Practice-Based Research Networks

Medical research has traditionally been based in academic centers, and the findings are frequently not applicable in community primary care settings. The result is a large gap between the possible and the practical in delivering high-quality primary medical care in the United States. Practice-based research networks (PBRNs), laboratories for primary care clinical research, are the appropriate vehicles for uniting the worlds of community primary care practice and clinical research. Although they have received little attention in the mainstream of clinical and health services research, PBRNs have already reported a variety of findings useful for primary care providers, and these networks have helped to identify key issues in healthcare delivery that affect important outcomes. In this report, we outline the rationale for and history of PBRNs. We describe the organization and work of several productive PBRNs, giving examples of their studies that have changed the standards of modern primary care practice. Finally, we describe a developing electronic process for identifying research questions obtained directly from primary care providers that can be used to focus the national primary care research agenda on questions of clinical relevance and importance. As electronic technologies are fully developed and tested, they will facilitate communication between clinicians and researchers, thereby improving the effectiveness and efficiency of practice-based research

Family medicine · Health care · Health services research · Mainstream · Medical education · Political science · Primary care · Public health · Quality (philosophy) · Relevance (law) · Variety (cybernetics) · Computer Science · Health and Medical Research Impacts · Health Sciences Research and Education · Medicine · Nursing · Primary Care and Health Outcomes

• Impact Challenges in Community Science‐with‐Practice

  Open Access•Richard Spoth, Mark T Greenberg et al.•American Journal of Community…•2011

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• Implementing Evidence-Based Practices in Rural Areas

  Open Access•Magnus Bergmark, Urban Markström et al.•Journal of Evidence-Based Social…•2024

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• Institutional review board and regulatory solutions in The Dental PBRN

  Open Access•Gregg H Gilbert, Vibeke Qvist et al.•Journal of Public Health Dentistry•2009

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• Outcomes Research

  Daniel B Stryer, Daniel Stryer et al.•Medical Care•2004

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• Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice

  Marcia E Herman-Giddens, Marcia E Herman‐Giddens et al.•PEDIATRICS•1997

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• The Ecology of Medical Care

  Kerr L White, T Franklin Williams et al.•New England Journal of Medicine•1961

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• Race and Preventive Services Delivery Among Black Patients and White Patients Seen in Primary Care

  Robert L Williams, Susan A Flocke et al.•Medical Care•2001

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• Patient Race and Ethnicity in Primary Care Management of Child Behavior Problems

  Kelly J Kelleher, Cathy D Moore et al.•Medical Care•1999

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