AN INNER-CITY PRIMARY CARE RESEARCH NETWORK

附属于印第安纳州大学医学院的初级保健实践一直是临床研究的有效场所。这项研究包括医学信息学的研究和研究成果转化为高质量的临床实践。在IU的初级保健已经发展：在1996年，Wishard健康服务（护理内城印第安纳波利斯的主要提供者）和IU医疗保健（学术管理的医疗组织）的初级保健社区卫生中心合并，形成IU医疗集团初级保健（IUMG-PC）。包含IU的普通内科，儿科，家庭医学和妇产科的初级保健实践，IUMG-PC继续致力于IU的研究使命。为了方便从印第安纳波利斯的18个实践地点招募临床研究受试者，IUMG-PC创建了ResNet。ResNet是一个基于实践的研究网络，包括一名主任、协调员、程序员/数据经理、项目委员会和分配给IUMG-PC站点的永久研究助理。研究助理由IUMG-PC全职雇用，是IUMG-PC患者接触和入组临床研究的唯一途径。IUMG-ResNet寻求参与AHRQ基于实践的研究网络倡议。作为该计划下为期一年的规划过程的一部分，ResNet将专注于以下方面的开发：（1）医疗信息学：IUMG-PC包含Regenstrief医疗记录系统，这是世界上最先进的电子医疗记录系统之一。我们会加强这个系统，以方便病人的招募和追踪，方法是（a）设立一个计划管理系统，并进一步发展现有的网上手提电脑工具。(2)招募少数民族和服务不足的患者：在普通内科招募此类IUMG-PC患者的悠久历史将在儿科、家庭医学和妇产科中扩大。(3)将研究转化为实践：ResNet将增加实践指南和调查工具的实施和评估，以评估以患者为中心的结果。(4)金融稳定：各种来源的支持-研究赠款，学术组织和研究中心在IU，医疗保健提供者和私营部门的公司-将被组织成一个5年的商业计划。IUMG-ResNet寻求成为AHRQ PBRN网络的积极参与者，分享其研究经验和医学信息学专业知识。

The primary care practices affiliated with the Indiana University School of Medicine have been an effective venue for clinical research. This research has included studies of medical informatics and translation of research results into high quality clinical practice. Primary care at IU has evolved: in 1996, the primary care community health centers of Wishard Health Services (the dominant provider of care to inner-city Indianapolis) and IU Health Care (an academic managed care organization) were merged to form IU Medical Group-Primary Care (IUMG-PC). Containing IU's primary care practices for general internal medicine, pediatrics, family medicine, and obstetrics and gynecology, IUMG-PC continues to be committed to IU's research mission. In order to facilitate enrollment of clinical research subjects from its 18 practice sites in Indianapolis, IUMG-PC created ResNet. ResNet is a practice-based research network that includes a director, coordinator, programmer/data manager, Projects Committee, and permanent research assistants assigned to IUMG-PC sites. The research assistants are employed full-time by IUMG-PC and are the sole means by which IUMG-PC patients may be approached and enrolled into clinical studies. IUMG-ResNet seeks to participate in AHRQ's Practice-Based Research Network initiative. As part of the year-long planning process under this initiative, ResNet will focus on development in: (1) Medical informatics: IUMG-PC contains the Regenstrief Medical Record System, one of the most sophisticated electronic medical record systems in the world. This system will be enhanced to facilitate patient recruitment and tracking by (a) setting up a Project Management System and furthering the development of existing Web-based hand-held computer-based tool. (2) Recruitment of minority and underserved patients: the long history of enrolling such IUMG-PC patients in general internal medicine will be expanded in pediatrics, family medicine, and obstetrics and gynecology. (3) Translating research into practice: ResNet will increase the implementation and evaluation of practice guidelines and survey instruments for assessing patient-centered outcomes. (4) Financial stability: Various sources of support -- research grants, academic organizations and research centers at IU, health care providers, and private sector companies - will be organized into a 5-year business plan. IUMG-ResNet seeks to become an active participant in AHRQ's network of PBRNs, sharing its research experience and medical informatics expertise.