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 该项目的长期目标是进行科学严谨的研究，以确定关键的杠杆作用 在住院期间改善酒精使用障碍（AUD）治疗，同时获得 培训，促进我的职业发展和过渡到一个独立的研究员。收到本 NIAAA K 08奖将使我发展的技能和经验，我需要在进行先进的 定量分析技术，实施科学方法，以及学术和专业追求。 通过教学课程和讲习班相结合，参加国家会议和辅导 活动，我将获得必要的专业知识，以确保我在K 08奖结束时做好准备 在AUD和实施的交叉点作为独立调查员执行研究议程 科学 使用由实施科学框架提供信息的混合方法，研究策略 提议联合收割机将“大数据”（包括保险索赔和电子健康记录数据）的结果结合起来， 利用关键利益相关者的定性数据，确定医院系统内的杠杆点， 实施AUD治疗。该项目的具体目标如下：1）审查真实的- 根据酒精相关急性医疗保健利用率衡量的AUD治疗的全球有效性; 2）检查 住院期间AUD治疗的患病率和相关性;以及3）使用定量和定性 数据输入，以模拟住院期间AUD治疗的改进实施途径。 完成这些目标，补充我的培训和职业发展目标，将提供重要的 关于如何改善AUD住院患者高危人群护理的信息。

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