MetroNet Communication & Data Management Infrastructure

描述(由申请人提供)：韦恩州立大学(WSU)家庭医学系(DFM)实践研究部要求提供资金，以通过建设Metronet的能力来扩大我们的研究基础设施，Metronet是底特律大都市的初级保健实践研究网络(PBRN)。该司是由人权事务管理局学术行政单位奖创建的，并迅速成为一个成功的研究单位，在其三年的历史中为几项试点研究获得了资金，目前有几项研究提案和手稿正在审查中。已完成的研究结果在全国范围内公布。(见附录A中的详细清单)Metronet是在2001年构思的，有来自16个执业地点(其中4个位于联邦指定的医疗服务不足地区)的感兴趣的医生。人们对Metronet的兴趣持续增长，目前我们有24个Metronet实践(附录B)。Metronet的主要目标是在密歇根州东南部增加基于社区的初级保健研究的数量，密歇根州是一个拥有多样化民族/种族人口的大都市地区。为了实现这一目标，Metronet将以下四个长期目标列为优先事项： 1)继续将Metronet建设为具有代表底特律大都市人口的患者群体的PBRN； 2)在我们的研究中解决健康差距问题； 3)建立Metronet基础设施；以及 4)为Metronet成员提供体验式研究导向的专业发展。 本申请的三个具体目标都与第三个Metronet目标“构建Metronet基础设施”有关，如下所示。目标1：建立Metronet的通信基础设施(1a.评估每个Metronet业务的技术和以实践为基础的研究技能，并提供使用电子邮件和互联网接入和搜索的技术培训；开发一个包括静态和动态网页的Metronet网站，以提高沟通能力；评估静态网页用于传播网络信息的功能)。目标2：建立Metronet的数据管理基础设施(2a.试行测试使用笔式平板电脑提供患者自我报告信息的可行性，并让Metronet工作人员更新其实践特征简介；2b.通过基于网络的动态信息收集和聚合来增强网站；2c.评估Metronet实践中基于网络的电子数据提交的效用)。目标3：将研究转化为实践(3a.在每个Metronet诊所的计算机上安装以循证为基础的临床实践摘要数据库的易于使用的电子链接；向每个Metronet诊所提供必要的培训，以阐明临床问题并寻找可在护理点使用的循证答案；使用软件评估这些循证电子资源的使用情况，该软件创建一个数据库，其中包含有关搜索次数和使用的数据库的信息；3D。使用评估信息设计一项未来研究，通过调查临床医生在护理点使用循证临床实践信息的程度，监测Metronet在将研究转化为实践方面的进展)。

DESCRIPTION (provided by applicant): The Wayne State University (WSU) Department of Family Medicine (DFM) Division of Practice-Based Research requests funding in order to expand our research infrastructure by building the capacity of MetroNet, a primary care practice-based research network (PBRN) in metropolitan Detroit. The division was created with an HRSA academic administrative unit award and rapidly became a successful research unit, which in its three-year history has obtained funding for several pilot studies and currently has several research proposals and manuscripts under review. Results of completed studies were presented nationally. (See detailed listing in appendix A) MetroNet was conceived in 2001 with interested physicians from 16 practice sites (four in federally designated medically underserved areas). Interest in MetroNet continues to grow, and currently we have 24 MetroNet practices (appendix B). MetroNet's primary goal is to increase the amount of community-based primary care research in southeastern Michigan, a metropolitan area with a diverse ethnic/racial population. To meet this goal, MetroNet has prioritized the following four long-term objectives: 1) continue to build MetroNet as a PBRN with a patient population representative of the population of metropolitan Detroit; 2) address health disparity issues in our research studies; 3) build MetroNet infrastructure; and 4) provide experiential research-oriented professional development to MetroNet members. The three specific aims of the present application all relate to the third MetroNet objective to "build MetroNet infrastructure," and are as follows. Aim 1: Build the communication infrastructure of MetroNet (1a. assess the technology and practice-based research skills at each MetroNet practice and provide technology training for using e-mail and Internet access and searching; 1b. increase communication capabilities by developing a MetroNet website that includes pages with both static and dynamic features; 1c. evaluate the functionality of the static web pages for disseminating network information). Aim 2: Build the data management infrastructure of MetroNet (2a. pilot test the feasibility of using pen-tablet computers for patient self-reported information, and for MetroNet staff to update their practice characterization profiles; 2b. enhance website with dynamic web-based collection and aggregation of information; 2c. evaluate the utility of web-based electronic data submissions from MetroNet practices). Aim 3: Translate research into practice (3a. install easy-to-use electronic links to evidence-based clinical practice summary databases on computers at each MetroNet practice; 3b. provide training as needed to each MetroNet practice on formulating clinical questions and searching for evidence-based answers that can be used at the point of care; 3c. evaluate the use of these evidence-based electronic resources with software that creates a database containing information on the number of searches and the databases used; 3d. use evaluation information to design a future study to monitor MetroNet progress on translating research into practice by investigating the extent to which clinicians use the evidence-based clinical practice information at the point of care).