Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed hea...Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed healthcare center (NMHC), PBRNs can be incorporated into successful quality improvement (QI) programs. UT Health Services is a NMHC utilizing a PBRN as one component of a comprehensive QI program in an effort to deliver high quality healthcare.展开更多
Background: Established CRCS guidelines for providers and the public exist, but due to several versions of CRCS guidelines and the variety of test options, confusion often arises among patients and providers, adversel...Background: Established CRCS guidelines for providers and the public exist, but due to several versions of CRCS guidelines and the variety of test options, confusion often arises among patients and providers, adversely affecting CRCS rates. Improving providers’ opportunities to recommend CRCS through provider-directed office-system interventions is critical to increase CRCS rates. Objective: The purpose of this study was to demonstrate the feasibility of adapting provider-directed office-system interventions developed by the Practice Partner Research Network (PPRNet) Translation of Research into Practice (TRIP) Quality Improvement (QI) Model for implementation in an independent, rural West Virginia primary care practice, and to obtain estimates of variability for relevant outcome measures of the interventions to increase CRCS recommendation and rates. Methods: Retrospective and prospective patient data from medical records and electronic medical records were extracted to compare pre-with post-intervention CRCS rates and analyze any significant demographic data. Also, office staff participated in a focus group interview. Results: The pre-intervention CRCS status/completion rate was 4.3% and increased to 36.2%. CRCS recommendation rate rose from 4.3% to 42.1%. Patients in the post group were almost 7 times more likely to get CRCS recommendation compared to patients in the pre group, adjusting for demographic information. Similar to findings for CRCS recommendations, patients in the post group were more than 12 times more likely to have CRCS completion compared to their counterparts in the pre-group (OR 12.61, p < 0.000, CI: 8.30, 19.15). Conclusion: This study demonstrated the feasibility as well as statistically significant preliminary indications that CRCS rates will increase after implementation of this model.展开更多
Economic geography in China＇s mainland has developed in a different way from that in many other countries. On the one hand, it has been increasingly active in participating in academic dialogues and knowledge develop...Economic geography in China＇s mainland has developed in a different way from that in many other countries. On the one hand, it has been increasingly active in participating in academic dialogues and knowledge development led by Anglophone countries; on the other hand, it takes practice-based and policy-oriented research, i.e. satisfying the demands from the Chinese government and society, as the linchpin of research. Since there has been a lot of literature reviewing the development of economic geography in the country before the new millennium, this paper will make a comprehensive analysis of the discipline in 2000–2015, based on a bibliometric survey and research projects done by Chinese economic geographers. The analysis indicates that（1） economic geography research in China＇s mainland is unevenly distributed but concentrated in several leading institutions;（2） traditional research fields like human-nature system, regional disparity, industrial location and transportation geography remain dominant while new topics such as globalization, multinational corporations and foreign direct investments, information and communication technology, producer services, climate change and carbon emission emerge as important research areas;（3） Chinese economic geography is featured by policy-oriented research funded by government agencies, having considerable impacts on regional policy making in China, both national and regional. To conclude, the paper argues that the development of economic geography in China＇s mainland needs to follow a dual track in the future, i.e. producing knowledge for the international academic community and undertaking policy-oriented research to enhance its role as a major consulting body for national, regional and local development.展开更多
Normal child development is slow from birth to 25 years.Since Neolithic times,humans have relied on common sense,learned by trial and error,and mourned infants lost to infection and mal-nutrition.In recent times,knowl...Normal child development is slow from birth to 25 years.Since Neolithic times,humans have relied on common sense,learned by trial and error,and mourned infants lost to infection and mal-nutrition.In recent times,knowledge of the process accelerated with increasing interest in child survival and health improvement.Historically,infant survival relied on breastfeeding until patho-gens were identified,food technology developed,and infant/child surveillance commenced within the ethos of public health.Today,universal screening of infants from birth aims to identify devia-tion from the norm in all areas of development,allowing early intervention and correction.The personal experience of health professionals can be a positive factor in reflective practice,question-ing orthodoxy and generating new perspectives and corrective strategies.Clinical settings generate practice-based evidence,a prerequisite for research.This concept of the infant as a primary cause of feeding problems demands consideration of a new paradigm and prompts research.展开更多
文摘Practice-based research networks (PBRN) seek to improve healthcare through the use of research, quality improvement, and collaborative learning. When used by nontraditional models of care such as the nurse managed healthcare center (NMHC), PBRNs can be incorporated into successful quality improvement (QI) programs. UT Health Services is a NMHC utilizing a PBRN as one component of a comprehensive QI program in an effort to deliver high quality healthcare.
文摘Background: Established CRCS guidelines for providers and the public exist, but due to several versions of CRCS guidelines and the variety of test options, confusion often arises among patients and providers, adversely affecting CRCS rates. Improving providers’ opportunities to recommend CRCS through provider-directed office-system interventions is critical to increase CRCS rates. Objective: The purpose of this study was to demonstrate the feasibility of adapting provider-directed office-system interventions developed by the Practice Partner Research Network (PPRNet) Translation of Research into Practice (TRIP) Quality Improvement (QI) Model for implementation in an independent, rural West Virginia primary care practice, and to obtain estimates of variability for relevant outcome measures of the interventions to increase CRCS recommendation and rates. Methods: Retrospective and prospective patient data from medical records and electronic medical records were extracted to compare pre-with post-intervention CRCS rates and analyze any significant demographic data. Also, office staff participated in a focus group interview. Results: The pre-intervention CRCS status/completion rate was 4.3% and increased to 36.2%. CRCS recommendation rate rose from 4.3% to 42.1%. Patients in the post group were almost 7 times more likely to get CRCS recommendation compared to patients in the pre group, adjusting for demographic information. Similar to findings for CRCS recommendations, patients in the post group were more than 12 times more likely to have CRCS completion compared to their counterparts in the pre-group (OR 12.61, p < 0.000, CI: 8.30, 19.15). Conclusion: This study demonstrated the feasibility as well as statistically significant preliminary indications that CRCS rates will increase after implementation of this model.
基金National Natural Science Foundation of China,No.41530751,No.41471113
文摘Economic geography in China＇s mainland has developed in a different way from that in many other countries. On the one hand, it has been increasingly active in participating in academic dialogues and knowledge development led by Anglophone countries; on the other hand, it takes practice-based and policy-oriented research, i.e. satisfying the demands from the Chinese government and society, as the linchpin of research. Since there has been a lot of literature reviewing the development of economic geography in the country before the new millennium, this paper will make a comprehensive analysis of the discipline in 2000–2015, based on a bibliometric survey and research projects done by Chinese economic geographers. The analysis indicates that（1） economic geography research in China＇s mainland is unevenly distributed but concentrated in several leading institutions;（2） traditional research fields like human-nature system, regional disparity, industrial location and transportation geography remain dominant while new topics such as globalization, multinational corporations and foreign direct investments, information and communication technology, producer services, climate change and carbon emission emerge as important research areas;（3） Chinese economic geography is featured by policy-oriented research funded by government agencies, having considerable impacts on regional policy making in China, both national and regional. To conclude, the paper argues that the development of economic geography in China＇s mainland needs to follow a dual track in the future, i.e. producing knowledge for the international academic community and undertaking policy-oriented research to enhance its role as a major consulting body for national, regional and local development.
文摘Normal child development is slow from birth to 25 years.Since Neolithic times,humans have relied on common sense,learned by trial and error,and mourned infants lost to infection and mal-nutrition.In recent times,knowledge of the process accelerated with increasing interest in child survival and health improvement.Historically,infant survival relied on breastfeeding until patho-gens were identified,food technology developed,and infant/child surveillance commenced within the ethos of public health.Today,universal screening of infants from birth aims to identify devia-tion from the norm in all areas of development,allowing early intervention and correction.The personal experience of health professionals can be a positive factor in reflective practice,question-ing orthodoxy and generating new perspectives and corrective strategies.Clinical settings generate practice-based evidence,a prerequisite for research.This concept of the infant as a primary cause of feeding problems demands consideration of a new paradigm and prompts research.
