Journal of General Internal Medicine

, Volume 29, Issue 6, pp 926–931

Road Map to a Patient-Centered Research Agenda at the Intersection of Hospital Medicine and Geriatric Medicine

  • Heidi L. Wald
  • Luci K. Leykum
  • Melissa L. P. Mattison
  • Eduard E. Vasilevskis
  • David O. Meltzer
Perspective

DOI: 10.1007/s11606-014-2777-1

Cite this article as:
Wald, H.L., Leykum, L.K., Mattison, M.L.P. et al. J GEN INTERN MED (2014) 29: 926. doi:10.1007/s11606-014-2777-1

ABSTRACT

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.

KEY WORDS

geriatrics hospitals hospitalists patient-centered care research 

Copyright information

© Society of General Internal Medicine 2014

Authors and Affiliations

  • Heidi L. Wald
    • 1
  • Luci K. Leykum
    • 2
  • Melissa L. P. Mattison
    • 3
  • Eduard E. Vasilevskis
    • 4
    • 5
  • David O. Meltzer
    • 6
  1. 1.University of Colorado School of MedicineDivision of Health Care Policy and ResearchAuroraUSA
  2. 2.South Texas Veterans Health Care SystemUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  3. 3.Beth Israel Deaconess Medical Center and Harvard Medical SchoolBostonUSA
  4. 4.Division of General Internal Medicine and Public Health, Section of Hospital Medicine and the Center for Quality AgingVanderbilt UniversityNashvilleUSA
  5. 5.Geriatric Research, Education and Clinical Center (GRECC)NashvilleUSA
  6. 6.The University of ChicagoChicagoUSA

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