Hayes Holly, Burge Sandra
University of Texas Health Science Center Institute for Integration of Medicine and Science-Family and Community Medicine, USA.
Prog Community Health Partnersh. 2012 Fall;6(3):369-80. doi: 10.1353/cpr.2012.0033.
As of today, 50% of Clinical and Translational Science Award (CTSA)-funded Academic Health Centers are engaging community clinicians through the practice-based research network (PBRN) mechanism, which has been identified as a best practice by the CTSA National Leadership. A PBRN is an organization of community clinicians who work together with researchers to answer meaningful questions that will improve patient care.
This paper outlines the steps that were led to success during the University of Texas Health Science Center at San Antonio's journey of developing four PBRNs over 3 years: (1) identifying network directors; (2) deciding who to include; (3) obtaining recruitment lists; (4) sending out mailers; (5) hosting the first PBRN meeting; (6) gaining institutional review board (IRB) approval; (7) launching a simple study; (8) returning the findings; and (9) formalizing the PBRN and moving forward.
CTSAs will continue to seek ways to effectively engage community members in the clinical translation process.
PBRNs are a promising laboratory for generating research questions directly from clinicians, conducting meaningful research, and then disseminating the findings to the larger community to accelerate positive change.
截至目前，50%由临床与转化科学奖（CTSA）资助的学术健康中心正通过基于实践的研究网络（PBRN）机制与社区临床医生开展合作，该机制已被CTSA国家领导小组认定为最佳实践。PBRN是一个由社区临床医生组成的组织，他们与研究人员共同合作，解答有助于改善患者护理的有意义的问题。
本文概述了德克萨斯大学圣安东尼奥健康科学中心在3年时间里建立4个PBRN的过程中取得成功的步骤：（1）确定网络主任；（2）决定纳入人员；（3）获取招募名单；（4）发送邮件；（5）举办首次PBRN会议；（6）获得机构审查委员会（IRB）批准；（7）开展一项简单研究；（8）反馈研究结果；（9）使PBRN正规化并继续推进。
CTSA将继续寻求有效让社区成员参与临床转化过程的方法。
PBRN是一个很有前景的平台，可直接从临床医生那里产生研究问题、开展有意义的研究，然后将研究结果传播给更广泛的群体，以加速积极变革。
