Linking practice-based research networks and Clinical and Translational Science Awards: new opportunities for community engagement by academic health centers.
Linking practice-based research networks and Clinical and Translational Science Awards: new opportunities for community engagement by academic health centers.
复制标题
DOI：
10.1097/acm.0b013e3181cd2ed3
复制
发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Stange KC
中科院分区：
文献类型：
--
作者：
Fagnan LJ;Davis M;Deyo RA;Werner JJ;Stange KC
基于实践的研究网络（PBRN）是许多美国国立卫生研究院（NIH）资助的临床和转化科学奖（CTSA）网站的一部分。PBRN，致力于合作实践相关研究的初级保健实践团体，对许多CTSA领导人来说是陌生的。相反，CTSA作为旨在改变临床研究的新研究结构，对许多PBRN主任来说并不熟悉。本研究考察了这些项目在多大程度上具有一致的目标和期望，以及它们的参与是否可能是互利的。作者在2008年秋季向38名CTSA社区参与主任和114名PBRN主任发送了一份基于网络的调查。调查人员收到了66%（25/38）的CTSA社区参与主任和61%（69/114）的PBRN主任的回复。三分之二的CTSA报告与PBRN合作，超过一半的PBRN报告与CTSA有联系。两组都表示这种关系很重要。CTSA希望PBRN能够接触到患者，并获得参与社区和临床实践的专业知识。PBRN报告说，它们正在寻求稳定的基础设施支持，并在学术研究界寻求更大的合作和知名度。CTSA对PBRN基础设施的支持差异很大。这两个群体都认为，建立可持续的关系和双向的信息和研究机会的流动有很大的希望。在不到三年的经验中，PBRN/CTSA的关系仍处于探索阶段，参与者仍在谈判期望。如果这些合作证明是互利的，它们可能会推进许多学术健康中心（AHC）的社区参与目标。
Practice Based Research Networks (PBRNs) are a part of many National Institutes of Health (NIH) funded Clinical and Translational Science Award (CTSA) sites. PBRNs, groups of primary care practices committed to collaborating on practice-relevant research, are unfamiliar to many CTSA leaders. Conversely, the CTSAs, as new research structures designed to transform clinical research, are unfamiliar to many PBRN Directors. This study examined the extent to which these programs have congruent goals and expectations, and whether their engagement is likely to be mutually beneficial. The authors sent a web-based survey to 38 CTSA Community Engagement Directors and a similar survey to 114 PBRN Directors during Fall 2008. The investigators received responses from 66% (25/38) of CTSA Community Engagement Directors and 61% (69/114) of PBRN Directors. Two-thirds of responding CTSAs reported working with PBRNs and over half of responding PBRNs reported a CTSA affiliation. Both groups indicated this relationship was important. CTSAs looked to PBRNs for access to patients and expertise in engaging communities and clinical practices. PBRNs reported seeking stable infrastructure support and greater collaboration and visibility in the academic research community. PBRN infrastructure support from CTSAs was highly variable. Both groups perceived considerable promise for building sustainable relationships and a bi-directional flow of information and research opportunities. With less than three years of experience, the PBRN/CTSA relationship remains in the discovery phase, and the participants are still negotiating expectations. If these collaborations prove mutually beneficial, they may advance the community engagement goals of many academic health centers (AHCs).