CARENET--FURTHER DEVELOPMENT OF PRACTICE BASED RESEARCH

拟议的12个月资助期将为科罗拉多州研究网络(CareNet)提供一个独特的机会，将努力和资源集中在创建一个合理的增长和发展计划上。CareNet是一个以初级保健实践为基础的研究网络，专门致力于研究保险不足和西班牙裔人群的健康问题。目前CareNet的患者人口中有20%是西班牙裔，42%的人保险不足。随着计划加入CareNet的新诊所的增加，到2000年，拉美裔患者将增加到35%以上，保险不足患者将增加到60%以上。有了这样的人群，CareNet可以回答关于健康和健康问题没有得到很好理解的人的重要问题。CareNet隶属于科罗拉多大学健康科学中心(CU DFM)家庭医学系。CU DFM为以实践为基础的研究提供了坚实的基础，一直是动态哨兵实践网络(ASAPN)的所在地(直到1997年)。许多参与ASPN日常运营和研究的教职员工现在都是CareNet规划委员会的成员。一个强大的顾问和专家小组将定期与该项目的规划委员会会面。他们将为在整个CareNet中发展双向通信、确保CareNet继续为弱势群体和少数群体服务、创建从临床实践中收集数据并将研究结果返回临床实践的方法以及确保CareNet拥有可靠的资金支持的任务带来不同和经验丰富的观点。在接下来的一年里，CareNet将开发计算机化的方法，从不同的实践环境中收集机密数据-这些方法可以进行修改，以将研究结果传递给护理点的临床医生。CareNet在未来12个月中学到的东西将适用于世界各地以实践为基础的研究网络的更广泛背景。

The proposed 12-month funding period will provide a unique opportunity for the Colorado Research Network (CaReNet) to focus efforts and resources toward creating a sound growth and development plan. CaReNet is a primary care practice-based research network specifically devoted to studying health issues among underinsured and Hispanic people. The current CaReNet patient population is 20% Hispanic and 42% underinsured. With the addition of new practices scheduled to join CaReNet, in 2000, Hispanics patients will increase to over 35% and underinsured patients to over 60%. With this population, CaReNet is positioned to answer important questions about people whose health and health problems are not well understood. CaReNet is affiliated with the Department of Family Medicine, University of Colorado Health Sciences Center (CU DFM). The CU DFM provides a strong foundation for practice-based research, being the home (until 1997) for the Ambulatory Sentinel Practice Network(ASAPN). Many of the faculty and staff who were involved in ASPN's daily operations and studies are now part of CaReNet's planning committee. A strong group of consultants and experts will meet regularly with this project's planning committee. They will bring diverse and experienced perspectives to the tasks of developing bi-directional communication throughout CaReNet, ensuring that CaReNet continues to serve disadvantaged and minority populations, creating methods to collect data from and return research findings to clinical practice, and ensuring CaReNet has reliable financial backing. Within the next year, CaReNet will develop computerized methods to collect confidential data from diverse practice environments-methods that can be modified to relay research findings back to clinicians at the point of care. What CaReNet learns during the next 12 months will be applicable to the wider context of practice-based research networks around the world.