IMPROVING THE TREATMENT AND CONTROL OF HYPERTENSION

候选人：Karen Margolis，医学博士，公共卫生硕士，是明尼阿波利斯医学研究基金会Berman结果和临床研究中心的成员，也是明尼苏达大学附属教学医院Hennepin县医疗中心的主治医师。Margolis博士感兴趣的是寻找能够将患者、医生和护理系统结合在一起的干预措施，以实施有效的医疗护理，特别是在心血管疾病预防领域。职业生涯目标。马戈利斯博士的近期职业目标包括：(1)流行病学、生物统计学、卫生服务研究、研究设计和分析方面的高级课程；(2)与伯曼中心开展多中心临床试验和前瞻性研究；(3)与导师一起制定和评估研究方向、技能和经验；(4)在管理式医疗机构中，为医生激励改善高血压控制的随机试验争取资金并实施试点和全面研究；(5)开展其他相关研究项目。Margolis博士的长期职业目标包括在以患者为导向的心血管疾病预防研究领域获得独立，并将医生和患者在预防心血管疾病发病率和死亡率的护理系统中采用有效干预措施的主题结合起来。研究计划。在该奖项的五年期间，Margolis博士计划在该试验之前进行至少一项主要临床试验，并进行试点研究。临床试验和试点研究的标题是“改善高血压治疗和控制计划（PITCH）”，并将测试这样一个假设，即接受资助设计自己的高血压控制计划的管理式医疗机构的诊所，与获得类似资金（根据表现直接提供给医生）的诊所相比，血压得到控制的高血压患者比例更高。对照诊所没有经济奖励。Margolis博士还计划了其他几个相关项目，其中包括：(1)研究患者对医生财务激励和对PITCH护理满意度的态度；(2) PITCH医师财务激励对高血压以外医疗服务的影响研究；(3)患者健康状态偏好在接受高血压治疗和控制高血压中的作用。

Candidate: Karen Margolis, M.D., M.P.H., is a member of the Berman Center for Outcomes and Clinical Research at the Minneapolis Medical Research Foundation, and staff physician at Hennepin County Medical Center, a teaching hospital affiliated with the University of Minnesota. Dr. Margolis is interested in finding interventions which bring patients, physicians and the system of care together to implement effective medical care, specifically in the area of cardiovascular disease prevention. Career Objectives. Dr. Margolis' immediate career objectives include: (1) advanced course work in epidemiology, biostatistics, health services research, study design and analysis; (2) work with the Berman Center multi-center clinical trials and prospective studies; (3) work with mentor to develop and evaluate research direction, skills and experience; (4) obtain funding for and implement pilot and full-scale studies of randomized trial of physician incentives for improving the control of hypertension in a managed care organization; and (5) develop other related research projects. Dr. Margolis' long-term career objectives include attaining independence as an investigator in the field of patient-oriented cardiovascular disease prevention research and incorporating the theme of physician and patient adoption of effective interventions in a system of care for the prevention of cardiovascular disease morbidity and mortality. Research Plan. During the five year period of the award, Dr. Margolis plans to undertake at least one major clinical trial preceded by a pilot study for that trial. The clinical trial and pilot study are entitled "Program for Improving the Treatment and Control of Hypertension (PITCH)" and will involve testing the hypothesis that clinics in a managed care organization receiving funding to design their own program for improving the control of hypertension will have a higher percentage of hypertensives with controlled blood pressure compared to both clinics given similar funding for financial incentives (provided directly to physicians based on performance) and control clinics given no financial incentives. Dr. Margolis also has planned several other related projects which include: (1) study of patient attitudes towards physician financial incentives and satisfaction with care in PITCH; (2) study of impact of physician financial incentives in PITCH on medical care other than hypertension; and (3) the role of patient health state preferences in acceptance of hypertension treatment and control of hypertension.