An Inner-City Primary Care Research Network

最初由医疗保健研究和质量机构（AHRQ）资助的19个基于实践的研究网络（PBRN）构成了数千名医生和700多万患者的潜在研究资源。为了使这个资源是有用的，医生和病人在PBRN需要详细的特点。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的研究网络为特色。在目前在ResNet临床试验机构执业的119名初级保健医生中，有77名（65%）每周至少在lUMG-PC临床试验机构执业2个半天，接受了调查，66名（86%）同意参与该项目。为了描述ResNet的医生和患者，将进行全国门诊医疗调查（NAMCS）。由于其广泛的电子医疗信息系统，Regenstrief医疗记录系统（RNIRS），ResNet将能够提供来自已建立数据库的NAMCS医生调查数据。此外，RMRS将提供NAMCS患者访视调查所需的一些信息，该调查将对每位参与医生的30名连续患者进行。管理患者调查的方法和时间将在AHRQ RFA资助的所有PBRN会议上决定。一旦收集，ResNet将使用患者调查的数据对RMRS访视数据进行验证研究。待评价的数据字段将包括访视原因、访视诊断、处置以及教育、咨询和医生在访视期间提供的其他治疗。这些数据将允许ResNet了解医生需要由B提供哪些医患交互信息，以及从RMRS中检索哪些信息。

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.