Literature DB >> 24127931

Provider's perspectives on building research and quality improvement capacity in primary care: a strategy to improve workforce satisfaction.

Leah Zallman1, Shalini Tendulkar, Nazmim Bhuyia, Blessing Dube, Scott Early, Melida Arredondo, Rozanne Puleo, Nandini Sengupta, Burak Alsan, Karen Hacker.   

Abstract

OBJECTIVES: Safety-net populations are underrepresented in research and quality improvement (QI) studies despite the fact that safety-net providers are uniquely positioned to engage in translational research. This study aimed to understand the current level of interest in, experience with, predicted career satisfaction associated with, and barriers experienced in conducting research and QI among primary care providers (PCPs) at 18 safety-net practices in the Boston, Massachusetts area.
METHODS: The Harvard Catalyst Safety-net Infrastructure Initiative partnered with staff at a large academic public hospital system, including 15 primary care sites, to develop and administer an online survey. This survey was then adapted and administered at three other academically affiliated community health centers.
RESULTS: Of the 260 providers surveyed, 136 (52%) responded. Nearly 80% reported interest in conducting either QI projects or clinical research and 95% of them believed it would enhance their career satisfaction. However, 63% did not report prior experience or training in research or QI and 93% reported at least one barrier to engagement.
CONCLUSION: While supporting safety-net PCPs' engagement in research and/or QI may improve career satisfaction there are numerous barriers that must be addressed to achieve this goal.
© 2013 Wiley Periodicals, Inc.

Keywords:  evidence-based medicine; outcomes research; translational research

Mesh:

Year:  2013        PMID: 24127931      PMCID: PMC5350894          DOI: 10.1111/cts.12066

Source DB:  PubMed          Journal:  Clin Transl Sci        ISSN: 1752-8054            Impact factor:   4.689


  18 in total

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2.  Health care reform and the primary care workforce bottleneck.

Authors:  Mark D Schwartz
Journal:  J Gen Intern Med       Date:  2011-11-01       Impact factor: 5.128

3.  Practice-based research networks answer primary care questions.

Authors:  P A Nutting; J W Beasley; J J Werner
Journal:  JAMA       Date:  1999-02-24       Impact factor: 56.272

4.  Health services research as a source of legislative analysis and input: the role of the California Health Benefits Review Program.

Authors:  Thomas R Oliver; Rachel Friedman Singer
Journal:  Health Serv Res       Date:  2006-06       Impact factor: 3.402

5.  Physician career satisfaction: examining perspectives of the working environment.

Authors:  William R Pratt
Journal:  Hosp Top       Date:  2010 Apr-Jun

6.  Job characteristics and job satisfaction among physicians involved with research in the veterans health administration.

Authors:  David C Mohr; James F Burgess
Journal:  Acad Med       Date:  2011-08       Impact factor: 6.893

Review 7.  Recruiting vulnerable populations into research: a systematic review of recruitment interventions.

Authors:  Stacy J UyBico; Shani Pavel; Cary P Gross
Journal:  J Gen Intern Med       Date:  2007-03-21       Impact factor: 5.128

8.  Is the professional satisfaction of general internists associated with patient satisfaction?

Authors:  J S Haas; E F Cook; A L Puopolo; H R Burstin; P D Cleary; T A Brennan
Journal:  J Gen Intern Med       Date:  2000-02       Impact factor: 5.128

9.  Central challenges facing the national clinical research enterprise.

Authors:  Nancy S Sung; William F Crowley; Myron Genel; Patricia Salber; Lewis Sandy; Louis M Sherwood; Stephen B Johnson; Veronica Catanese; Hugh Tilson; Kenneth Getz; Elaine L Larson; David Scheinberg; E Albert Reece; Harold Slavkin; Adrian Dobs; Jack Grebb; Rick A Martinez; Allan Korn; David Rimoin
Journal:  JAMA       Date:  2003-03-12       Impact factor: 56.272

10.  Improving the use of research evidence in guideline development: 16. Evaluation.

Authors:  Andrew D Oxman; Holger J Schünemann; Atle Fretheim
Journal:  Health Res Policy Syst       Date:  2006-12-08
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  7 in total

Review 1.  The role and impact of research positions within health care settings in allied health: a systematic review.

Authors:  Rachel Wenke; Sharon Mickan
Journal:  BMC Health Serv Res       Date:  2016-08-05       Impact factor: 2.655

2.  A cross sectional observational study of research activity of allied health teams: is there a link with self-reported success, motivators and barriers to undertaking research?

Authors:  Rachel J Wenke; Sharon Mickan; Leanne Bisset
Journal:  BMC Health Serv Res       Date:  2017-02-06       Impact factor: 2.655

3.  Allied health research positions: a qualitative evaluation of their impact.

Authors:  Rachel J Wenke; Elizabeth C Ward; Ingrid Hickman; Julie Hulcombe; Rachel Phillips; Sharon Mickan
Journal:  Health Res Policy Syst       Date:  2017-02-06

4.  The University of Limerick Education and Research Network for General Practice (ULEARN-GP): practice characteristics and general practitioner perspectives.

Authors:  Andrew O'Regan; Peter Hayes; Ray O'Connor; Monica Casey; Pat O'Dwyer; Aidan Culhane; Patrick O'Donnell; Gary Stack; John Cuddihy; Billy O'Connell; Jerry O'Flynn; Walter Cullen; Jane O'Doherty; Maurice O'Connell; Liam Glynn
Journal:  BMC Fam Pract       Date:  2020-02-05       Impact factor: 2.497

5.  Acceptability and feasibility of conducting a pilot trial in Irish primary care: lessons from the IDEAs study.

Authors:  Fiona Riordan; Katie Murphy; Colin Bradley; Patricia M Kearney; Susan M Smith; Sheena M McHugh
Journal:  HRB Open Res       Date:  2021-07-14

6.  Strategies for research engagement of clinicians in allied health (STRETCH): a mixed methods research protocol.

Authors:  Sharon Mickan; Rachel Wenke; Kelly Weir; Andrea Bialocerkowski; Christy Noble
Journal:  BMJ Open       Date:  2017-09-11       Impact factor: 2.692

7.  Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network.

Authors:  Valy Fontil; Courtney R Lyles; Dean Schillinger; Margaret A Handley; Sara Ackerman; Gato Gourley; Kirsten Bibbins-Domingo; Urmimala Sarkar
Journal:  Risk Manag Healthc Policy       Date:  2018-07-12
  7 in total

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