Road map to a patient-centered research agenda at the intersection of hospital medicine and geriatric medicine

Heidi L. Wald, Luci K. Leykum, Melissa L.P. Mattison, Eduard E. Vasilevskis, David O. Meltzer

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

As the United States ages, the patient population in acute care hospitals is increasingly older and more medically complex. Despite evidence of a high burden of disease, high costs, and often poor outcomes of care, there is limited understanding of the presentation, diagnostic strategies, and management of acute illness in older adults. In this paper, we present a strategy for the development of a research agenda at the intersection of hospital and geriatric medicine. This approach is informed by the Patient-Centered Outcomes Research Institute (PCORI) framework for identification and prioritization of research areas, emphasizing input from patients and caregivers. The framework's four components are: 1) Topic generation, 2) Gap Analysis in Systematic Review, 3) Value of information (VOI) analysis, and 4) Peer Review. An inclusive process for topic generation requiring the systematic engagement of multiple stakeholders, especially patients, is emphasized. In subsequent steps, researchers and stakeholders prioritize research topics in order to identify areas that optimize patient-centeredness, population impact, impact on clinical decision making, ease of implementation, and durability. Finally, next steps for dissemination of the research agenda and evaluation of the impact of the patient-centered research prioritization process are described.

Original languageEnglish (US)
Pages (from-to)926-931
Number of pages6
JournalJournal of General Internal Medicine
Volume29
Issue number6
DOIs
StatePublished - Jun 2014

Keywords

  • geriatrics
  • hospitalists
  • hospitals
  • patient-centered care
  • research

ASJC Scopus subject areas

  • Internal Medicine

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