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AHRQ announces new research priorities: Patient-centered care and payment and organization
The Agency for Healthcare Research and Quality has announced two new research priorities: studies that promote patient-centered care and studies that examine the impact of payment and organization on cost, quality, and equity. These new priorities are described in two Program Announcements (PAs) published in the August 3 NIH Guide to Grants and Contracts.
In its recent report, Crossing the Quality Chasm, the Institute of Medicine (IOM) called for "action to improve the American health care delivery system as a whole, in all of its quality dimensions (i.e., efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety), for all Americans." The IOM noted that to a large extent, the gap between the health care we have and the health care we could have stems from the way we pay for care and the way we structure the organizations that provide it. Moreover, the IOM report noted that patients too often must adapt to the customs and usual procedures of health care organizations and professionals rather than receiving services designed to focus on their individual needs and preferences.
Research funded under the PA "Impact of Payment and Organization on Cost, Quality, and Equity (PA-01-125) will provide the rigorous evidence base that policymakers and health system managers need to design new payment and reimbursement strategies, practical and effective risk-adjustment methods, and changes in public and private purchasing efforts. Findings from this research also will provide decisionmakers with the information they need to structure more efficient care processes; improve coordination of care across patient conditions, services, and settings; and develop networks, affiliations, and alliances to promote efficient and high-quality health care.
For more information on PA-01-125, go to the August 3 NIH Guide at http://grants.nih.gov/grants/guide/pa-files/PA-01-125.html.
The PA "Patient-Centered Care: Customizing Care to Meet Patients' Needs" (PA-01-124) is intended to support the redesign and evaluation of new care processes that lead to greater patient empowerment, improved patient-provider interaction, easier navigation through health care systems, and improved access, quality, and outcomes. Specific strategies could include, but are not limited to, electronic clinical communication, self-management programs, Web-based applications for patients and/or health care providers, and shared decisionmaking programs. AHRQ encourages projects that emphasize chronic illness, episodes of care that extend beyond hospitalization, longitudinal care, and priority populations.
For more information on PA-01-124, go to the August 3 NIH Guide at http://grants.nih.gov/grants/guide/pa-files/PA-01-124.html. Additional inquiries should be directed to Helen Burstin at (301) 427-1500 or via E-mail to HBurstin@ahrq.gov.
Receipt dates for regular research grant (R01) applications in response to these PAs are three times annually: October 1, February 1, and June 1. The last date for submitting initial R01 applications in response to PA-01-125 is June 1, 2004; the last date for submitting initial R01 applications in response to PA-01-124 is June 1, 2002.
R03 (small project grant) applications are received March 24, July 24, and November 24. The last date for initial R03 applications in response to PA-01-125 is July 24, 2004; for PA-01-124 the deadline for initial R03 applications is July 24, 2002.
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