回头看向前: PBRN 董事们的思考
C J Peek1, Frank M Reed2, Ned Calonge2
1From the Department of Family Medicine and Community Health, University of Minnesota Medical School (CJP); Department of Biomedical and Pharmaceutical Sciences, University of Montana, (Retired) (FMD); Colorado School of Public Health, University of Colorado School of Medicine (NC); Department of Family Medicine, University of Colorado Health Sciences Center (retired) (PAN); (deceased) Department of Family Medicine, University of Illinois School of Medicine Chicago (JH); Department of Family Medicine, University of Colorado School of Medicine, DARTNet Institute, Colorado (WDP); Department of Family Medicine, University of Colorado School of Medicine, (JC, LN); University of Colorado School of Medicine (LAG). cjpeek@umn.edu.
这篇文章记录了40年的门诊哨兵实践网络 (ASPN) 和国家研究网络 (NRN),为今天的基于实践的研究网络 (PBRNs) 提供了见解. 为PBRN领导人提炼了关键模式和未来方向.
科学领域:
- 初级保健研究研究初级保健研究
- 基于实践的研究网络 (PBRNs)
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊哨兵实践网络 (ASPN) 成立于1978年,作为一级保健研究倡议.
- ASPN演变成了国家研究网络 (NRN),在40多年中扩大了其范围和影响.
- 该网络应对了包括资金和机构支持在内的挑战,以实现主流研究的接受.
研究的目的:
- 记录ASPN/NRN在最初40年的历史发展和关键学习.
- 提炼基于实践的研究网络的领导者所遇到的持久模式和原型困境.
- 为当代PBRN领导人提供可操作的见解和未来方向.
主要方法:
- 基于网络领导者在两年内进行的对话,进行了回顾性分析.
- 关键事实和观察到的模式在不同的发展时期的代合成.
- 由当前的PBRN领导人解释和应用的时间持久模式的蒸.
主要成果:
- ASPN/NRN从一个新生的概念转变为初级保健研究中的重要力量.
- 该网络成功地解决了大型,社会重要研究问题,增加了PBRN研究量.
- 当前的挑战包括适应技术转变,组织变化,并强调患者参与,安全和差异.
结论:
- 40年的经验为导航基于实践的研究网络的演变提供了宝贵的经验教训.
- 持久的困境和适应性战略为当前和未来的PBRN领导者提供了一个框架.
- 通过以适应和创新为重点的有希望的未来方向,可以扩展PBRNs的价值主张.
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