EXPANSION OF A PBRN, INFO SYSTEM AND LEARNING EXCHANGE

以实践为基础的研究网络(PBRN)提供了缩小 科学发展观的产生与实施之间的差距 证据。然而，PBRN一直受到缺乏 收集和使用卫生系统信息的基础设施。 执业医师研究协会(RAPP)是一个地区性的 PBRN，由239名家庭医生及其附属临床医生组成 以及俄亥俄州东北部116家诊所的工作人员。拉普有 进行了一系列综合的研究项目，范围包括 临床试验的观察性研究，包括与其他 这项研究已经产生了30多个地方和国家网络 科学出版物正在培养更高水平的基础 对初级保健的结构、过程和结果的理解 练习一下。 我们建议扩展该PBRN的基础设施，以实现以下三个目标：1) 扩大RAPP涉及卫生系统的研究能力 通过纳入初级保健的干预措施和少数群体 来自集成医疗保健系统的实践，该系统具有自己管理的 关怀组织。2)发展电子信息基础设施 用于当前和扩展的网络。3)建立“学习型” 将研究成果和当地知识整合起来，以 促进研究、实施和实践相关的质量改进 干预措施。 这些目标将通过额外招募的184名临床医生来实现 单一卫生保健系统中65个执业地点的初级保健专科。 这一扩展的网络将通过扩展现有的 临床医生指导委员会、通信车辆和先导性研究 研究机制，建立患者和社区咨询 冲浪板。该网络的信息基础设施将扩大到 促进对卫生系统目前收集的数据的研究访问，并 附属于质量改进项目的管理型护理组织。 更多的信息学能力将通过创新的 基于互联网和电话的自动化病人采集系统 信息。传播研究信息的能力和地方 学习将通过新的互联网、电话和 以会议为基础的学习交流，分享新知识。 拟议的项目将扩大现有的和 成功的PBRN产生、传播和应用新知识 与从业者、卫生系统和传统上的需求相关 服务不足的人群。这一扩展的基础设施和新 从属关系将促进多样化的持续网络支持，并将 提供丰富的经验来源，以贡献和学习 其他P20赠款获得者的努力。

Practice-based research networks (PBRNs) gave great potential to narrow the gap between the generation and the implementation of scientific evidence. However, PBRNs have been limited by the lack of infrastructure for gathering and using health system information. The Research Association of Practicing Physicians (RAPP) is a regional PBRN, consisting of 239 family physicians, and their affiliated clinicians and staff members in 116 practices in Northeast Ohio. RAPP has conducted an integrated series of research projects ranging from observational studies to clinical trials, including collaboration with other local and national networks This research has produced more than 30 scientific publications that are fostering a higher level of basic understanding of the structures, processes and outcomes of primary care practice. We propose to expand the infrastructure of this PBRN to meet 3 aims: 1) To expand RAPP's capacity for research involving health system interventions and minority populations by incorporating primary care practices from an integrated health care system with its own managed care organization. 2) To develop an electronic information infrastructure for the current and expanded network. 3) To establish a "Learning Exchange," that integrates research findings and local knowledge to foster research implementation and practice relevant quality improvement interventions. These aims will be met by enrolled an additional 184 clinicians from 4 primary care specialties in 65 practice sites in a single health care system. This expanded network will be supported by broadening the existing clinician steering committee, communication vehicles and pilot study research mechanisms, and establishing a patient and community advisory board. The network's information infrastructure will be expanded to foster research access to data currently collected by the health system and affiliated managed care organization for quality improvement projects. Additional informatics capacity will be developed through an innovative automated internet- and telephone-based system for gathering patient information. Capacity for dissemination of research information and local learning will be expanded through a new internet-, telephone- and meeting-based learning exchange for sharing of new knowledge. The proposed project will expand the capacity of an established and successful PBRN to generate, disseminate and apply new knowledge that is relevant to the needs of practitioners, health systems and traditionally underserved populations. This expanded infrastructure and new affiliations will foster diversified ongoing network support, and will provide a rich source of experience to contribute to and learn from the efforts of other P20 grant recipients.