Physician Perspectives on Incentives to Participate in Practice-based Research: A Greater Rochester Practice-Based Research Network (GR-PBRN) Study

The Journal of the American Board of Family Medicine

Joseph J. Guido²  Karen Gibson⁴  Thomas Campbell⁵  Carlos M. Swanger¹  Kevin Fiscella⁵  Peter Szilagyi³  Joseph Duckett²  Thomas McInerny³ 

[1] Department of Medicine and Primary Care (CMS), University of Rochester School of Medicine and Dentistry, Rochester, NY;Department of Community and Preventive Medicine (JD, JJG), University of Rochester School of Medicine and Dentistry, Rochester, NY;Department of Pediatrics (PS, TM), University of Rochester School of Medicine and Dentistry, Rochester, NY;Center for Community Health (KG), University of Rochester School of Medicine and Dentistry, Rochester, NY;Department of Family Medicine (TC, KF), University of Rochester School of Medicine and Dentistry, Rochester, NY

关键词: Practice-based Research;    PBRN;    Primary Health Care;    Community Health Systems;   

DOI  :  10.3122/jabfm.2010.04.090160

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Objectives: To understand factors associated with primary care physician research participation in a practice-based research network (PBRN) and to compare perspectives by specialty.

Methods: We surveyed primary care internists, family physicians, and pediatricians in Monroe County, New York, regarding their past experience with research and incentives to participate in practice-based research. We performed descriptive and tabular analyses to assess perceptions and used χ² and analysis of variance to compare perceptions across the 3 specialties.

Results: The response rate was 33%. The most frequently endorsed aspects of collaboration were the opportunity to enact quality improvement (78%), contribution to clinical knowledge (75%), and intellectual stimulation (65%). Significant differences among the primary care specialties were found in 2 aspects: (¹) internists were more likely to endorse additional source of income as “important,” and family medicine physicians were more likely to cite the opportunity to shape research questions, projects, and journal articles as “important.”

Conclusion: Physicians across all 3 specialties cited the opportunity to enact quality improvement and contribution to clinical knowledge as important incentives to participating in practice-based research. This supports the importance of strengthening the interface between research and quality improvement in PBRN projects. Further study is needed to assess reasons for differences among specialties if PBRNs are to become successful in research involving adult patients.

• Practice-based Research
• PBRN
• Primary Health Care
• Community Health Systems

Practice-based research networks (PBRNs) are groups of practices that collaborate to study issues of importance to clinical care. Most involve primary care practices. PBRNs are important for translational research.^1,2 Studies about practice-based research have primarily involved single disciplines such as pediatrics³ or family medicine⁴ and have not compared perspectives across disciplines.

In 2007, the University of Rochester's Clinical and Translational Science Institute, funded by a Clinical and Translational Science Award, established the Greater Rochester PBRN (GR-PBRN). Before engaging practices in PBRN-related research, we surveyed physicians about practice-based research to assess factors that facilitate physician participation in practice-based research and to compare the perspectives of internists, family physicians, and pediatricians.

【 授权许可】

Unknown   

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