National Network Infrastructure Support and Pilor Study

描述(由申请人提供)：作为这项赠款申请的一部分，获得第一类和第二类资金的长期目标是加强AAFP国家研究网络在初级保健环境中进行临床重要性研究的能力，传播研究成果和新的科学知识并将其转化为实践，以及评估初级保健实践过程和结果的变化。 网络基础设施支持的第一类资金的具体目标：1.通过招募少数族裔医生和为这些患者群体服务的其他医生，将网络患者群体和可用于网络研究的少数族裔和未得到充分服务的患者群体的比例提高到至少40%-50%；2.开发基于网络的调查系统，将增强网络快速收集和分析研究数据的能力；3.制定培训课程，并培训全国研究网络中与医生一起工作的所有研究协调员。 为一项先导研究提供第二类资金的具体目标：1.描述和估计在为期一周的密集监测期间，医生和办公室工作人员在家庭诊所检测到的测试处理错误的比率；2.调查这些错误的原因和后果；3.产生有关干预措施的假设，以避免初级保健实践中的实验室和成像处理错误，我们将在后续研究中进行测试。

DESCRIPTION (provided by applicant): The long-term objective of obtaining both Category I and Category II funding as part of this grant application is to enhance the capacity of the AAFP National Research Network to conduct research of clinical importance in primary care settings, disseminate and translate research findings and new scientific knowledge into practice, and assess the changes in the processes and outcomes of primary care practice. Specific Aims for Category I Funding for Network Infrastructure Support: 1. To increase the representation of minority and underserved patient populations in Network patient populations and available to Network studies to a minimum of 40-50 percent by recruiting minority physicians and other physicians serving these patient populations; 2. To develop a web-based survey system that will enhance the Network's capabilities to rapidly collect and analyze study data and, 3. To develop a training curriculum and train all study coordinators working with physicians in the National Research Network. Specific Aims for Category II Funding for a pilot study: 1. To describe and estimate rates of Test Processing Errors detected in family practice offices by physicians and office staff during intensive one-week monitoring periods; 2. To investigate the causes and consequences of these errors and, 3. To generate hypotheses about interventions to avert laboratory and imaging processing errors in primary care practices, which we will test in subsequent studies.