Patient-Centered Outcomes Research (PCOR)What is PCOR?
Patient-Centered Outcomes Research (PCOR) incorporates the realities that treatment outcomes may be different in different individuals and that patients' priorities and goals of treatment also vary. PCOR relies on input from patients and families as well as healthcare professionals.
Background: UTMB was awarded a $4.97 million dollar grant (R24HS022134) in 2013 from the Agency for Healthcare Research and Quality (AHRQ) to conduct patient-centered outcomes research. AHRQ's mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work with the U.S. Department of Health and Human Services (HHS) and other partners to make sure that the evidence is understood and used. Dispersed over a five-year period, this federal grant is being used to establish the infrastructure for a center on Patient-Centered Outcomes Research in the Elderly at UTMB. Read more about the mission of our center.
Pilot Projects Presented at Operations Meeting 10/21/15
The following UTMB PCOR pilot project recipients gave reports on the progress of their projects at the recent PCOR Operations Committee Meeting on October 21, 2015:
"Improving Healthcare for Elders during Disasters" - James Graham, PhD
"How Comorbidities Co-Occur in Readmitted Hip Fracture Patients: From Bipartite Networks to Post-Discharge Planning" - Suresh K. Bhavnani, PhD
"Patient-and Family-Centered Home Nutrition Program for Burned Children" - Labros Sidossis, PhD
"Patient-Centered Care to Decrease Mortality in Diabetic Wound Treatment" - Daniel Jupiter, PhD
Also, Meredith Masel, PhD, MSW presented on the forthcoming SHARE Approach Train-the-Trainer Workshop.
"AHRQ Mission & Priorities, Funding Opportunities, Application Process and Tips" [slides]
Presented by Jennifer E. Moore, Ph.D., R.N.
Health Scientist and Team Lead, Office of Women’s Health & Gender Research
Agency for Healthcare Research and Quality
"The STRIDE Study: An Introduction"
Presented by Elena Volpi, MD, PhD, Daisy Emery Allen Distinguished Chair in Geriatric Medicine Director ad Interim, Sealy Center on Aging Associate Director, Institute for Translational Sciences
"Progress on the 1115 Waiver in RHP 2*"
Presented byKatrina Lambrecht, Vice President, Institutional Strategic Initiatives
"Overview of Systematic Review Methods and Tools"
Presented by Margaret Foster, MPH, MS Associate Professor, Systematic Reviews and Research Services Coordinator Texas A&M University
"Comparative Effectiveness: Knowledge Synthesis and Translation"
Presented by Maria de los Ángeles Lopez-Olivo, MD, MSc, PhD Assistant Professor, Department of Internal Medicine University of Texas MD Anderson Cancer Center
"Health Outcomes Research Utilizing Large Retrospective Databases"
Presented by Karen L. Rascati, PhD Stewart Turley/Eckerd Corporation Centennial Endowed Professor of Health Outcomes & Pharmacy Practice University of Texas at Austin, College of Pharmacy
Medical News Today, May 29, 2014
Researchers have concluded that providing better access to healthcare may lead to the overuse of mammograms for women who regularly see a primary care physician and who have a limited life expectancy. The cautionary note from researchers at UTMB is that screening women in this category could subject them "to greater risks of physical, emotional and economic suffering." Dr. Alai Tan, a senior biostatistician in UTMB's Sealy Center on Aging and lead author of the study, said that “there has been little systematic attempt to define guidelines that would help determine when breast cancer screening might not be appropriate or overused.” News of the findings also appears in BioPortfolio, Medical Xpress and Health Canal. More about the mammography related research project in PCOR at UTMB.
"Aligning National Priorities with Stakeholder Input to Improve Healthcare Quality and Outcomes"
Presented by Janet Prvu Bettger, ScD, FAHA, Assistant Professor, Duke University School of Nursing Senior Fellow, Duke Center for the Study of Aging and Human Development Fellow, American Heart Association
GuidryNews.com, May 5, 2014
Guidry News Service recently visited with Dr. Timothy Reistetter, an associate professor in the Department of Rehabilitation Sciences at the University of Texas Medical Branch at Galveston, who is the lead author on research which found that rehabilitation outcomes for people who have had a stroke vary greatly depending on where they live in the United States. Listen at Guidry News (14:39). The study was recently published in the journal Archives of Physical Medicine and Rehabilitation. More about the stroke related research project in PCOR at UTMB.
Bay Area Citizen, May 8, 2014
Researchers at UTMB have found that rehabilitation outcomes for people who have had a stroke vary greatly depending on where they live in the United States. The study, recently published in the journal Archives of Physical Medicine and Rehabilitation, examined Centers for Medicare and Medicaid Services records from 143,036 patients discharged from inpatient rehabilitation during 2006 and 2007. Researchers focused on length of stay, functional status (discharge motor and cognitive status, overall functional change) and the percentage of patients discharged to the community. The study found a 20 percent difference in community discharge rates across regions. The region with the highest percentage of community discharge was the Southwest (79.1 percent), while the lowest region was the Northeast (59.4 percent). "Understanding how geographic variability is associated with outcomes will help rehabilitation professionals and administrators implement practice guidelines and quality improvement programs designed to improve care in areas with poor outcomes," said lead author Timothy Reistetter, an associate professor in the Department of Rehabilitation Sciences at UTMB. "An important step in this process is to describe region-specific outcomes of rehabilitative care at the national level." More about the stroke related research project in PCOR at UTMB.
Galveston Daily News, April 21, 2014
UTMB researchers are hopeful that discussions among non-healthcare communities may provide insight to the ethical questions that can arise with rising costs and emerging technologies and procedures. Researchers also want to learn more about how people in different social circles form opinions or make decisions about their healthcare. That could help shape health policy. The study is part of a project overseen by Dr. James Goodwin and funded by the Patient-Centered Outcomes Research Institute. To complete the study, UTMB faculty worked with two different communities in Galveston. "Nowhere in the U.S., right now, is there regular engagement of ordinary citizens in bioethics dialogue in a sustained manner," [previous] study coordinator Dr. Howard Brody observed. "We are trying to show at UTMB, taking advantage of the cultural diversity of our region, that this is a feasible way to enrich bioethics debate in the future." More about the ethics related research project in PCOR at UTMB.
UTMB Newsroom, May 21, 2013
UTMB has been awarded a $4.97 million grant from the Agency for Healthcare Research and Quality (AHRQ) for a center on "Patient Centered Outcomes Research (PCOR) in the Elderly" led by Dr. James S. Goodwin, Vice President and Chief Research Officer at UTMB. "The overall goal is to promote patient-centered care, by determining the range of different outcomes most important to patients with different diseases, and how well currently available treatments help achieve those outcomes," said Goodwin.
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