进行比较有效性,多站点息护理和预先护理规划试验:从PCORI资助的研究中吸取教训和未来方向
Areej El-Jawahri1, Brittany Waterman2, Susan Enguidanos3
1Division of Hematology-Oncology, Massachusetts General Hospital, Boston, MA.
Medical care
|September 9, 2024
概括
进行息治疗 (PC) 和预先护理计划 (ACP) 临床试验涉及到共同的挑战. 本文详细介绍了克服多站点研究障碍的策略,旨在改善未来的PC和ACP干预试验.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
- 息护理和提前护理规划
背景情况:
- 患者为中心的结果研究院 (PCORI) 资助了大量的息治疗 (PC) 和预先护理计划 (ACP) 交付模式的比较有效性试验.
- 实施多站点临床试验存在独特的后勤和运营障碍.
研究的目的:
- 提供PC和ACP医疗保健提供试验中遇到的常见障碍的概述.
- 分享调查小组用来克服这些实施挑战的策略.
- 为规划和进行严格的PC和ACP干预措施的未来试验提供指导.
主要方法:
- 从PCORI资助的比较有效性临床试验中审查常见的障碍和策略.
- 专注于关键的实施方面:合作伙伴识别,合同,监管合规,团队治理,员工培训,参与者招聘和入学,数据收集和协作管理.
- 实施经验的定性综合.
主要成果:
- 关键障碍包括多站点协调,合同和监管导航,员工参与,参与者招聘和数据管理.
- 成功的策略包括建立清晰的治理,全面的培训,简化招聘流程和强大的沟通协议.
- 有效管理多站点协作对于试验成功至关重要.
结论:
- 积极解决实施障碍对于PC和ACP临床试验的成功执行至关重要.
- 概述的策略可以为这些关键护理领域的未来研究的设计和进行提供信息.
- 改进的规划和执行将提高PC和ACP医疗保健提供干预试验的严格性和影响.
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