Central Texas Primary Care Research Network (CenTex Net)

描述(由申请人提供)：德克萨斯州A&M大学系统健康科学中心(TAMUSHSC)医学院(COM)家庭与社区医学系(DORFAM)研究部正在为第一类(基础设施支持)和第二类(试点项目)申请资金，该部门是为了认识到在家庭实践中需要进行良好的研究以产生循证数据而创建的。总部设在科协圣殿校区的Scott&White Santa Fe中心世纪广场大楼，负责协调该部门和Scott&White Healthcare System的18个地区诊所的所有研究活动。为了扩大德克萨斯州中部地区的初级保健活动并加强转化性研究，DORFAM正在领导这一应用程序开发基于初级保健实践的研究网络。拟议的德克萨斯州中部初级保健研究网络(Centex Net)最初将包括Scott&White的所有18个地区诊所、德克萨斯州布赖恩的布拉索斯谷家庭实践住院医生的家庭医疗中心、德克萨斯州韦科的家庭执业住院医生诊所，以及其他三家诊所，主要服务于坦普尔、基林和周边社区的未参保者、无家可归者和贫困人口。随着时间的推移，该网络的成员资格将扩大到该区域的其他类似做法，包括私立初级保健办公室。一名拟议的网络主任，以及通过扩大DORFAM目前的研究咨询委员会而成立的内部规划委员会，以及外部顾问将负责规划、指导和执行拟议网络的发展和后续活动。拟议的网络将由财务安全的核心行政人员以及目前高度发达的现场现有基础设施提供支助，包括统一的电子病历系统、其他基于计算机的系统以及日益复杂的财务数据分析能力。AHRQ内的初级保健研究中心将作为协调中心，促进想法分享和与其他网络的合作。拟议的发展中网络将侧重于形成一个网络，并在以下领域实施试点项目活动：(A)扩大网络中临床医生和执业医生的数量和类型，使之包括家庭执业居民；(B)开发电子收集和汇总网络执业数据；以及(C)确定潜在的网络支助来源，以促进开展研究，重点是预防保健、少数族裔和未得到充分服务的人口的保健，以及开发系统以加强患者安全和减少医疗差错，以及促进在网络医生之间开展翻译研究。

DESCRIPTION (provided by applicant): Funds are being requested for both categories, category I (infrastructure support) and category II (pilot project) by the Division of Research, Department of Family & Community Medicine (DORFAM) of the Texas A&M University System Health Science Center (TAMUSHSC) College of Medicine (COM), which was created in recognition of the need for well-conducted research to generate evidence-based data in family practice. Housed at the Scott & White Santa Fe Center Century Square building on the Temple Campus of the COM, DORFAM coordinates all research activities of the department and the Scott & White Healthcare System's 18 regional clinics. To expand primary care activities and enhance translational research in the Central Texas region, DORFAM is leading this application to develop a primary care practice-based research network. The proposed Central Texas Primary Care Research Network (CenTexNet) will initially comprise practices in all 18 regional clinics of Scott & White, the Family Medical Center of the Brazos Valley Family Practice Residency in Bryan, Texas, the Family Practice Residency Clinic in Waco, Texas, and three other clinics serving mostly the uninsured, the homeless, and the indigent population of Temple, Killeen, and surrounding communities. Over time, membership to the network will be extended to other similar practices in the region, including private primary care offices. A proposed network director, along with an internal planning committee to be formed through expanding DORFAM's current research advisory committee, and external consultants will be responsible for planning, directing, and executing the proposed network's development and subsequent activities. The proposed network will be supported by a financially secure core administrative staff, as well as the currently highly developed infrastructure existing on site, including a unified electronic medical records system, other computer-based systems, and the increasingly sophisticated financial data analysis capabilities. The Center for Primary Care Research within AHRQ will serve as the coordinating center to facilitate idea sharing and collaboration with other networks. The proposed developing network will focus on forming a network and implementing pilot project activities in the following areas: a) expand the numbers and types of clinicians and practices in the network to include family practice residents; b) develop electronic collection and aggregation of practice-derived data from network practices; and c) identify potential sources of network support to facilitate the conduct of research with a focus on preventive care, the health care of racial and ethnic minority and underserved populations, and development of systems to enhance patient safety and reduce medical errors, as well as facilitate implementation of translational research among network physicians.