Protocols to ascertain adverse events after telehealth sexual and reproductive health services
确定远程保健性健康和生殖健康服务后不良事件的协议
基本信息
- 批准号:10607368
- 负责人:
- 金额:$ 4.27万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-04-01 至 2026-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdverse eventBlood TransfusionCOVID-19 pandemicCaliforniaCaringChildbirthClinicalClinical ProtocolsClinical ServicesCohort StudiesContraceptive methodsCost SavingsDataData AnalysesData CollectionData SetData SourcesDevelopmentDiagnosisDoctor of PhilosophyElectronic Health RecordEnsureEpidemiologyEvaluationEventFellowshipFoundationsFutureGoalsHealthHealth PersonnelHealth ServicesHealth Services ResearchHealth SurveysHealth systemHealthcareHomeHospitalizationIncidenceIncomplete spontaneous abortionIndividualKnowledgeMentorsMethodologyMethodsMissionMonitorNational Institute of Child Health and Human DevelopmentNational Research Service AwardsOutcomeParticipantPatient Outcomes AssessmentsPatient ParticipationPatient-Centered CarePatient-Focused OutcomesPatientsPerformancePersonsPharmaceutical PreparationsPositioning AttributePregnancyProbabilityProcessProliferatingProtocols documentationProviderReproductive HealthReproductive Health ServicesReproductive ProcessResearchResearch PersonnelRoleSafetyScheduleSepsisServicesSexual HealthSexually Transmitted DiseasesStatistical MethodsSurveysTestingTimeTrainingUnited KingdomUnited StatesUnited States Food and Drug AdministrationWomanWorkabortionadverse event monitoringadverse event riskcareercost effectivecost effectivenessdata managementdesigndoctoral studentefficacy studyexperiencefollow-uphealth care deliveryimprovedinnovationinsightpatient orientedpatient safetypatient screeningpatient subsetsprospectiveremote screeningreproductivesafety studysecondary analysisservice deliveryskillstelehealth
项目摘要
Project Summary
This mentored Ruth L. Kirschstein National Research Service Award will provide the trainee, a PhD student in
epidemiology at UCSF, with the training necessary to become a researcher in sexual and reproductive health.
Her training goals for this fellowship are to gain expertise in health services research, bias analyses, and
methods to address missing data under the guidance of a team of expert mentors. This fellowship will provide
the applicant with the skills, content knowledge, and practical experience to launch an independent research
career focused on the evaluation of service delivery innovations in sexual and reproductive health.
Telehealth became a prominent method of sexual and reproductive health service delivery during the COVID-
19 pandemic. In telehealth services, patients are typically screened remotely, dispensed any medications by
mail, and followed subsequently to monitor for the occurrence of adverse events. Some research suggests that
telehealth patients may be less likely than those who receive in-person services to follow up with the telehealth
provider after medications are dispensed, and the outcomes of patients who do not complete follow-up are not
understood. The goal of this research is to evaluate the performance of telehealth protocols at identifying
adverse events. Building on the applicant’s prior work and current research position, this F-31 will involve
secondary analyses of data from a cohort study of patients who received telehealth sexual and reproductive
health services, to (Aim 1) estimate the incidence of adverse events among patients who do not return for
follow-up and (Aim 2) assess the timing and process of adverse events diagnoses after telehealth sexual and
reproductive health services. This evidence will allow telehealth sexual and reproductive health providers to
understand the risk of adverse events among their patients who do not return for follow-up and whether their
current follow-up protocols are optimal for the identification of adverse events. Knowledge gained from this
research will advance NICHD’s mission to ensure individuals are born healthy and wanted and that women are
not harmed by reproductive processes. The major strengths of this proposal are that it: (1) relies on a large
existing prospective dataset of US telehealth sexual and reproductive health patients, with which the applicant
already has experience; (2) uses rigorous methods for evaluating bias and addressing missing data; and (3)
tests clinically impactful hypotheses focusing on the timely and growing field of telehealth for sexual and
reproductive health. The proposed research and training will prepare the applicant for her future career as an
independent researcher focused on service delivery innovations in sexual and reproductive health care.
项目摘要
这是Ruth L. Kirschstein国家研究服务奖将提供实习生,博士生在
流行病学在加州大学旧金山分校,与必要的培训,成为一个研究人员在性和生殖健康。
她的培训目标是获得卫生服务研究,偏见分析,
在专家指导小组的指导下,采用各种方法处理缺失数据。该奖学金将提供
申请人具备技能、内容知识和实践经验,能够独立开展研究
职业生涯侧重于评价性健康和生殖健康方面的服务提供创新。
在新冠肺炎期间,远程保健成为提供性健康和生殖健康服务的一种重要方法-
19大流行病。在远程医疗服务中,患者通常会接受远程筛查,
邮件,并随后监测不良事件的发生。一些研究表明
远程医疗患者可能比那些接受面对面服务的患者更不可能跟进远程医疗
提供者分发药物后,没有完成随访的患者的结果不
明白本研究的目的是评估远程医疗协议在识别
不良事件。基于申请人之前的工作和目前的研究立场,这架F-31将涉及
对接受远程性健康和生殖健康的患者队列研究数据的二次分析
卫生服务,以(目标1)估计未返回的患者中不良事件的发生率,
随访和(目标2)评估远程保健性和
生殖健康服务。这一证据将使远程保健性健康和生殖健康提供者能够
了解未返回随访的患者中不良事件的风险,以及他们是否
目前的后续方案对于确定不良事件是最佳的。从这件事中获得的知识
研究将推进NICHD的使命,以确保个人出生健康和需要,妇女是
不受生殖过程的伤害。该建议的主要优点在于:(1)依赖于一个大的
美国远程医疗性健康和生殖健康患者的现有前瞻性数据集,申请人
已经有经验;(2)使用严格的方法来评估偏倚和解决缺失数据;以及(3)
测试临床上有影响力的假设,重点是及时和不断增长的远程保健领域的性和
生殖健康。拟议的研究和培训将为申请人未来的职业生涯做好准备,
独立研究员侧重于性保健和生殖保健服务提供方面的创新。
项目成果
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