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Related Experiment Videos

Developing the knowledge base of family practice.

K C Stange1, W L Miller, I McWhinney

  • 1Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.

Family Medicine
|April 27, 2001
PubMed
Summary

Expanding family practice knowledge requires integrating clinician self-reflection, patient input, systems inquiry, and longitudinal disease study. A participatory, multimethod approach is key for effective, relationship-centered health care.

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Area of Science:

  • Family Medicine
  • Health Services Research
  • Integrative Health

Background:

  • Current family practice knowledge is insufficient for optimizing integrative, relationship-centered care.
  • There's a need to expand the knowledge base by integrating diverse ways of knowing.

Purpose of the Study:

  • To advocate for a comprehensive, integrative, relationship-centered generalist approach in family practice.
  • To propose methods for expanding the knowledge base of family practice through integrated ways of knowing.

Main Methods:

  • Utilizing a multimethod, transdisciplinary, participatory research approach.
  • Integrating quantitative and qualitative research traditions.
  • Actively involving both clinicians and patients in the research process.

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Main Results:

  • Proposed methods include fostering reflective practice, enhancing practice-based research infrastructure, and developing a participatory research paradigm.
  • Emphasized the need for longitudinal studies on integrative care processes and outcomes.
  • Advocated for integrating new knowledge generation into training and policy.

Conclusions:

  • The generalist disciplines must commit to generating new knowledge driven by patient, family, and community needs.
  • Developing a culture of learning and inquiry requires long-term commitment, partnerships, and focus on core principles.
  • A participatory, multimethod approach is essential for creating translatable knowledge in family practice.