Oregon's distinctive strengths in patient centered outcomes and comparative effectiveness research (PCOR &CER) and resource rich environment for mentored training are leveraged in this proposal to develop a robust program to support the development of the next generation of leaders in PCOR. The overall theme for the Oregon Patient Centered Outcomes Research K12 program is conducting evidence-based, patient centered, pragmatic, """"""""real world"""""""" research that matters to patients. The institution is deeply committed to PCOR as a broad cross-disciplinary and cross-professional opportunity and has committed to provide each scholar with tuition free education through the Human Investigations Program, and to administer the grant at the highest possible institutional level through the Provost's office. OHSU has 25 institutional pre-doctoral and post-doctoral T32 training grants, which serve as a sound and reliable resource for faculty dedicated to research careers. A preliminary inquiry of our Schools of Medicine, Pharmacy, Nursing, Dentistry, and Health Care Professionals identified 39 faculty interested, eligible, and immediately available for our six K12 positions (12 over the tenure of the award). To enhance investigator competencies in CER, we provide a combination of individually-tailored mentoring, formal coursework, hands-on CE Review experience, and experiential learning in diverse, applied settings. Formal coursework will include courses in comparative effectiveness and patient centered outcomes research principles, systematic reviews, medical decision making, evidence-based medicine, community-based research, and dissemination and implementation. Hands-on Comparative Effectiveness Review experiences range from conducting short and longer duration reports with the Pacific NW Evidence-based Practice Center and/or VA Evidence-based Synthesis Program to advanced CE review methods development for experienced scholars. We provide a broad range of applied experiential experiences for scholars ranging from organizations directly interacting with the public and social services, to local and national health policy, to health systems and Oregon's health care reform organizations. We believe that Oregon's PCOR and CER focus, CTSA translational research focus, and OHSU's strong tradition of supportive K programs provide the ideal environment to create momentum, expand the workforce, and strengthen the science of PCOR and CE research.
To make an immediate and measureable impact on health, research needs to address questions that are relevant to patients, clinicians, policy-makers, stakeholders, and the community. We build on our successful experiences in mentored career development, extraordinary range of Comparative Effectiveness and Patient Centered Outcomes Research, and vibrant community partnerships to create a program that produces the next generation of research leaders and innovators who advance the science and accelerate immediately actionable patient centered outcomes research.
|Horner-Johnson, Willi; Darney, Blair G; Kulkarni-Rajasekhara, Sheetal et al. (2016) Pregnancy among US women: differences by presence, type, and complexity of disability. Am J Obstet Gynecol 214:529.e1-9|
|Kondo, Karli K; Damberg, Cheryl L; Mendelson, Aaron et al. (2016) Implementation Processes and Pay for Performance in Healthcare: A Systematic Review. J Gen Intern Med 31 Suppl 1:61-9|
|Davis, Melinda M; Spurlock, Margaret; Dulacki, Kristen et al. (2016) Disparities in Alcohol, Drug Use, and Mental Health Condition Prevalence and Access to Care in Rural, Isolated, and Reservation Areas: Findings From the South Dakota Health Survey. J Rural Health 32:287-302|
|Storzbach, Daniel; Twamley, Elizabeth W; Roost, Mai S et al. (2016) Compensatory Cognitive Training for Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn Veterans With Mild Traumatic Brain Injury. J Head Trauma Rehabil :|
|Kansagara, Devan; Chiovaro, Joseph C; Kagen, David et al. (2016) So many options, where do we start? An overview of the care transitions literature. J Hosp Med 11:221-30|
|Horner-Johnson, Willi; Dobbertin, Konrad; Iezzoni, Lisa I (2015) Disparities in receipt of breast and cervical cancer screening for rural women age 18 to 64 with disabilities. Womens Health Issues 25:246-53|
|Broffman, Lauren; Spurlock, Margaret; Dulacki, Kristen et al. (2015) Understanding Treatment Gaps for Mental Health, Alcohol, and Drug Use in South Dakota: A Qualitative Study of Rural Perspectives. J Rural Health :|
|Cohen, Deborah J; Davis, Melinda; Balasubramanian, Bijal A et al. (2015) Integrating Behavioral Health and Primary Care: Consulting, Coordinating and Collaborating Among Professionals. J Am Board Fam Med 28 Suppl 1:S21-31|
|Cifuentes, Maribel; Davis, Melinda; Fernald, Doug et al. (2015) Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care. J Am Board Fam Med 28 Suppl 1:S63-72|
|Davis, Melinda M; Balasubramanian, Bijal A; Cifuentes, Maribel et al. (2015) Clinician Staffing, Scheduling, and Engagement Strategies Among Primary Care Practices Delivering Integrated Care. J Am Board Fam Med 28 Suppl 1:S32-40|
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