Improving Child Health by Disseminating Patient Centered Outcomes Research

描述（由申请人提供）：研究证明慢性病儿童护理的证据和实践之间存在显著差距。美国儿科委员会（ABP）提议与辛辛那提儿童医院医学中心（CCHMC）合作开发一个项目，以有效地传播以患者为中心的结果研究，这将改善慢性疾病儿童的护理和结果，最初的重点是优化药物使用的交付和结果。ABP可以显著影响近6万名积极临床实践的医师执业行为。在过去的十年中，作为与其他24个美国医学专业委员会（ABMS）委员会更大努力的一部分，ABP开发了一项旨在改善儿童护理和结果的认证维护（MOC）计划。MOC项目的ABP标准允许在实践中衡量医生参与协作改进网络和自定进度、专家开发的基于网络的改进活动的表现，医生可以在自己的实践环境中完成。在过去的两年里，有15000名儿科医生完成了其中的一项活动。CCHMC支持协作改进网络，这些网络是研究和提高儿童治疗有效性的独特实验室，包括三个专注于慢性疾病的实验室（例如心脏病学、胃肠病学和风湿病学）。ABP以MOC积分奖励参与网络的医生。到目前为止，ABP已经通知了外交官MOC项目的要求和批准活动的可用性，但尚未积极向其儿科外交官推广这些活动。ABP将开发、实施和评估一个转化营销方法项目，其具体目标是增加儿科医生对以患者为中心的证据的使用，以改善慢性疾病儿童的护理和结果，并特别关注药物依从性，以便到2016年1月：“心脏病学、胃肠病学和风湿病学的所有儿科专科医生要么1)参与一个相关的协作改进网络，强调药物依从性是慢性疾病管理的关键因素，要么2)完成了abp开发的基于网络的MOC药物依从性模块，”25%的儿科专科医生和75%的心脏病学、胃肠病学、风湿病专科医生将完成abp赞助的关于药物依从性的当前最佳证据的知识自我评估。这些传播工作将为ABP如何最好地支持儿科医生获取和实施相关新证据提供经验教训。该项目还将向其他ABMS委员会展示医生参与MOC如何能够促进以患者为中心的结果研究的传播。1

DESCRIPTION (provided by applicant): Studies document that significant gaps exist between evidence and practice in care for children with chronic illness. The American Board of Pediatrics (ABP) proposes to develop a program in collaboration with Cincinnati Children's Hospital Medical Center (CCHMC) to effectively disseminate patient-centered outcomes research that will improve care and outcomes for children with chronic illness, with an initial focus on optimizing the delivery and outcomes of medication use. The ABP can significantly influence the physician practice behavior of the almost 60,000 diplomates in active clinical practice. Over the last decade, the ABP, as part of a larger effort with the other 24 American Board of Medical Specialties (ABMS) boards, has developed a Maintenance of Certification (MOC) program designed to improve care and outcomes for children. The ABP standards for MOC programs allow credit for measuring performance in practice for physician participation in collaborative improvement networks and self- paced, expert-developed Web-based improvement activities that physicians can complete in their own practice setting. In the past two years, >15,000 pediatricians have completed one of these activities. CCHMC supports collaborative improvement networks that are unique laboratories for studying and improving the effectiveness of therapies in children, including three focused on chronic illness (e.g. cardiology, gastroenterology, and rheumatology). The ABP rewards physician participation in networks with MOC credit. To date, the ABP has notified diplomates of the MOC program requirements and the availability of approved activities but has not actively promoted these activities to its pediatric diplomates. The ABP will develop, implement, and evaluate a program of translational marketing methods with the specific aim of increasing pediatrician use of patient-centered evidence to improve care and outcomes in children with chronic illness, with a specific focus on medication adherence, so that by January 2016: " all pediatric subspecialists in cardiology, gastroenterology, and rheumatology are either 1) participating in one of the relevant collaborative improvement networks that emphasize medication adherence as a key factor in chronic disease management or 2) have completed an ABP-developed web-based medication adherence module for MOC, and " 25% of all subspecialty pediatricians and 75% of cardiology, gastroenterology, and rheumatology subspecialists will have completed ABP-sponsored knowledge self-assessments of current best evidence on medication adherence. These dissemination efforts will provide lessons for how the ABP can best support pediatrician acquisition and implementation of relevant new evidence. This program will also demonstrate to other ABMS boards how physician participation in MOC can lead to dissemination of patient-centered outcomes research. 1