Patient-Centered Care for Older Adults with Multiple Chronic Conditions: Research and Mentoring Program

项目摘要 这项建议的目的是1)发展候选人的研究、领导和指导能力 通过临床试验的职业发展，建立和领导国家合作，以及指导，2) 扩大她在以患者为导向的老龄化研究中对有前途的初级调查人员的指导，以及3)追求 创新研究方向，开发和评估以人为中心的干预措施，以优化用药 在患有多种慢性病的老年人中使用，作为接触不断扩大的群体的平台 受训者。候选人是一名在初级保健诊所执业的老年医生，他已经在全国范围内建立了- 和国际公认的、高影响力、资金充足的独立临床研究计划 杰出的出版记录。在完成老年医学研究后的14年里，她建立了 她作为各级学员的成功导师，发表了高影响力的研究成果，获得 资金和必要的研究技能，并继续开展以患者为导向的研究。候选人有 开发了强大的研究组合，专注于以患者为中心的老年人护理，特别是那些患有 多种慢性病。到目前为止，候选人的工作无论是在老龄化时期还是在 通过将注意力从针对疾病的护理方法转移到认识到最年长的 成年人患有多种慢性病。这位候选人在研究资助方面有着良好的记录 AHRQ、PCORI和NIA改进证据的生成和合成，以更好地为护理提供信息 有多种慢性病的人，并制定以患者和家庭为中心的护理方法 患有多种慢性病的老年人。这项提议将为候选人提供受保护的时间 增加她的专业知识，扩大她的指导计划，并开发专注于优化的新研究 药物处方，以改善这一人群以患者为中心的结果。候选人将进一步 制定正式的指导计划，以参与和发展高素质的指导对象，这些学生将 作为下一代以患者为导向的老龄人口研究的领导者。她将与 每个被辅导者实施一个有重点的职业发展计划，在该计划中他们完成研究项目和 发展必要的技能，包括拨款和科学写作、研究设计和演示技能 成功的独立、以病人为中心的调查人员。老龄化研究和发展的良好环境 约翰霍普金斯大学的临床研究培训是这一提议的基础。

Project Summary The aims of this proposal are to 1) develop the candidate's capacity for research, leadership, and mentorship through career development in clinical trials, building and leading national collaborations, and mentoring, 2) to expand her mentorship of promising junior investigators in patient-oriented aging research, and 3) to pursue an innovative research direction to develop and evaluate person-centered interventions to optimize medication use in older people with multiple chronic conditions that will serve as a platform to engage an expanding group of mentees. The candidate, a geriatrician who practices in a primary care clinic, has established a nationally- and internationally-recognized, high impact, well-funded independent clinical research program with an outstanding publication record. In the 14 years since completing her geriatrics fellowship, she has established herself as a successful mentor of trainees from all levels who have published high-impact research, obtained funding and necessary research skills, and continue to conduct patient-oriented research. The candidate has developed a robust research portfolio focused on patient-centered care for older adults, particularly those with multiple chronic conditions. The candidate's work to date has been transformative both within aging and in other fields by shifting attention from a disease-specific approach to care to one that recognizes that most older adults live with multiple chronic conditions. The candidate has a strong track record of research funding from AHRQ, PCORI and the NIA to improve the generation and synthesis of evidence to better inform the care of people with multiple chronic conditions, and to develop patient- and family-centered approaches to care of older adults with multiple chronic conditions. This proposal will provide the candidate with protected time to increase her expertise, expand her mentoring program, and develop new research focused on optimal medication prescribing to improve patient-centered outcomes for this population. The candidate will further develop a formal mentoring program for the engagement and development of high-caliber mentees who will serve as the next generation of leaders in patient-oriented research for aging populations. She will work with each mentee to implement a focused career development plan in which they complete research projects and develop skills including grant and scientific writing, study design, and presentation skills necessary to be successful independent patient-oriented investigators. The outstanding environment for aging research and clinical research training at Johns Hopkins is fundamental to this proposal.