Road Map to a Patient-Centered Research Agenda at the Intersection of Hospital Medicine and Geriatric Medicine
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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.
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- Road Map to a Patient-Centered Research Agenda at the Intersection of Hospital Medicine and Geriatric Medicine
Journal of General Internal Medicine
Volume 29, Issue 6 , pp 926-931
- Cover Date
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- Springer US
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- patient-centered care
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- Author Affiliations
- 1. University of Colorado School of Medicine, Division of Health Care Policy and Research, Campus Box F480 13199 E. Montview Blvd, Suite 400, Aurora, CO, 80024, USA
- 2. South Texas Veterans Health Care System, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
- 3. Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA
- 4. Division of General Internal Medicine and Public Health, Section of Hospital Medicine and the Center for Quality Aging, Vanderbilt University, Nashville, TN, USA
- 5. Geriatric Research, Education and Clinical Center (GRECC), VA Tennessee Valley, Nashville, TN, USA
- 6. The University of Chicago, Chicago, IL, USA