Reducing Fragmentation Across Sites of Geriatric Care

描述（由申请人提供）：候选人。 科尔曼医生已经完成了 罗伯特·伍德约翰逊临床学者计划和老年医学 药 他获委任为老年医学助理教授， 医学在科罗拉多大学健康科学中心。 的 申请人的长期目标是发展独立的职业生涯 以病人为导向研究的研究者。 他的近期目标是（a） 研究在多个医院接受护理的老年患者的护理碎片 （B）通过正式课程获得额外的方法学专业知识; (c)参与团队研究环境，学习健康的各个方面 （d）参与老人科临床研究 活动 环境保护 科尔曼博士的研究办公室将设在老龄化中心 研究科，其中有18名卫生服务研究人员，致力于 研究老年人口的医疗保健质量和结果。 他的担保人 是安德鲁克雷默博士，老年医学教授，他的共同赞助商是 Richard Besdine博士，老年学和保健研究中心主任 在布朗大学。 科尔曼博士与凯泽的正式研究预约 科罗拉多将为访问研究受试者、使用数据和 更多研究合作者 研究。 在患病期间，老年患者通常需要护理 从不同的从业者在多个设置，把他们的风险， 接受零散的护理。 需要采取有效的干预措施， 在老年护理的设置碎片。 然而，这条线 由于缺乏有效的工具，调查受到严重限制 旨在衡量护理碎片化的重要属性。 我们的第一 目的是开发和测试一种护理碎片化工具。我们的第二个目标是 来测试一项旨在减少护理的干预措施的可行性， 碎片化 我们的第三个目标是启动一项随机对照试验， 这次干预。 这项研究的结果将提高我们的能力， 量化护理碎片化，随后衡量 有针对性的干预

DESCRIPTION (provided by applicant): Candidate. Dr. Coleman has completed fellowships in the Robert Wood Johnson Clinical Scholars Program and Geriatric Medicine. He holds an appointment of Assistant Professor of Geriatric Medicine at the University of Colorado Health Sciences Center. The applicant's long-term goal is to develop a career as an independent investigator in patient-oriented research. His immediate goals are (a) to study care fragmentation in older patients who receive care in multiple settings; (b) obtain additional methodologic expertise with formal coursework; (c) participate in a team research environment learning all aspects of health services research in aging; and (d) participate in geriatric clinical activities. The Environment. Dr. Coleman's research office will be in the Center on Aging Research Section, which houses 18 health services researchers dedicated to the study of healthcare quality and outcomes in the older population. His sponsor is Dr. Andrew Kramer, Professor of Geriatric Medicine, and his co-sponsor is Dr. Richard Besdine, Director, Center for Gerontology and Health Care Research at Brown University. Dr. Coleman's formal research appointment with Kaiser Colorado will facilitate access to study subjects, utilization data and additional research collaborators. The Research. During an episode of illness, older patients often require care from different practitioners in multiple settings, placing them at risk for receiving fragmented care. Effective interventions are needed to reduce care fragmentation across settings of geriatric care. However, this line of inquiry is severely constrained by the absence of a validated instrument designed to measure the important attributes of care fragmentation. Our first aim is to develop and test a care fragmentation instrument. Our second aim is to test the feasibility of an intervention designed to reduce care fragmentation. Our third aim is to initiate a randomized controlled trial of this intervention. The results of this research will improve our ability to quantify care fragmentation and subsequently measure the effectiveness of a targeted intervention.