Lessons learned and challenges ahead: report from the OCHIN Safety Net West practice-based research network (PBRN).

Lessons learned and challenges ahead: report from the OCHIN Safety Net West practice-based research network (PBRN).
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DOI:
10.3122/jabfm.2012.05.120141
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发表时间:
2012-09
期刊:
Journal of the American Board of Family Medicine : JABFM
影响因子:
--
通讯作者:
Kullberg PA
Kullberg PA
中科院分区:
其他
文献类型:
--
作者:
DeVoe JE;Likumahuwa S;Eiff MP;Nelson CA;Carroll JE;Hill CN;Gold R;Kullberg PA

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我们最近完成了战略规划流程,以更好地了解已有五年历史的 PBRN 的发展,并确定我们最初的愿景与当前进展之间的差距。虽然我们的许多经验对于 PBRN 社区来说并不新鲜,但我们的反思对于那些在不断变化的医疗保健环境中开发或重塑 PBRN 的人来说可能很有价值。我们了解了以下方面的重要性:(1) 对独特患者群体的共同愿景和承诺; (2) 强有力的领导、指导和协作; (3) 吸引忙碌的临床医生并在学术界和社区实践之间架起桥梁的创造性方法; (4) 利用电子健康记录中的数据并导航与数据保护、共享和所有权相关的流程。我们必须强调研究的及时性、相关性并融入实践。支持这一目标的一种模式涉及比我们最初设想的 PBRN 更广泛的合作伙伴关系,其中包括临床医生、研究人员、信息架构师和质量改进专家,他们合作开发一个创新中心。该中心可以促进相关研究问题的发展,同时满足“快速周转”的需求。我们 PBRN 的最初愿景和当前现实之间仍然存在差距。缩小这些差距可能需要未来在建立伙伴关系和非传统资金来源方面发挥创造力。
We recently completed a strategic planning process to better understand the development of our five-year-old PBRN and to identify gaps between our original vision and current progress. While many of our experiences are not new to the PBRN community, our reflections may be valuable for those developing or re-shaping PBRNs in a changing health care environment. We learned about the importance of: (1) Shared vision and commitment to a unique patient population; (2) Strong leadership, mentorship, and collaboration; (3) Creative approaches to engaging busy clinicians and bridging the worlds of academia and community practice; (4) Harnessing data from electronic health records and navigating processes related to data protection, sharing, and ownership. We must emphasize research that is timely, relevant, and integrated into practice. One model supporting this goal involves a broader partnership than was initially envisioned for our PBRN, one which includes clinicians, researchers, information architects and quality improvement experts partnering to develop an Innovation Center. This Center could facilitate development of relevant research questions while also addressing ‘quick-turnaround’ needs. Gaps remain between our PBRN’s initial vision and current reality. Closing these gaps may require future creativity in partnership building and nontraditional funding sources.
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