Practice-based research networks - The laboratories of primary care research
Practice-based research networks - The laboratories of primary care research
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DOI：
10.1097/01.mlr.0000119397.65643.d4
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发表时间：
2004-04-01
期刊：
影响因子：
3
通讯作者：
Hickner, JM
中科院分区：
文献类型：
--
作者：
Lindbloom, EJ;Ewigman, BG;Hickner, JM
医学研究传统上以学术中心为基础，研究结果往往不适用于社区初级保健机构。其结果是在美国提供高质量初级医疗保健的可能性和实际之间存在巨大差距。基于实践的研究网络（pbrn）是初级保健临床研究的实验室，是将社区初级保健实践和临床研究结合起来的适当工具。尽管它们在临床和卫生服务研究的主流中很少受到关注，但pbrn已经报告了各种对初级保健提供者有用的发现，这些网络帮助确定了影响重要结果的卫生保健提供中的关键问题。在本报告中，我们概述了pbrn的基本原理和历史。我们描述了几个富有成效的pbrn的组织和工作，给出了他们的研究已经改变了现代初级保健实践的标准的例子。最后，我们描述了一个发展中的电子过程，用于识别直接从初级保健提供者获得的研究问题，这些问题可用于将国家初级保健研究议程的重点放在临床相关性和重要性的问题上。随着电子技术的充分发展和测试，它们将促进临床医生和研究人员之间的交流，从而提高基于实践的研究的有效性和效率。
Medical research has traditionally been based in academic centers, and the findings are frequently not applicable in community primary care settings. The result is a large gap between the possible and the practical in delivering high-quality primary medical care in the United States. Practice-based research networks (PBRNs), laboratories for primary care clinical research, are the appropriate vehicles for uniting the worlds of community primary care practice and clinical research. Although they have received little attention in the mainstream of clinical and health services research, PBRNs have already reported a variety of findings useful for primary care providers, and these networks have helped to identify key issues in healthcare delivery that affect important outcomes. In this report, we outline the rationale for and history of PBRNs. We describe the organization and work of several productive PBRNs, giving examples of their studies that have changed the standards of modern primary care practice. Finally, we describe a developing electronic process for identifying research questions obtained directly from primary care providers that can be used to focus the national primary care research agenda on questions of clinical relevance and importance. As electronic technologies are fully developed and tested, they will facilitate communication between clinicians and researchers, thereby improving the effectiveness and efficiency of practice-based research.