Data Collection & Management Core/Gery Ryan

核心描述 该中心将有4个项目 项目1：以临床医生为基础的适宜性 项目2：基于成果的适当性 项目3：患者偏好的适当性 项目4：以经济为基础的适当性 该中心的所有四个项目都将利用以不同方式从患者那里收集的数据，这些患者是通过四个国家地点的执业脊椎按摩提供者的样本所看到的。国家地点将在项目的第一年选定，并将代表该国的主要地区，以提高调查结果在整个美国的普及性。我们会在4个地点各抽取20名执业脊医(即共80名)进行选拔和招聘。如果脊医有兴趣参加，我们会检查他们是否符合以下资格要求：(A)他们通常每天至少接见5名正在接受慢性颈痛治疗的患者；(B)他们愿意允许我们的团队招募面试并通过访问跟踪10名患者超过一年 两天的时间；(C)他们将允许我们审查和摘录10个随机的病人图表和我们采访的10个人；(D)他们将提供关于他们自己和他们的做法的基本信息。 每个项目都有略有不同但高度重叠的数据收集要求，包括：(A)患者档案摘要(项目1)；(B)与患者面对面访谈(项目1、2、4)；(C)观察治疗情况(项目3)；(D)与提供者面谈(项目1、2、3、4)；(E)关于每种做法的问卷(项目1、3)；(F)患者后续电话访谈(项目1、2、3、4)。 我们没有让每个项目收集自己的国家数据，而是创建了一个数据收集和管理核心(数据收集和管理核心)或整个中心。这不仅提高了成本效益，而且还确保了项目和数据的高度整合。

Core Description The Center will have 4 projects ¿ Project 1: Clinician Based Appropriateness ¿ Project 2: Outcomes Based Appropriateness ¿ Project 3: Patient Preferences Appropriateness ¿ Project 4 : Economic Based Appropriateness All the four Projects in the Center will utilize data collected in various ways from patients seen by a sample of practicing chiropractic providers in four national sites. The national sites will be selected during the first year of the project and will represent major regions of the country to enhance the generalizability of the findings to the United States overall. Within each ofthe four sites, we will identify and recruit a sample of 20 practicing chiropractors (i.e., 80 in total). If a chiropractor is interested in participating, we then will check to see if they meet the following eligibility requirements: (a) they typically see at least 5 patients a day who are being treated for chronic cervical pain; (b) they are willing to allow our team to recruit interview and shadow 10 patients through their visit over a 2-day period; (c) they will allow us to review and abstract 10 random patient charts and the 10 whom we interview; and (d) they will provide basic information about themselves and their practices. Each project has slightly different, but highly overlapping, data collection requirements, including: (a) the abstraction of patient files (Project 1); (b) face-to-face patient interviews (Project 1,2 4); (c) observations of treatment encounters (Project 3); (d); provider interviews (Projects 1,2,3,4); (e) questionnaires about each practice (Project 1, 3); and (f) patient follow-up telephone interviews (Projects 1, 2,3 4). Rather than have each project collect its own national data we have created one Data Collection and Management Core (DCMC) or the whole Center. This not only results in costs efficiencies but also ensures a much great level of integration of the projects and the data.