Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, TX 78229, USA.
J Am Board Fam Med. 2012 Sep-Oct;25(5):572-6. doi: 10.3122/jabfm.2012.05.120064.
Practice-based research networks (PBRNs) are useful tools for conducting studies in the busy primary care setting, but their continued existence is threatened by a range of challenges. PBRNs must position themselves now to be prepared to face the challenges ahead. For example, experience with the Clinical Translational Science Awards has placed PBRNs at the center of university efforts toward greater community engagement. Networks must use this opportunity to solicit infrastructure support and partner with experienced principal investigators from other disciplines. Successful networks must make greater use of health information technology to solicit clinician involvement, identify and recruit potential subjects, and disseminate key findings. To maintain the active participation of busy clinicians in the clinical research enterprise, networks must find new ways to engage their members and simplify study participation. Networks should pursue clinically relevant projects that create meaning and connect busy practitioners to the larger agenda of primary care research. Finally, collaborating with other networks in a structured and ongoing manner is one way for PBRNs to extend their reach while making maximal use of their unique resources and local expertise.
实践为基础的研究网络（PBRNs）是在繁忙的初级保健环境中进行研究的有用工具，但它们面临着一系列挑战，其继续存在受到威胁。PBRNs 现在必须定位自己，为未来的挑战做好准备。例如，临床转化科学奖的经验使 PBRNs 成为大学加强社区参与努力的核心。网络必须利用这个机会寻求基础设施支持，并与来自其他学科的经验丰富的首席研究员合作。成功的网络必须更多地利用健康信息技术来征求临床医生的参与，确定和招募潜在的研究对象，并传播关键发现。为了保持忙碌的临床医生对临床研究的积极参与，网络必须寻找新的方法来吸引他们的成员，并简化研究参与。网络应该从事有临床意义的项目，为忙碌的医生创造意义，并将他们与初级保健研究的更大议程联系起来。最后，与其他网络以结构化和持续的方式合作是 PBRNs 扩大其影响力的一种方式，同时最大限度地利用其独特的资源和本地专业知识。
