Identifying Leverage Points to Improve Care of Persons with Alcohol Use Disorder

确定改善酒精使用障碍患者护理的杠杆点

• 批准号: 10610487
• 负责人: Carrie M. Mintz
• 金额: $ 19.28万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2023-12-04
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10610487
• 关键词: Achievement; Acute; Address; Admission activity; Adult; Affect; Alcohols; Ambulatory Care; Award; Big Data; Career Mobility; Caring; Caucasians; Cessation of life; Chronic; Communities; Competence; Complement; Data; Data Set; Databases; Disease; Educational workshop; Effectiveness; Electronic Health Record; Ensure; Foundations; Goals; Health Personnel; Hospitalization; Hospitals; Insurance; Junior Physician; K-Series Research Career Programs; Measures; Medicaid; Medicine; Mentors; Methodology; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; Pathway interactions; Patient Admission; Patients; Persons; Population; Prevalence; Provider; Psychiatry; Randomized, Controlled Trials; Research; Research Personnel; Services; Survival Analysis; System; Techniques; Testing; Time; Training; Translating; Treatment Effectiveness; Treatment Protocols; Treatment outcome; United States; Woman; alcohol use disorder; barrier to care; career development; dynamic system; effective therapy; effectiveness evaluation; efficacy testing; experience; health care service utilization; health care settings; high risk population; implementation framework; implementation intervention; implementation science; improved; innovation; insurance claims; large-scale database; meetings; men; mortality; novel; pharmacologic; point of care; preventable death; racial minority; secondary analysis; skills; surgical service

Abstract The long-term goal of this project is to conduct scientifically rigorous research that identifies critical leverage points to improve alcohol use disorder (AUD) treatment during hospitalization while simultaneously acquiring training that facilitates my career development and transition to an independent researcher. Receipt of this NIAAA K08 Award will allow me to develop the skills and experiences I require in conducting advanced quantitative analytic techniques, implementation science methodology, and scholarly and professional pursuits. Through a combination of didactic coursework and workshops, attendance at national meetings, and mentoring activities, I will acquire the expertise necessary to ensure I am well poised at the conclusion of the K08 Award to execute a research agenda as an independent investigator at the intersection of AUD and implementation science. Using a mixed-methods approach informed by an implementation science framework, the research strategy proposes to combine results from “big data”-- including insurance claims and electronic health record data-- with qualitative data from key stakeholders to identify leverage points within the hospital system to increase the implementation of AUD treatment. The proposed project has the following specific aims: 1) examine the real- world effectiveness of AUD treatment as measured by alcohol-related acute health care utilization; 2) examine the prevalence and correlates of AUD treatment during hospitalization; and 3) use quantitative and qualitative data inputs to model pathways for improved implementation of AUD treatment during hospitalization. Completion of these Aims, which complement my training and career development goals, will provide important information on how to improve the care of the high-risk population of hospitalized patients with AUD.

摘要

项目成果

Emergency department initiation of pharmacotherapy for alcohol use disorder: A retrospective cohort study.

急诊科启动酒精使用障碍药物治疗：一项回顾性队列研究。

• DOI: 10.1111/acem.14819
• 发表时间: 2023
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: DeMonnin,KarleeS;Terian,Emily;Yeary,Julianne;Bathon,Elizabeth;Asaro,Phillip;Mintz,CarrieM;Baumgartner,Kevin
• 通讯作者: Baumgartner,Kevin