Sullivan Frank, Hinds Alison, Pitkethly Marie, Treweek Shaun, Wilson Philip, Wyke Sally
The University of Toronto Practice Based Research Network , Ontario , Canada.
Eur J Gen Pract. 2014 Dec;20(4):337-42. doi: 10.3109/13814788.2013.879116. Epub 2014 Mar 27.
Many developed industrialized countries perceive considerable value in developing practice based research networks. In this paper, the development of the Scottish Primary Care Research Network (SPCRN) from 1924-2013 is described. After a false start in the early twentieth century and some local developments 10-15 years ago, the Scottish Primary Care Research Network was finally built upon existing networks of teaching and training practices centred on research active departments of general practice and primary care. This meant that a climate already favourable to research existed and several of the necessary skills were available. Long-term funding commitment to the network by the National Health Service meant that the infrastructure could be developed in the knowledge that it would be likely to become incorporated into wider Scottish and UK systems. Two-thirds of Scottish practices regularly participate in research at a rate of 50-60 studies each year, which result in a range of publications that influence clinical decisions and health policy. As the success of the network grows, greater demands are placed upon it, and the capacity of practices to continue to engage in research may be tested.
许多发达工业化国家认为发展基于实践的研究网络具有重大价值。本文描述了苏格兰初级保健研究网络（SPCRN）从1924年至2013年的发展历程。在20世纪初经历了一次失败的开端以及10到15年前的一些局部发展之后，苏格兰初级保健研究网络最终建立在以活跃于研究领域的全科医学和初级保健部门为中心的现有教学与培训实践网络之上。这意味着已然存在有利于研究的氛围，并且具备了一些必要的技能。国民医疗服务体系对该网络的长期资金投入意味着可以在知晓其可能会被纳入更广泛的苏格兰和英国体系的情况下发展基础设施。三分之二的苏格兰医疗机构每年以50至60项研究的速度定期参与研究，这些研究产生了一系列影响临床决策和卫生政策的出版物。随着该网络的成功不断扩大，对其的要求也越来越高，医疗机构继续参与研究的能力可能会受到考验。
