Improving PrimAry Care Through Industrial and Systems Engineering (I-PrACTISE)

描述(由申请人提供)：医学研究所、国家工程院、国家研究委员会以及由医疗研究和质量局和国家科学基金会资助的研讨会都得出结论并建议，需要工业和系统工程师(ISYE)、医疗服务和临床和翻译研究人员以及执业临床医生之间的合作来提高医疗质量和安全性。我们计划加快这些合作，特别是在初级保健方面，通过一次小型会议。会议将制定一个研究议程，并确定研究它们的战略和机制，通过初级保健从业者和研究人员与ISYE研究人员的合作来促进初级保健实践。我们关注初级保健有五个原因。首先，初级保健对一个国家公民的健康至关重要。所有美国公民，特别是优先群体，可能会从我们的长期目标中受益。其次，人们普遍认为，初级保健专业人员在太短的时间内有太多事情要做。第三，初级保健中来自高水平的协调、信息需求和信息寻求的认知复杂性被严重低估。第四，也许正是由于这些现实，进入初级保健专业的医学生越来越少。第五，已经有人希望通过实施“以病人为中心的医疗之家”模式来重新设计初级保健服务。总而言之，有证据表明，美国的初级保健需要彻底改革，以满足美国的医疗保健需求。我们的会议将召集来自ISYE和初级保健的全国公认的专家来制定研究议程，以促进初级保健实践的转变，以应对当前和未来的美国医疗挑战。由于会议将建立一个广泛的初级保健研究议程，而不是在一个特定的领域(例如电子健康记录设计)，因此很可能所有的AHRQ portfoio领域都将得到解决。我们正在向AHRQ申请资金，以：1)创建会议公告活动并提供旅费补偿，以吸引国家专家；2)制定和实施我们的成果和会议后传播活动；以及3)进行会议影响评估，以改善未来的会议。

DESCRIPTION (provided by applicant): The Institute of Medicine, National Academy of Engineering, National Research Council, and workshops funded by the Agency for Healthcare Research and Quality and the National Science Foundation have all concluded and recommended that collaborations between industrial and systems engineers (ISYE), health services and clinical and translational researchers, and practicing clinicians are needed to improve healthcare quality and safety. We plan to accelerate these collaborations, and do so specifically in primary care, with a small conference. The conference will develop a research agenda, and identify strategies and mechanisms for studying them, for advancing primary care practice through the collaboration of primary care practitioners and researchers with ISYE researchers. We focus on primary care for five reasons. First, primary care is essential to the health of a country's citizens. All US citizens, especially priority populations, may benefit from our long- term objectives. Second, it is widely accepted that primary care professionals have too much to do in too little time. Third, the cognitive complexity in primary care from high levels of coordination, information need, and information seeking is vastly underappreciated. Fourth, it is perhaps because of these realities that fewer medical students are going into primary care. Fifth, there is already a desire to re-engineer primary care by implementing the "patient-centered medical home" model. In summary, evidence suggests that primary care in the US is in need of radical change to address the US heath care needs. Our conference will convene nationally recognized experts from ISYE and primary care to develop a research agenda to promote primary care practice transformation to meet current and future US healthcare challenges. Because the conference will build a research agenda for primary care broadly, and not in one particular area (e.g. electronic health record design) it is likely that all AHRQ portfoio areas will be addressed. We are applying to AHRQ for funding to: 1) create conference announcement activities and offer travel reimbursement to attract national experts; 2) develop and implement our deliverables and post-conference dissemination activities; and 3) conduct conference impact evaluation to improve future conferences.