A Model for Translating Research into Practice in the United States - Mexico Border Region Howard J. Eng, MS, DrPH Director, Southwest Border Rural Health.
Post on 02-Jan-2016
214 Views
Preview:
Transcript
A Model for Translating Research into Practice in A Model for Translating Research into Practice in the United States - Mexico Border Regionthe United States - Mexico Border Region
Howard J. Eng, MS, DrPH Howard J. Eng, MS, DrPH
Director, Southwest Border Rural Health Research CenterDirector, Southwest Border Rural Health Research CenterRural Health OfficeRural Health Office
Mel and Enid Zuckerman College of Public HealthMel and Enid Zuckerman College of Public HealthThe University of ArizonaThe University of Arizona
United States - Mexico Border Center of Excellence ConsortiumUnited States - Mexico Border Center of Excellence Consortium
Arizona State ConferenceArizona State Conference
April 30, 2009April 30, 2009
Presentation OverviewPresentation Overview
Translational ResearchTranslational Research Overview of Translational ResearchOverview of Translational Research Examples of Translational Research ModelsExamples of Translational Research Models
U.S.-Mexico Border U.S.-Mexico Border
A Model for Translating Research into Practice in the A Model for Translating Research into Practice in the U.S. –Mexico Border RegionU.S. –Mexico Border Region
Translational Research Translational Research
Apply scientific discoveries to health professional Apply scientific discoveries to health professional practicepractice
Include basic, clinical, epidemiological, health Include basic, clinical, epidemiological, health services, intervention/evaluation, etc…services, intervention/evaluation, etc…
Implement into community health and medical Implement into community health and medical professional practiceprofessional practice
Reduce or delay the incidence, morbidity, and Reduce or delay the incidence, morbidity, and mortality of acute and chronic diseasesmortality of acute and chronic diseases
Can use different models to apply research results Can use different models to apply research results into health professional practicesinto health professional practices
Translational Research ModelsTranslational Research Models
UniversitiesUniversities Johns Hopkins’ Quality and Safety Research Group’s Johns Hopkins’ Quality and Safety Research Group’s
Translating Evidence into Practice ModelTranslating Evidence into Practice Model
Health Professional AssociationsHealth Professional Associations American Heart Association’s Improving Evidence-Based American Heart Association’s Improving Evidence-Based
Medicine ModelMedicine Model
Federal Health AgenciesFederal Health Agencies National Cancer Institute’s Translational Research ModelNational Cancer Institute’s Translational Research Model National Center for Chronic Disease Prevention and Health National Center for Chronic Disease Prevention and Health
Promotion’s Translational Research ModelPromotion’s Translational Research Model Agency for Healthcare Research and Quality Knowledge Agency for Healthcare Research and Quality Knowledge
Transfer FrameworkTransfer Framework
The United States – Mexico border extends for 1,952 miles The United States – Mexico border extends for 1,952 miles (3,141 kilometers), stretching from the Gulf of Mexico to the (3,141 kilometers), stretching from the Gulf of Mexico to the Pacific Ocean.Pacific Ocean.
The1983 La Paz Agreement defined the border area as the The1983 La Paz Agreement defined the border area as the land within 100 km (62.5 miles) on either side of the land within 100 km (62.5 miles) on either side of the international boundary. international boundary.
U.S.-Mexico BorderU.S.-Mexico BorderU.S.-Mexico BorderU.S.-Mexico Border
Source: PAHO/WHO Health in the Americas 2007
Arizona-Sonora BorderArizona-Sonora Border
Cochise County Border = 87 miles Cochise County Border = 87 miles
Santa Cruz County Border = 60 milesSanta Cruz County Border = 60 miles
Pima County Border = 133 milesPima County Border = 133 miles
(Tohono O’odham Nation = 80 miles)(Tohono O’odham Nation = 80 miles)
Yuma County Border = 97 milesYuma County Border = 97 miles
Total Border = 377 milesTotal Border = 377 miles
** *
*
Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality Knowledge Transfer Framework Knowledge Transfer Framework
© 2010 College of Medicine© 2010 College of Medicine
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Source: Nieva VF, et al. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice, Advances in Patient Safety, Vol 2. p.441-453
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Knowledge Creators (Researchers)Knowledge Creators (Researchers)
UniversitiesUniversities Government AgenciesGovernment Agencies Research InstitutionsResearch Institutions Private CompaniesPrivate Companies Health Care ProvidersHealth Care Providers
Physician OfficesPhysician Offices Physician Group PracticesPhysician Group Practices Community Health CentersCommunity Health Centers ClinicsClinics HospitalsHospitals Long Term FacilitiesLong Term Facilities PharmaciesPharmacies Public Health DepartmentsPublic Health Departments
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Research Types (Innovation) Research Types (Innovation)
New DrugsNew Drugs New Medical DevicesNew Medical Devices New Health TechnologiesNew Health Technologies New / Modified Diagnostic ProceduresNew / Modified Diagnostic Procedures New / Modified Treatment ProtocolsNew / Modified Treatment Protocols New / Modified Surgical ProceduresNew / Modified Surgical Procedures New / Modified Health ProgramsNew / Modified Health Programs Changes in the Delivery of CareChanges in the Delivery of Care New Health Care Delivery SystemsNew Health Care Delivery Systems
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Distillation of Knowledge Distillation of Knowledge
Who does the distillation?Who does the distillation? ResearchersResearchers Expert PanelsExpert Panels Professional and Policy AssociationsProfessional and Policy Associations Federal Health Agencies Federal Health Agencies
How is it distillated?How is it distillated? Evidence Summaries / Syntheses PapersEvidence Summaries / Syntheses Papers Consensus Processes for Decision MakingConsensus Processes for Decision Making Criteria SelectionCriteria Selection
• Effectiveness comparisonsEffectiveness comparisons• Cost benefit analysisCost benefit analysis• Evidence need for the changeEvidence need for the change• Transportability to real life conditionsTransportability to real life conditions• Acceptance by practitioners and patientsAcceptance by practitioners and patients• Adoptability by the health care systemAdoptability by the health care system
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Diffusion and Dissemination Diffusion and Dissemination
Creation of Dissemination PartnersCreation of Dissemination Partners Determination of the Targeted Health Determination of the Targeted Health
ProfessionsProfessions
Diffusion and Dissemination MethodsDiffusion and Dissemination Methods Academic and professional journalsAcademic and professional journals Professional newslettersProfessional newsletters Professional conferencesProfessional conferences Professional associationsProfessional associations WebsitesWebsites Fact sheetsFact sheets Workshops / Webcasts Workshops / Webcasts Professional continue education Professional continue education
presentationspresentations
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Adoption and Implementation Adoption and Implementation
Review New Innovation(s)Review New Innovation(s) ProcessesProcesses TreatmentsTreatments ProgramsPrograms
Decision Levels (PRN)Decision Levels (PRN) Health Care System Health Care System Health FacilityHealth Facility PractitionerPractitioner
Implementation Implementation Notification of new innovation change(s)Notification of new innovation change(s) Adjusting to any cultural needs of border Adjusting to any cultural needs of border
patientspatients Training of the health care team Training of the health care team Pilot testing the new InnovationPilot testing the new Innovation Overcoming the barriers to changeOvercoming the barriers to change Evaluating the innovation implementation Evaluating the innovation implementation
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Institutionalization Institutionalization
Successfully adoptedSuccessfully adopted Practitioner LevelPractitioner Level Facility LevelFacility Level Health Care System LevelHealth Care System Level
Approval by external organizationsApproval by external organizations Regulatory AgenciesRegulatory Agencies Credentialing AgenciesCredentialing Agencies
Agency for Healthcare Research and Quality Knowledge Transfer Framework Agency for Healthcare Research and Quality Knowledge Transfer Framework
Source: Nieva VF, et al. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice, Advances in Patient Safety, Vol 2. p.441-453
Feedback to Decision Maker on Adoption*
*Note: Conference participants recommended adding a feedback loop to the Framework to provide the decision makers information on the adoption level.
Contact InformationContact Information
Howard J. Eng, MS, DrPHHoward J. Eng, MS, DrPHDirectorDirectorSouthwest Border Rural Health Research CenterSouthwest Border Rural Health Research CenterRural Health OfficeRural Health OfficeMel and Enid Zuckerman College of Public HealthMel and Enid Zuckerman College of Public HealthP.O. Box 245177P.O. Box 2451771295 N. Martin Ave. 1295 N. Martin Ave. Tucson, Arizona 85724Tucson, Arizona 85724hjeng@email.arizona.edu (520) 626-5840(520) 626-5840
top related