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Aligning the visit priorities of complex patients and their primary care providers
Investigator (PI): Grant, Richard
Performing Organization (PO): (Current): Kaiser Permanente, Division of Research / (510) 891-3400
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2015
Final Year: 2019
Record Source/Award ID: PCORI/CDR-1403-11992
Funding: Total Award Amount: $1,321,906
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Patients with multiple chronic diseases and their primary care providers report a growing frustration with how difficult it is to manage complex health-related issues during too-brief primary care visits. In this PCORI project, we focus on improving the patient-PCP visit interaction. Our goal is to help patients to communicate their visit priorities while also supporting the clinical work of PCPs. We have chosen to use relatively inexpensive tools (Tablet PC) in a convenient setting (the waiting room before a scheduled visit). For this project, we will gather patient and provider input to develop a simple computer tool for patients to use to decide what issues they want to focus on during their upcoming visit with their primary care provider. We will then test the impact of this tool in a randomized clinical trial. We will use survey methods to collect outcomes of importance to patients (such as how well their PCP communicates with them) and use electronic data collected during routine clinical care to measure outcomes of importance to clinicians and care systems. This study was developed in collaboration with patients and provider stakeholders, whose experiences and insights helped to shape the final proposal; and, if funded, the study will continue to rely on active collaboration between these stakeholders and our experienced investigative team. Our proposal seeks to develop and rigorously evaluate an innovative approach to improving primary care visits for complex patients. If successful, this approach can be readily adapted to a wide variety of different care settings.
MeSH Terms:
  • Computers, Handheld
  • Humans
  • Outcome Assessment, Health Care
  • Primary Health Care /*organization & administration
  • Program Development
  • Program Evaluation
  • Randomized Controlled Trials as Topic
  • Software
  • Treatment Outcome
Country: United States
State: California
Zip Code: 94612
UI: 20152110
Project Status: Completed
Record History: ('2017: Project extended to 2019.',)