启动首个退伍军人健康管理局（VA）基于实践的女性健康研究网络（WH-PBRN）研究的经验教训。
Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study.
作者信息
Pomernacki Alyssa, Carney Diane V, Kimerling Rachel, Nazarian Deborah, Blakeney Jill, Martin Brittany D, Strehlow Holly, Yosef Julia, Goldstein Karen M, Sadler Anne G, Bean-Mayberry Bevanne A, Bastian Lori A, Bucossi Meggan M, McLean Caitlin, Sonnicksen Shannan, Klap Ruth, Yano Elizabeth M, Frayne Susan M
机构信息
From the Veterans Administration (VA) Health Services Research & Development (HSR&D) Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA (AP, DVC, RK, MMB, CM, SS, SMF); the National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA (RK, MMB, CM, SS); the VA Advanced Fellowship Program in Mental Illness Research and Treatment, VA Palo Alto Health Care System, Palo Alto, CA (DN); the VA HSR&D Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC (JB, KMG); the VA HSR&D Center for Comprehensive Access and Delivery Research and Evaluantion, Iowa City VA Health Care System, Iowa City, IA (BDM, HS, AGS); the VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Sepulveda, CA (JY, BAB-M, RK, EMY); the Department of Medicine, Duke University, Durham, NC (KMG); the Department of Psychiatry, University of Iowa Hospitals and Clinics, Iowa City (AGS); the Department of Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles (BAB-M); the VA HSR&D Pain Research, Informatics, Multi-morbidities, and Education Center, VA Connecticut Healthcare System, West Haven (LAB); the Division of General Internal Medicine, University of Connecticut Health Center, Farmington (LAB); the Department of Health Policy and Management, University of California Los Angeles Fielding School of Public Health, Los Angeles (EMY); and the Division of General Medical Disciplines, Stanford University, Stanford, CA (SMF).
出版信息
J Am Board Fam Med. 2015 Sep-Oct;28(5):649-57. doi: 10.3122/jabfm.2015.05.150029.
BACKGROUND
The Veterans Health Administration (VA) Women's Health Practice-Based Research Network (WH-PBRN) was created to foster innovations for the health care of women veterans. The inaugural study by the WH-PBRN was designed to identify women veterans' own priorities and preferences for mental health services and to inform refinements to WH-PBRN operational procedures. Addressing the latter, this article reports lessons learned from the inaugural study.
METHODS
WH-PBRN site coordinators at the 4 participating sites convened weekly with the study coordinator and the WH-PBRN program manager to address logistical issues and identify lessons learned. Findings were categorized into a matrix of challenges and facilitators related to key study elements.
RESULTS
Challenges to the conduct of PBRN-based research included tracking of regulatory documents; cross-site variability in some regulatory processes; and troubleshooting logistics of clinic-based recruitment. Facilitators included a central institutional review board, strong relationships between WH-PBRN research teams and women's health clinic teams, and the perception that women want to help other women veterans.
CONCLUSION
Our experience with the inaugural WH-PBRN study demonstrated the feasibility of establishing productive relationships between local clinicians and researchers, and of recruiting a special population (women veterans) in diverse sites within an integrated health care system. This identified strengths of a PBRN approach.
背景
退伍军人健康管理局（VA）的基于实践的女性健康研究网络（WH-PBRN）旨在促进针对女性退伍军人医疗保健的创新。WH-PBRN的首个研究旨在确定女性退伍军人自身对心理健康服务的优先事项和偏好，并为完善WH-PBRN的操作程序提供信息。针对后者，本文报告了从首个研究中吸取的经验教训。
方法
4个参与站点的WH-PBRN站点协调员每周与研究协调员和WH-PBRN项目经理召开会议，以解决后勤问题并确定经验教训。研究结果被归类为与关键研究要素相关的挑战和促进因素矩阵。
结果
基于PBRN的研究实施面临的挑战包括监管文件的跟踪；某些监管流程中的跨站点差异；以及基于诊所招募的后勤故障排除。促进因素包括一个中央机构审查委员会、WH-PBRN研究团队与女性健康诊所团队之间的牢固关系，以及女性希望帮助其他女性退伍军人的观念。
结论
我们在首个WH-PBRN研究中的经验证明了在当地临床医生和研究人员之间建立富有成效的关系，以及在综合医疗保健系统内不同站点招募特殊人群（女性退伍军人）的可行性。这确定了PBRN方法的优势。
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