A national survey of primary care practice-based research networks
A national survey of primary care practice-based research networks
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DOI：
10.1370/afm.699
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发表时间：
2007-05-01
影响因子：
4.4
通讯作者：
Gaylin, Daniel S.
中科院分区：
文献类型：
--
作者：
Tierney, William M.;Oppenheimer, Caitlin C.;Gaylin, Daniel S.
在美国，越来越多的以初级保健实践为基础的研究网络（PBRN）正在发展，以进行与日常实践相关的研究。为了评估这一资源的现状和潜在价值，我们调查了2003年底至2004年初在运行的美国初级保健PBRN。方法我们进行了基于网络的调查和结构化访谈的PBRN主任和行政官员，评估PBRN的历史，规模，位置，组织，资源，操作和生产力结果：在确定的111个初级保健PBRN中，89个（80%）对调查作出了回应。符合初级保健PBRN标准的86个（77%）包括1，871个实践，12，957名医生（每个PBRN平均152名，中位数100名）和1470万名患者（每个PBRN平均229，880名，中位数105，000名）。少数民族和保险不足的患者人数过多。平均PBRN是年轻的（4.4 +/- 5.7岁）：一半进行了3个或更少的研究。其中四分之三与大学有关。共同的研究重点包括预防、糖尿病、心血管危险因素和心理健康。受访者PBRN在同行评审期刊上发表了600多篇文章。研究外部研究人员提出的问题的PBRN有更多的联邦资金（84%对27%，P = 0.006）。PBRN引用资金作为一个弱点，更多地依赖于当地的资源来资助研究项目（70%比40%，P = 0.036）。结论美国初级保健PBRN主要是年轻的，多样化的，追求各种研究重点。大多数都与大学有联系，并提供了一个充满活力的城镇-长袍关系，这可能是改善初级保健，将研究转化为实践，并满足美国国立卫生研究院路线图目标的重要国家资源。PBRN值得私人和公共资助机构以及对研究初级保健提供感兴趣的研究人员进一步关注。
PURPOSE Increasing numbers of primary care practice-based research networks (PBRNs) are being developed in the United States to perform research relevant to everyday practice. To assess the current status and potential value of this resource, we surveyed US primary care PBRNs in operation from late 2003 to early 2004.METHODS We performed a Web-based survey and structured interviews with PBRN directors and administrative officers, assessing PBRNs' history, size, location, organization, resources, operations, and productivity (funding obtained, studies performed, and articles published).RESULTS Of 111 primary care PBRNs identified, 89 (80%) responded to the survey. The 86 (77%) meeting the criteria for primary care PBRNs contained 1,871 practices, 12,957 physicians (mean 152 per PBRN, median 100), and 14.7 million patients (mean 229,880 per PBRN, median 105,000). Minority and underinsured patients were over-represented. The average PBRN was young (4.4 +/- 5.7 years): one-half had performed 3 or fewer studies. Three-quarters were affiliated with universities. Common research foci included prevention, diabetes, cardiovascular risk factors, and mental health. Respondent PBRNs had published more than 600 articles in peer-reviewed journals. PBRNs studying questions posed by outside researchers had more federal funding (84% vs 27%, P = .006). PBRNs citing funding as a weakness relied more on local resources to fund research projects (70% vs 40%, P = .036).CONCLUSIONS American primary care PBRNs are mainly young, diverse, and pursuing a variety of research foci. Most have university links and provide a dynamic town-gown relationship that could be a vital national resource for improving primary care, translating research into practice, and meeting the National Institutes of Health Roadmap goals. PBRNs merit further attention from both private and public funding agencies and researchers interested in studying the delivery of primary care.