Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 926-931 |
| Number of pages | 6 |
| Journal | Journal of General Internal Medicine |
| Volume | 29 |
| Issue number | 6 |
| DOIs | |
| State | Published - 2014 |
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ASJC Scopus subject areas
- Internal Medicine
- Medicine(all)
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Road map to a patient-centered research agenda at the intersection of hospital medicine and geriatric medicine. / Wald, Heidi L.; Leykum, Luci K; Mattison, Melissa L P; Vasilevskis, Eduard E.; Meltzer, David O.
In: Journal of General Internal Medicine, Vol. 29, No. 6, 2014, p. 926-931.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Road map to a patient-centered research agenda at the intersection of hospital medicine and geriatric medicine
AU - Wald, Heidi L.
AU - Leykum, Luci K
AU - Mattison, Melissa L P
AU - Vasilevskis, Eduard E.
AU - Meltzer, David O.
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
KW - geriatrics
KW - hospitalists
KW - hospitals
KW - patient-centered care
KW - research
UR - http://www.scopus.com/inward/record.url?scp=84901663444&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901663444&partnerID=8YFLogxK
U2 - 10.1007/s11606-014-2777-1
DO - 10.1007/s11606-014-2777-1
M3 - Article
C2 - 24557516
AN - SCOPUS:84901663444
VL - 29
SP - 926
EP - 931
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - 6
ER -