及使用这些激励措施的促进者和障碍。具体而言，申请人建议在初步结果的基础上，对县级和州级付款人进行全国调查，以便：1）系统地识别，记录，并描述公共精神卫生系统中支付者为增加社区精神卫生服务提供者对循证实践的使用而采用的激励措施;审查执行文献中提出的激励措施的潜在障碍和促进因素。申请人还将使用定性方法，并与付款人进行半结构化访谈，根据他们实施不同激励措施以增加EBP使用的程度进行分层，以确定使用不同策略的障碍和促进因素。在本项目的过程中，申请人将发展政府实体和支付者在EBP实施和维持中的作用方面的专业知识，并将获得实施科学、支付者和激励融资以及调查设计和开发方面的关键知识和技能。经验丰富且成熟的导师团队的专业知识。