Does Participation in a Dental Practice-Based Research Network Impact Treatment?

描述（由申请人提供）：NIDCR对基于实践的研究网络（PBRN）进行了大量投资。pbrn的假定好处是参与者相信结果，认为它们适用于他们的病人，从而迅速实施研究结果。如果参与的好处被证明，它提供了一个模式，可以扩大到更广泛的牙科社区。提出的研究通过检查牙医的实际护理交付模式来解决这个重要的问题，独立于特定的牙科实践研究网络（1U01 DE016747, PI: Gregg Gilbert）研究。我们将利用来自HealthPartners Dental Group （HPDG）的电子临床数据，包括诊断代码、龋齿深度和治疗数据，以确定高水平参与DPBRN的牙医是否能在其实践中更快地吸收DPBRN研究。HPDG有一个完整的牙科记录，很容易与HealthPartners的管理数据相结合，使我们的机构具有开展这项研究的独特资格。在实施DPBRN之前，将于2005年审查由提供者汇总的病人诊断和治疗数据。然后，我们将在2009历年再次检查牙科诊所的模式。此外，我们将评估2005年历年参加DPBRN的牙医的个人特征。牙医将根据参与DPBRN的程度分为三类：未登记、登记但最低限度参与、登记并参与。

DESCRIPTION (provided by applicant): NIDCR has made a substantial investment in Practice-Based Research Networks (PBRN). The presumed benefit of PBRNs is that participants believe the results, see them as applicable to their patients, and thus rapidly implement findings. If the benefits of participation are demonstrated, it provides a model that can be expanded to the broader dental community. The proposed study addresses this important question by examining actual care-delivery patterns of dentists, independent of a specific Dental Practice-Based Research Network (1U01 DE016747, PI: Gregg Gilbert) study. We will utilize electronic clinical data from the HealthPartners Dental Group (HPDG), including diagnosis codes, caries depths and treatment data to determine if dentists with a high level of DPBRN participation are quicker to assimilate DPBRN research in their practice. HPDG has a thorough dental record that is easily married with HealthPartners administrative data, making our setting uniquely qualified to carry out this study. Patient diagnosis and treatment data aggregated by provider will be examined in 2005, prior to the implementation of the DPBRN. We will then examine the dental practice patterns again in calendar year 2009. Also, we will evaluate the personal characteristics of dentists in calendar year 2005 among dentists who later went on to participate in DPBRN. The dentists will be stratified into three categories based on level of involvement in the DPBRN: not enrolled, enrolled but minimally involved, enrolled and involved.