An Inner-City Primary Care Research Network

19个以实践为基础的研究网络(PBRN)最初由医疗研究和质量机构(AHRQ)资助，构成了一个潜在的研究资源，拥有数千名医生和700多万名患者。为了使这一资源有用，需要详细描述PBRN中的医生和患者的特征。作为对这一RFA的回应，ICJ医疗集团-初级保健(ILTMG-PC)将以其名为IUMG ResNet的研究网络为特征。在目前在ResNet网站执业的119名初级保健医生中，77名(65%)在lUMG-PC网站每周至少执业两天的初级保健医生接受了调查，66名(86%)同意参与这一项目。为了确定ResNet的医生和患者的特征，将进行全国非卧床医疗护理调查(NAMCS)。由于其广泛的电子医疗信息系统Regenstrief Medical Record System(RNIRS)，ResNet将能够从已建立的数据库中提供NAMCS医生调查中的数据。此外，RMRS将提供NAMCS患者访问调查所需的一些信息，该调查将向每名参与调查的医生的连续30名患者进行。实施患者调查的方法和时间将在AHRQ RFA资助的所有PBRN的会议上决定。一旦收集，ResNet将使用来自患者调查的数据来对RMRS访问数据进行验证研究。要评估的数据字段将包括就诊原因、就诊诊断、处置和教育、咨询以及医生在就诊期间提供的其他治疗。这些数据将允许ResNet知道需要由医生提供来自医生-患者交互的哪些信息，而不是从RMR检索。

The 19 practice-based research networks (PBRNs) initially funded by the Agency for Healthcare Research and Quality (AHRQ) constitute a potential research resource with thousands of physicians and more than 7 million patients. In order for this resource to be useful, the physicians and patients in the PBRNs need to be characterized in detail. In response to this RFA, ICJ Medical Group-Primary Care (ILTMG- PC) will be characterized by its research network called IUMG ResNet. Of the 119 primary care physicians currently practicing in ResNet sites, those 77 (65%) practicing at least 2 half-days per week in lUMG-PC sites were surveyed and 66 (86%) agreed to participate in this project. To characterize ResNet's physicians and patients, the National Ambulatory Medical Care Survey (NAMCS) will be administered. Because of its extensive electronic medical'information system, the Regenstrief Medical Record System (RNIRS), ResNet will be able to provide the data in the NAMCS physician survey from established databases. In addition, the RMRS will supply some of the information required by the NAMCS patient visit survey that will be administered to 30 consecutive patients of each participating physician. The methods and timing of administering the patient survey will be decided at a meeting of all PBRNs funded under this AHRQ RFA. Once collected, ResNet will use the data from the patient survey to do validation studies of the RMRS visit data. The data fields to be evaluated will include the reason for the visit, visit diagnoses, disposition, and education, counseling, and other therapy provided by the physician during the visit. These data will allow ResNet to know which information from physician-patient interactions need to be provided b the physicians vs. being retrieved from the RMRS.