title: Patient-centered Outcomes Research in Emergency Care: Opportunities, Challenges, and Future Directions.
abstract: The Patient-Centered Outcomes Research Institute (PCORI) was established by Congress in 2010 to promote the conduct of research that could better inform patients in making decisions that reflect their desired health outcomes. PCORI has established five national priorities for research around which specific funding opportunities are issued: 1) assessment of prevention, diagnosis, and treatment options; 2) improving healthcare systems; 3) communication and dissemination research; 4) addressing disparities; and 5) improving methods for conducting patient-centered outcomes research. To date, implementation of patient-centered research in the emergency care setting has been limited, in part because of perceived challenges in meeting PCORI priorities such as the need to focus on a specific disease state or to have planned follow up. We suggest that these same factors that have been seen as challenges to performing patient-centered research within the emergency setting are also potential strengths to be leveraged to conduct PCORI research. This paper explores factors unique to patient-centered emergency care research and highlights specific areas of potential alignment within each PCORI priority.
authors.affiliation: Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Kristin L
authors.initials: KL
authors.lastname: Rising
authors.affiliation: Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA.
authors.forename: Brendan G
authors.initials: BG
authors.lastname: Carr
authors.affiliation: Department of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, MN.
authors.forename: Erik P
authors.initials: EP
authors.lastname: Hess
authors.affiliation: Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
authors.forename: Zachary F
authors.initials: ZF
authors.lastname: Meisel
authors.affiliation: Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI.
authors.forename: Megan L
authors.initials: ML
authors.lastname: Ranney
authors.affiliation: Department of Emergency Medicine, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO.
authors.forename: Jody A
authors.initials: JA
authors.lastname: Vogel
mesh_terms: D003657:Decision Making; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D054625:Healthcare Disparities; D006801:Humans; D033181:Information Dissemination; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000458:organization & administration*; D063868:Patient Outcome Assessment; D018802:Patient-Centered Care / Q000458:organization & administration; D058996:Quality Improvement / Q000458:organization & administration*; D014481:United States