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开展成瘾医学以实践为基础的研究网络的经验。

Experience Starting an Addiction Medicine Practice-based Research Network.

机构信息

From the Friends Research Institute, Baltimore, MD (AI, FJV, RPS); Division of Research, American Psychiatric Association, Washington, DC (DEC, DG, BC, SP, NR); Quality and Science Department, American Society for Addiction Medicine, Rockville, MD (AP); Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse, Bethesda, MD (AG); and Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (DEC).

出版信息

J Addict Med. 2024;18(6):689-695. doi: 10.1097/ADM.0000000000001354. Epub 2024 Jul 30.

Abstract

OBJECTIVES

This paper outlines the experience developing Addiction Medicine Practice-Based Research Network (AMNet), which promotes the adoption of patient-reported outcome measures (PROMs) and measurement-based care in outpatient addiction treatment practices and creates a platform for quality improvement and research.

METHODS

From August 2019 to July 2023, the AMNet team selected patient-reported outcome measures for implementation in the American Psychiatric Association's clinical data registry (PsychPRO), recruited addiction medicine providers, and collected PROMs data.

RESULTS

AMNet selected 12 PROMs for implementation in PsychPRO. Through July 2023, 1565 providers expressed interest, of whom 216 of the 929 eligible providers (23%) attended an onboarding call/webinar. Two hundred six providers (95%) from 54 practices returned Participation Agreements. Subsequently, 65 providers (32%) from 39 practices withdrew, resulting in 141 (68%) providers from 15 practices. From November 2020 to July 2023, 38 providers submitted PROMs data using 1 of 3 PsychPRO patient portals. Sixteen of the 53 providers (30%) who signed up for the initial portal collected data from 468 patients. As of July 2023, 83 of the 141 providers (59%) opted to submit PROMs data from their own portal or electronic health record.

CONCLUSIONS

Next steps will include continued recruitment of providers, addressing barriers to data transfer and integrating data from providers' portals into the registry to create a platform for future research.

摘要

目的

本文概述了成瘾医学实践研究网络(AMNet)的发展经验,该网络促进了患者报告结局测量(PROMs)和基于测量的护理在门诊成瘾治疗实践中的采用,并为质量改进和研究创建了一个平台。

方法

从 2019 年 8 月到 2023 年 7 月,AMNet 团队选择了用于美国精神病学协会临床数据注册表(PsychPRO)实施的患者报告结局测量方法,招募了成瘾医学提供者,并收集了 PROMs 数据。

结果

AMNet 选择了 12 项 PROMs 用于 PsychPRO 的实施。截至 2023 年 7 月,有 1565 名提供者表示有兴趣,其中 929 名符合条件的提供者中的 216 名(23%)参加了入职电话/网络研讨会。206 名(95%)来自 54 个实践的提供者返回了参与协议。随后,65 名(32%)来自 39 个实践的提供者退出,最终有 141 名(68%)来自 15 个实践的提供者。从 2020 年 11 月到 2023 年 7 月,38 名提供者使用 3 个 PsychPRO 患者门户中的 1 个提交了 PROMs 数据。在注册的 53 名提供者中,有 16 名(30%)首次注册了数据收集门户,从 468 名患者中收集了数据。截至 2023 年 7 月,在 141 名提供者中,有 83 名(59%)选择从自己的门户或电子健康记录提交 PROMs 数据。

结论

下一步将包括继续招募提供者,解决数据传输障碍,并将提供者门户的数据整合到注册表中,为未来的研究创建一个平台。

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