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Related Experiment Videos

How and why to study the practice content of a practice-based research network.

Kevin A Pearce1, Margaret M Love, Mary A Barron

  • 1Department of Family Practice and Community Medicine, University of Kentucky College of Medicine, Kentucky Clinic, Lexington, KY 40536-0284, USA. kpearce@email.uky.edu

Annals of Family Medicine
|October 28, 2004
PubMed
Summary

This practice content study established a new practice-based research network (PBRN) and provided valuable data on primary care visits, diagnoses, and patient health behaviors.

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Area of Science:

  • Primary Care Research
  • Practice-Based Research Networks (PBRN)
  • Health Services Research

Background:

  • Describes the establishment and methodology of a new practice-based research network (PBRN).
  • Highlights lessons learned from conducting a practice content study within this new network.

Purpose of the Study:

  • To establish and activate a new PBRN.
  • To conduct a practice content study with clinician input.
  • To gather descriptive data to guide future research.

Main Methods:

  • Modified replication of the National Ambulatory Medical Care Survey (NAMCS) within the Kentucky Ambulatory Network (KAN).
  • Inclusion of focused modifications to the NAMCS protocol based on clinician input.
  • Cross-sectional sampling of 2,228 patient visits over a 1-year period.

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Main Results:

  • 56 community-based primary care clinicians participated.
  • Patient demographics and top diagnoses mirrored US NAMCS data.
  • High prevalence of multiple diagnoses (33% of visits) and medications (25% of visits) per patient.
  • Obesity (40%) and overweight (30%) were prevalent, with increased counseling rates correlating with higher BMI.

Conclusions:

  • Successfully established and activated the new PBRN, increasing its membership.
  • The collected descriptive data will inform and support future research initiatives.
  • Demonstrates the value of practice-based research networks in generating relevant clinical data.