Primary care practice-based research networks: working at the interface between research and quality improvement.

Primary care practice-based research networks: working at the interface between research and quality improvement.
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DOI:
10.1370/afm.303
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发表时间:
2005-05-01
影响因子:
4.4
通讯作者:
Peterson, Kevin A
Peterson, Kevin A
中科院分区:
医学1区
文献类型:
--
作者:
Mold, James W;Peterson, Kevin A

文献摘要

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目得:我们希望描述初级保健实践在研究、质量改进(QI)和研究转化为实践(TRIP)中的新兴作用。方法:我们从已发表的文献、与PBRN领导人的讨论、案例示例以及我们自己的个人经验中收集信息,以描述PBRN的作用,该作用舒适地弥合了研究与QI、发现与应用之间的差距,学术界和实践者-这一作用可能导致建立真正的学习社区。我们提供了具体的建议,网络董事,网络临床医生,和其他潜在的stakeholder.RESULTS:PBRN功能在研究和QI之间的接口,一个接口称为TRIP的一些成员的研究界。在这样做的过程中,PBRN有助于澄清将研究结果应用于日常护理的困难,因为发现与实施,研究与实践之间存在不适当的脱节。示范模型正在出现,利益相关者同意他们的目标,运用他们的集体知识,技能和资源来实现这些目标,并使用研究和QI方法时,适当的.CONCLUSIONS:PBRN似乎正在从临床实验室发展成为学习社区,证明理由的可推广的解决方案,以临床问题,和发动机改善初级保健服务系统。
PURPOSE: We wanted to describe the emerging role of primary care practice-based in research, quality improvement (QI), and translation of research into practice (TRIP).METHODS: We gathered information from the published literature, discussions with PBRN leaders, case examples, and our own personal experience to describe a role for PBRNs that comfortably bridges the gap between research and QI, discovery and application, academicians and practitioners--a role that may lead to the establishment of true learning communities. We provide specific recommendations for network directors, network clinicians, and other potential stakeholders.RESULTS: PBRNs function at the interface between research and QI, an interface called TRIP by some members of the research community. In doing so, PBRNs are helping to clarify the difficulty of applying study findings to everyday care as an inappropriate disconnect between discovery and implementation, research and practice. Participatory models are emerging in which stakeholders agree on their goals; apply their collective knowledge, skills, and resources to accomplish these goals; and use research and QI methods when appropriate.CONCLUSIONS: PBRNs appear to be evolving from clinical laboratories into learning communities, proving grounds for generalizable solutions to clinical problems, and engines for improvement of primary care delivery systems.