Licciardone John C, Kearns Cathleen M
The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX, USA.
J Am Osteopath Assoc. 2012 Jul;112(7):447-56.
Clinical research is increasingly conducted in real-world settings. Osteopathic practices represent natural laboratories for studying the distinctiveness of osteopathic medicine. The Osteopathic Research Center (ORC) recently developed a triadic paradigm for research consisting of the Consortium for Collaborative Osteopathic Research Development (CONCORD), its affiliated practice-based research network (PBRN), and the patient-centered research (PCR) fellowship program. The CONCORD-PBRN was certified by the Agency for Healthcare Research and Quality in 2011. The inaugural PCR fellowship class completed didactic training that year. Fellows increased their knowledge of research design and biostatistics following participation in the curriculum. In 2012, a card study of osteopathic palpatory findings and manual techniques will be conducted within the CONCORD-PBRN. The ORC plans to use a hub-and-spoke model to grow the CONCORD-PBRN. Further expansion of this triadic paradigm is dependent on funding streams to support the needed research infrastructure.
临床研究越来越多地在现实环境中进行。整骨疗法实践是研究整骨医学独特性的天然实验室。整骨研究中心（ORC）最近开发了一种三元研究范式，由整骨协作研究发展联盟（CONCORD）、其附属的基于实践的研究网络（PBRN）以及以患者为中心的研究（PCR）奖学金项目组成。CONCORD-PBRN于2011年获得医疗保健研究与质量局的认证。首届PCR奖学金班同年完成了理论培训。学员们在参与课程后增加了对研究设计和生物统计学的了解。2012年，将在CONCORD-PBRN内进行一项关于整骨触诊结果和手法技术的卡片研究。ORC计划使用中心辐射模型来发展CONCORD-PBRN。这种三元范式的进一步扩展取决于支持所需研究基础设施的资金流。
