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Research in the community: recruiting and retaining practices
T S Carey1, L Kinsinger, T Keyserling
1Division of General Medicine and Clinical Epidemiology, UNC Hospitals, Chapel Hill 27599-7590, USA.
Journal of Community Health
|October 1, 1996
Summary
Demonstrating treatment effectiveness in routine practice requires addressing key issues like patient selection and physician recruitment. Successful practice-based research relies on clinician involvement and strong relationships with healthcare practices.
Area of Science:
- Clinical Research
- Health Services Research
- Translational Science
Background:
- Growing need to validate treatment effectiveness in real-world clinical settings.
- Challenges exist in translating research findings from controlled environments to routine practice.
Purpose of the Study:
- To identify and describe critical issues in conducting practice-based research.
- To examine successful strategies for implementing practice-based research projects.
Main Methods:
- Analysis of key issues: population identification, sampling, recruitment, physician-researcher relationships, and data management.
- Case study of three ongoing practice-based projects (two randomized trials, one cohort study).
Main Results:
- Successful projects shared common characteristics: direct clinician recruitment, collaboration with local medical organizations, consistent practice contact, and valuing physician time.
- Key challenges were systematically addressed in the described projects.
Conclusions:
- Effective practice-based research necessitates careful planning and execution regarding logistical and relational aspects.
- Strategies emphasizing clinician engagement and respect for practice realities are crucial for successful implementation.