A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN.
A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN.
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DOI：
10.3122/jabfm.2020.05.200053
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Gold R
中科院分区：
文献类型：
--
作者：
DeVoe JE;Likumahuwa-Ackman SM;Angier HE;Huguet N;Cohen DJ;Flocke SA;Marino M;Gold R
以初级保健实践为基础的研究网络(PBRN)是从真实世界环境中产生证据的关键实验室，包括研究自然实验。初级保健对新型冠状病毒-19(新冠肺炎)大流行的反应可以说是我们有生之年最有影响力的自然实验。我们简要介绍了OCHIN社区卫生中心PBRN，它与实施科学家的合作关系，以及我们如何利用这些基础设施和专业知识来创建快速研究响应，以评估全国各地的社区卫生中心如何应对新冠肺炎大流行。我们的研究议程聚焦于这样一个问题：由于新冠肺炎的引入，社区护理中心的护理服务发生了怎样的变化？新冠肺炎对社区卫生服务中心提供预防服务有何影响？哪些PBRN服务(例如，数据监视、培训、证据合成)对现实世界的实践影响最大？在PBRN及其做法中使用了哪些决策战略来实时改变以应对大流行？大流行驱动的变化说明了成功和可持续地改变初级保健的哪些关键因素？PBRN能够对实践变化和自然实验进行真实世界的评估，因此是实施科学研究的理想实验室。我们提供了一个实时例子，展示了PBRN“实施实验室”如何启动响应来研究一项历史性的自然实验，以帮助其他PBRN绘制出通过这场大流行的路线。
Primary care Practice-based Research Networks (PBRNs) are critical laboratories for generating evidence from real-world settings, including studying natural experiments. Primary care’s response to the novel coronavirus-19 (COVID-19) pandemic is arguably the most impactful natural experiment in our lifetime. We briefly describe the OCHIN PBRN of community health centers (CHCs), its partnership with implementation scientists, and how we are leveraging this infrastructure and expertise to create a rapid research response evaluating how CHCs across the country responded to the COVID-19 pandemic. Our research agenda focuses on asking: How has care delivery in CHCs changed due to COVID-19? What impact has COVID-19 had on the delivery of preventive services in CHCs? What PBRN services (e.g., data surveillance, training, evidence synthesis) are most impactful to real-world practices? What decision-making strategies were used in the PBRN and its practices to make real-time changes in response to the pandemic? What critical factors in successfully and sustainably transforming primary care are illuminated by pandemic-driven changes? PBRNs enable real-world evaluation of practice change and natural experiments, and thus are ideal laboratories for implementation science research. We present a real-time example of how a PBRN ‘Implementation Laboratory’ activated a response to study an historic natural experiment, to help other PBRNs charting a course through this pandemic.
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发表时间：
2014-07
期刊：
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影响因子：
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作者：
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