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Awards for Five Primary Care Pilots

This spring in a move to stimulate community-based research, Dr. Alan L. Hillman, PennMed's Associate Dean for Health Services Research, announced a pilot projects competition open to all UPHS fellows, faculty, and clinicians.

From 24 proposals, five projects were chosen for funding, at up to $20,000 each, on the basis of multiple reviews by academic and community-based physicians. The quality of all the proposals was high, Dr. Hillman said. Those chosen promise new information of direct relvanct to primary care practice, and " address important issues in public health and health services research." Investigators will collaborate with primary care practices affiliated with the UPHS: Clinical Care Associates (CCA) and Clinical Practices of the University of Pennsylvania (CPUP).

Those who missed the 1997 competition can look for another Call for Proposals in Spring 1988, he added. Below is a brief description of each of the projects; there are more details, at the OADHSR web page,, or call 898-9412.

Guided Care: A program for optimal patient management by primary care physicians--Dr. Joseph Bernstein, Department of Orthopedic Surgery, will apply a new model of generalist/specialist cooperation to the management of two common musculoskeletal complaints. In this model, called Guided Care, a specialist provides education and assistance to a primary care physician, who will then provide direct care to the patient and feedback to the specialist.

Screening for colorectal cancer with flexible sigmoidoscopy in primary care patients--Dr. James D. Lewis, Department of Gastroenterology, will identify barriers that limit physician compliance with colorectal cancer screening guidelines, and test whether training primary care physicians to perform flexible sigmoidoscopy increases the rate of screening in their patients.

Surveillance for anitbiotic resistant respiratory pathogens among adults with acute respiratory illnesses--Dr. Joshua P. Metlay, Center for Clinical Epidemiology and Biostatistics, will measure the rate of carriage of drug resistant S. Pneumoniae (DRSP) and beta-lactamase producing H. influenzae in a population of adults with acute respiratory illnesses, and identify sociodemographic and clinical risk factors for carriage of DRSP in this cohort.

Natural History of Hepatitis C: A pilot cohort study--Dr. David E. Nicklin, Department of Family Practice and Community Medicine, will identify a cohort of patients in primary care practices who test positive for Hepatitis C virus, report on the clinical course of these patients, and identify clinical risk factors associated with the progression to cirrhosis.

The relationship between primary care physicians and specialty mental health providers--Dr. Aileen B. Rothbard, Department of Psychiatry, will compare two types of referral arrangements between primary care physicians (PCP) and behavioral health (BH) specialists. In the first type, the PCP and BH provider are in different locations, requiring subsequent appointments and follow-up; in the second type, the two providers are located at the same site. The study will look at the level and appropriateness of the referrals, as well as patient outcomes, while controlling for sociodemographic factors.

Return to:Almanac, University of Pennsylvania, November 4, 1997, Volume 44, No. 11