Determinants, Outcomes, and Financial Incentives Associated with Cardiac Rehabilitation Enrollment After Cardiac Surgery

与心脏手术后心脏康复入组相关的决定因素、结果和经济激励

基本信息

项目摘要

PROJECT SUMMARY/ABSTRACT CANDIDATE: Michael P. Thompson, PhD, is an epidemiologist, health services researcher, and faculty member in the Department of Cardiac Surgery at the University of Michigan. His long-term career goal is to conduct impactful, significant, and innovative research that improves the value of cardiac surgery. The proposed K01 award application includes a 5-year plan for career development and research activities needed to achieve this career goal and become a successful independent investigator. BACKGROUND: Cardiac rehabilitation (CR) is a multi-disciplinary, evidence-based intervention that improves outcomes, but has not been widely adopted. Among cardiac surgical patients, clinical trials have demonstrated that CR extends life, improves cardiovascular function and quality of life, and prevents downstream health care utilization. Despite this evidence, half of cardiac surgical patients never attend a single session of CR, and only one-third of CR enrollees finish the entire 36 recommended sessions. Disparities in CR enrollment across have also been demonstrated across patients, providers, and geographic regions. Improving CR enrollment is critical to ensuring its full potential for cardiac surgical patients. RESEARCH AIMS: My long-term goal is to improve the value of cardiac surgical care. The aims of this study are: (1) to identify determinants of CR enrollment after cardiac surgery, (2) to measure the effect of CR enrollment after cardiac surgery on clinical and economic outcomes, and (3) to estimate the impact of financial incentives on CR enrollment after cardiac surgery. In order to achieve these objectives, we propose a series of quantitative analyses on a unique combination of claims data and clinical data from the IMPROVE Network, which shares data and best practices across five multicenter cardiovascular quality collaboratives covering over 90 hospitals in 9 states (~10% of all US cardiac surgical programs). TRAINING AIMS: Three training aims have been proposed to facilitate the proposal. (1) To gain a deeper understanding of cardiac surgical care delivery. (2) To gain causal inference skills with in-depth comparative effectiveness and policy evaluation components. (3) To develop skills and experience in implementation science methods. IMPACT: Findings from this proposal will provide evidence needed to develop the necessary evidence to appropriately expand and incentivize CR enrollment after cardiac surgery, which will increase the value of cardiac surgical care. The proposal is directly responsive to AHRQ’s interest in (i) generating evidence that will increase the affordability, efficiency, and quality of health and (ii) health services research to achieve a high- value healthcare system. Above all, the proposed research strategy, career development plan, mentorship, and institutional environment will cultivate my growth into an independent health services researcher.
项目概要/摘要 候选人:Michael P. Thompson 博士,流行病学家、卫生服务研究员和教师 密歇根大学心脏外科系成员。他的长期职业目标是 开展有影响力、重要且创新的研究,以提高心脏手术的价值。这 拟议的 K01 奖项申请包括职业发展和所需研究活动的 5 年计划 实现这一职业目标并成为一名成功的独立调查员。 背景:心脏康复(CR)是一种多学科、循证的干预措施,可改善心脏功能。 成果,但尚未被广泛采用。在心脏手术患者中,临床试验表明 CR 可以延长寿命,改善心血管功能和生活质量,并预防下游医疗保健 利用率。尽管有这些证据,一半的心脏手术患者从未参加过一次 CR 疗程,并且只参加过一次 CR 疗程。 三分之一的 CR 参与者完成了全部 36 个推荐课程。 CR 入学率的差异 也在患者、提供者和地理区域中得到了证明。提高 CR 入学率是 对于确保其对心脏手术患者发挥全部潜力至关重要。 研究目的:我的长期目标是提高心脏外科护理的价值。本研究的目的 是:(1) 确定心脏手术后 CR 入组的决定因素,(2) 衡量 CR 的效果 心脏手术后入组对临床和经济结果的影响,以及(3)估计财务的影响 心脏手术后 CR 入组的激励措施。为了实现这些目标,我们提出了一系列 对来自 IMPROVE Network 的索赔数据和临床数据的独特组合进行定量分析, 该组织分享五个多中心心血管质量合作机构的数据和最佳实践,涵盖 9 个州的 90 多家医院(约占美国所有心脏外科项目的 10%)。 培训目标:为了促进该提案,提出了三个培训目标。 (1) 加深了解 了解心脏外科护理服务。 (2) 获得深入比较的因果推理能力 有效性和政策评估部分。 (3) 培养实施技能和经验 科学方法。 影响:该提案的调查结果将为开发必要的证据提供所需的证据 适当扩大和激励心脏手术后CR入组,这将增加心脏手术的价值 心脏外科护理。该提案直接响应了 AHRQ 对 (i) 生成证据的兴趣: 提高卫生保健的可负担性、效率和质量,以及 (ii) 卫生服务研究,以实现高 价值医疗保健系统。最重要的是,提出的研究策略、职业发展计划、指导、 和制度环境将培养我成长为一名独立的健康服务研究员。

项目成果

期刊论文数量(5)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Cardiac Rehabilitation Use After Heart Failure Hospitalization Associated With Advanced Heart Failure Center Status.
心力衰竭住院后的心脏康复使用与高级心力衰竭中心状态相关。
  • DOI:
    10.1097/hcr.0000000000000846
  • 发表时间:
    2024
  • 期刊:
  • 影响因子:
    3.8
  • 作者:
    Thompson,MichaelP;Hou,Hechuan;Fliegner,Max;Guduguntla,Vinay;Cascino,Thomas;Aaronson,KeithD;Likosky,DonaldS;Sukul,Devraj;Keteyian,StevenJ
  • 通讯作者:
    Keteyian,StevenJ
Relationship Between Community-Level Distress and Cardiac Rehabilitation Participation, Facility Access, and Clinical Outcomes After Inpatient Coronary Revascularization.
社区层面的痛苦与心脏康复参与、设施使用以及住院冠状动脉血运重建后临床结果之间的关系。
  • DOI:
    10.1161/circoutcomes.123.010148
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Thompson,MichaelP;Hou,Hechuan;Stewart2nd,JamesW;Pagani,FrancisD;Hawkins,RobertB;Keteyian,StevenJ;Sukul,Devraj;Likosky,DonaldS
  • 通讯作者:
    Likosky,DonaldS
Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery.
冠状动脉搭桥移植手术后医院熟练护理设施使用情况的变化。
  • DOI:
    10.1161/jaha.123.029833
  • 发表时间:
    2024
  • 期刊:
  • 影响因子:
    5.4
  • 作者:
    Stewart2nd,JamesW;Hou,Hechuan;Hawkins,RobertB;Pagani,FrancisD;Sterling,MadelineR;Likosky,DonaldS;Thompson,MichaelP
  • 通讯作者:
    Thompson,MichaelP
Cardiac Rehabilitation Reduces 2-Year Mortality After Coronary Artery Bypass Grafting.
心脏康复可降低冠状动脉搭桥术后 2 年死亡率。
  • DOI:
    10.1016/j.athoracsur.2023.05.044
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Bauer,TylerM;Yaser,JessicaM;Daramola,Temilolaoluwa;Mansour,AlexandraI;Ailawadi,Gorav;Pagani,FrancisD;Theurer,Patricia;Likosky,DonaldS;Keteyian,StevenJ;Thompson,MichaelP
  • 通讯作者:
    Thompson,MichaelP
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Michael Patrick Thompson其他文献

Michael Patrick Thompson的其他文献

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{{ truncateString('Michael Patrick Thompson', 18)}}的其他基金

Determinants, Outcomes, and Financial Incentives Associated with Cardiac Rehabilitation Enrollment After Cardiac Surgery
与心脏手术后心脏康复入组相关的决定因素、结果和经济激励
  • 批准号:
    10299796
  • 财政年份:
    2021
  • 资助金额:
    $ 13.49万
  • 项目类别:
Determinants, Outcomes, and Financial Incentives Associated with Cardiac Rehabilitation Enrollment After Cardiac Surgery
与心脏手术后心脏康复入组相关的决定因素、结果和经济激励
  • 批准号:
    10434698
  • 财政年份:
    2021
  • 资助金额:
    $ 13.49万
  • 项目类别:

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    2022
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Determinants, Outcomes, and Financial Incentives Associated with Cardiac Rehabilitation Enrollment After Cardiac Surgery
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Determinants, Outcomes, and Financial Incentives Associated with Cardiac Rehabilitation Enrollment After Cardiac Surgery
与心脏手术后心脏康复入组相关的决定因素、结果和经济激励
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