Regulatory Affairs and Clinical Investigations, Bluestone Center for Clinical Research, Department of Oral and Maxillofacial Pathology, Radiology, and Medicine, New York University College of Dentistry, NY, USA.
J Dent Educ. 2011 Aug;75(8):1053-60.
Practice-based research networks (PBRNs) provide a novel venue in which providers can increase their knowledge base and improve delivery of care through participation in clinical studies. This article describes some aspects of our experience with a National Institute of Dental and Craniofacial Research-supported PBRN and discusses the role it can play in dental education. PBRNs create a structured pathway for providers to advance their professional development by participating in the process of collecting data through clinical research. This process allows practitioners to contribute to the goals of evidence-based dentistry by helping to provide a foundation of evidence on which to base clinical decisions as opposed to relying on anecdotal evidence. PBRNs strengthen the professional knowledge base by applying the principles of good clinical practice, creating a resource for future dental faculty, training practitioners on best practices, and increasing the responsibility, accountability, and scope of care. PBRNs can be the future pivotal instruments of change in dental education, the use of electronic health record systems, diagnostic codes, and the role of comparative effectiveness research, which can create an unprecedented opportunity for the dental profession to advance and be integrated into the health care system.
实践为基础的研究网络(PBRNs)为医疗从业者提供了一个新的场所,使他们能够通过参与临床研究来增加知识基础并改善医疗服务。本文描述了我们在一个由美国国立牙科和颅面研究所(National Institute of Dental and Craniofacial Research)支持的 PBRN 中的一些经验,并讨论了它在牙科教育中可以发挥的作用。PBRNs 为医疗从业者通过参与临床研究数据收集过程来促进其专业发展创造了一个结构化的途径。这个过程使从业者能够通过帮助为临床决策提供证据基础,而不是依赖轶事证据,从而为循证牙科的目标做出贡献。PBRNs 通过应用良好临床实践的原则来加强专业知识库,为未来的牙科教师提供资源,培训从业者最佳实践,并增加责任、问责制和护理范围。PBRNs 可以成为牙科教育、电子健康记录系统、诊断代码和比较效果研究使用的未来关键变革工具,这为牙科专业提供了一个前所未有的机会,可以推进并整合到医疗保健系统中。