Literature DB >> 24573517

"Not a kidney or a lung:" research challenges in a network of safety net clinics.

John Heintzman1, Sonja Likumahuwa, Christine Nelson, M Patrice Eiff, Rachel Gold, Joseph E Carroll, John Muench, Christian Hill, Meena Mital, Jennifer E DeVoe.   

Abstract

BACKGROUND AND OBJECTIVES: To gain a better understanding of the facilitators and barriers to creating a practice-based research network (PBRN) of safety net clinics, we conducted a qualitative study within our network of safety net health centers.
METHODS: Utilizing snowball sampling, we conducted interviews with 19 of our founding stakeholders and analyzed these interviews to draw out common themes.
RESULTS: The results showed four barriers to research in our network: lack of research generated from clinician questions, lack of appropriate funding, lack of clinician time, and lack of infrastructure. We discuss these results and suggest that inadequate funding for practice-based research, particularly in the health care safety net, is a unifying theme of these four barriers.
CONCLUSIONS: Our results suggest that the national funding strategy for research relevant to underserved populations and all of primary care must undergo a fundamental shift. We discuss the features of possible models to meet this need.

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Mesh:

Year:  2014        PMID: 24573517      PMCID: PMC4404146     

Source DB:  PubMed          Journal:  Fam Med        ISSN: 0742-3225            Impact factor:   1.756


  32 in total

1.  Practice based primary care research networks. They work and are ready for full development and support.

Authors:  L A Green; S M Dovey
Journal:  BMJ       Date:  2001-03-10

Review 2.  The excess burden of breast carcinoma in minority and medically underserved communities: application, research, and redressing institutional racism.

Authors:  S M Shinagawa
Journal:  Cancer       Date:  2000-03-01       Impact factor: 6.860

Review 3.  Infrastructure requirements for practice-based research networks.

Authors:  Lee A Green; Linda L White; Henry C Barry; Donald E Nease; Brenda L Hudson
Journal:  Ann Fam Med       Date:  2005 May-Jun       Impact factor: 5.166

4.  An analysis of reasons for discontinuing participation in a practice-based research network.

Authors:  L A Green; L J Niebauer; R S Miller; L J Lutz
Journal:  Fam Med       Date:  1991-08       Impact factor: 1.756

5.  Establishing the Victorian Primary Care Practice Based Research Network.

Authors:  Melinda Soós; Meredith Temple-Smith; Jane Gunn; Kate Johnston-Ata'Ata; Marie Pirotta
Journal:  Aust Fam Physician       Date:  2010-11

6.  The Agency for Healthcare Research and Quality (AHRQ) Practice-Based Research Network (PBRN) relationship: delivering on an opportunity, challenges, and future directions.

Authors:  Wilson D Pace; L J Fagnan; David R West
Journal:  J Am Board Fam Med       Date:  2011 Sep-Oct       Impact factor: 2.657

7.  Potential of practice-based research networks: experiences from ASPN. Ambulatory Sentinel Practice Network.

Authors:  L A Green; C G Hames; P A Nutting
Journal:  J Fam Pract       Date:  1994-04       Impact factor: 0.493

8.  Developing a network of community health centers with a common electronic health record: description of the Safety Net West Practice-based Research Network (SNW-PBRN).

Authors:  Jennifer E Devoe; Rachel Gold; Mark Spofford; Susan Chauvie; John Muench; Ann Turner; Sonja Likumahuwa; Christine Nelson
Journal:  J Am Board Fam Med       Date:  2011 Sep-Oct       Impact factor: 2.657

9.  Content and context of a research registry for community-based research.

Authors:  Janine E Janosky; Susan B Laird; Qing Sun
Journal:  J Community Health       Date:  2008-08

10.  An evaluation of the 'Designated Research Team' approach to building research capacity in primary care.

Authors:  Jo Cooke; Susan Nancarrow; Jane Dyas; Martin Williams
Journal:  BMC Fam Pract       Date:  2008-06-27       Impact factor: 2.497

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  2 in total

1.  IMPACCT Kids' Care: a real-world example of stakeholder involvement in comparative effectiveness research.

Authors:  Sonja Likumahuwa-Ackman; Heather Angier; Aleksandra Sumic; Rose L Harding; Erika K Cottrell; Deborah J Cohen; Christine A Nelson; Timothy E Burdick; Lorraine S Wallace; Charles Gallia; Jennifer E DeVoe
Journal:  J Comp Eff Res       Date:  2015-08       Impact factor: 1.744

2.  Practice-based research networks (PBRNs) are promising laboratories for conducting dissemination and implementation research.

Authors:  John Heintzman; Rachel Gold; Alexander Krist; Jay Crosson; Sonja Likumahuwa; Jennifer E DeVoe
Journal:  J Am Board Fam Med       Date:  2014 Nov-Dec       Impact factor: 2.657

  2 in total

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