Quality of Care for Bipolar Disorder

双相情感障碍的护理质量

• 批准号: 7741218
• 负责人: ALISA B BUSCH
• 金额: $ 17.74万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-12-27 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7741218
• 关键词: Acute; Adrenergic beta-Antagonists; Bipolar Disorder; Caring; Characteristics; Clinic; Clinical; Clinical Research; Data; Data Collection; Data Set; Development Plans; Diffusion; Doctor of Medicine; Doctor of Philosophy; Employment; Ethnic Origin; Gender; Goals; Health Personnel; Health Policy; Health Services Research; Health system; K-Series Research Career Programs; Knowledge; Lead; Link; Literature; Master of Public Health; Measurement; Measures; Mental Health; Mental Health Services; Mentors; Methods; Modeling; Myocardial; Outcome; Outcome Study; Participant; Patients; Persons; Policies; Population; Positioning Attribute; Process Measure; Provider; Psychiatrist; Public Health; Public Policy; Quality of Care; Race; Randomized Clinical Trials; Reporting; Research; Research Methodology; Resources; Simulate; Site; Subgroup; Substance Use Disorder; System; Techniques; Time; Training; Variant; base; care systems; career development; clinically relevant; cost effectiveness; effectiveness clinical trial; effectiveness trial; health economics; improved; organizational structure; programs; simulation; skills; statistics; tool; treatment as usual

DESCRIPTION (provided by applicant): Project Summary: This Mentored Career Development Award will allow Dr. Alisa Busch, a psychiatrist, to further develop her mental health services research skills and conduct clinically-relevant and policy significant research examining factors that explain the quality of usual care for bipolar disorder (BPD). The specific aims of this career development proposal are to: 1) develop greater understanding of statistics, health economics and mental health systems/organizational arrangements and their application in mental health services research; 2) acquire further knowledge of clinical research issues pertaining to BPD and comorbid substance use disorders; and 3) expand knowledge of patient (including race/ethnicity), provider, treatment, financing and organizational characteristics associated with BPD usual care quality. In this undertaking, Dr. Busch will be guided by her sponsor Richard Frank, Ph.D., co-sponsors Gary Sachs, M.D. and Sharon-Lise T. Normand, Ph.D., and non-paid consultants Arnold Epstein, M.D., Howard Goldman, M.D., M.P.H., Ph.D., Shelly Greenfield, M.D., M.P.H., Thomas McGuire, Ph.D. and Roger Weiss, M.D. Study 1 examines patient, provider and treatment characteristics associated with outcomes in a national multi-site clinical effectiveness trial for BPD Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Study 2 matches STEP-BD participant characteristics with those of a privately insured usual care BPD population; then describes quality, simulates outcomes, and examines the association between outcomes and organizational/financial arrangements in the usual care BPD population. Study 3 uses STEP-BD data to explore the association between site-specific characteristics and quality. The proposed career development plan will provide Dr. Busch the training, mentoring, time and resources needed to develop skills that will position her to lead independent research on examining quality in usual care systems. Relevance: Existing literature on usual care quality for BPD is scant but suggests quality concerns. From a public health policy perspective, exploring and removing barriers to usual care quality is critical. This proposal examines factors that explain the quality of usual care for BPD.

该指导职业发展奖将允许精神病学家Alisa Busch博士进一步发展她的心理健康服务研究技能，并进行临床相关和政策重要的研究，研究解释双相情感障碍（BPD）常规护理质量的因素。该职业发展建议的具体目标是：1）更好地理解统计学，卫生经济学和精神卫生系统/组织安排及其在精神卫生服务研究中的应用; 2）获得有关BPD和共病药物使用障碍的临床研究问题的进一步知识;和3）扩展与BPD常规护理质量相关的患者（包括种族/民族）、提供者、治疗、融资和组织特征的知识。在这项工作中，布施博士将由她的赞助商理查德弗兰克博士指导，共同发起人加里萨克斯，医学博士和Sharon-Lise T.诺曼德博士，和无偿顾问阿诺德·爱泼斯坦医学博士医学博士霍华德戈德曼，最大功率，哲学博士、Shelly格林菲尔德，医学博士，最大功率，托马斯麦奎尔博士和医学博士罗杰韦斯研究1检查了与双相情感障碍系统性治疗增强计划（STEP-BD）的国家多中心临床有效性试验中的结局相关的患者，提供者和治疗特征。研究2匹配STEP-BD参与者的特征与私人保险的日常护理BPD人群，然后描述质量，模拟结果，并检查结果和组织/财务安排之间的关联在日常护理BPD人群。研究3使用STEP-BD数据来探索特定地点特征与质量之间的关联。拟议的职业发展计划将为布施博士提供培训、指导、时间和资源，以培养她的技能，使她能够领导关于检查常规护理系统质量的独立研究。相关性：关于BPD常规护理质量的现有文献很少，但提出了质量问题。从公共卫生政策的角度来看，探索和消除常规护理质量的障碍至关重要。该提案审查了解释BPD常规护理质量的因素。

项目成果

Do Patients at Sites With High RCT Enrollment Propensity Have Better Outcomes?

具有高 RCT 入组倾向的地点的患者是否有更好的结果？

• DOI: 10.1097/mlr.0000000000000429
• 发表时间: 2015
• 期刊: Medical care
• 影响因子: 3
• 作者: O'Malley,AlistairJ;Zelevinsky,Katya;He,Yulei;Busch,AlisaB
• 通讯作者: Busch,AlisaB

Patients' perception of possible child custody or visitation loss for nonadherence to psychiatric treatment.

患者对因不遵守精神治疗而可能失去儿童监护权或探视权的看法。

• DOI: 10.1176/ps.2007.58.7.999
• 发表时间: 2007
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Busch,Alisa;Redlich,AllisonD
• 通讯作者: Redlich,AllisonD

Economic grand rounds: the price is right? Changes in the quantity of services used and prices paid in response to parity.

经济大轮：价格合适吗？

• DOI: 10.1176/appi.ps.20120p107
• 发表时间: 2012
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Goldman,HowardH;Barry,ColleenL;Normand,Sharon-LiseT;Azzone,Vanessa;Busch,AlisaB;Huskamp,HaidenA
• 通讯作者: Huskamp,HaidenA

Predicting Participation in Psychiatric Randomized Controlled Trials: Insights From the STEP-BD.

预测精神病学随机对照试验的参与：STEP-BD 的见解。

• DOI: 10.1176/appi.ps.201300557
• 发表时间: 2015
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Busch,AlisaB;He,Yulei;Zelevinsky,Katya;O'Malley,AlistairJ
• 通讯作者: O'Malley,AlistairJ