Farley Health Policy Center, University of Colorado School of Medicine, Aurora, CO.
National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Ethn Dis. 2019 Feb 21;29(Suppl 1):113-118. doi: 10.18865/ed.29.S1.113. eCollection 2019.
While the vast majority of people receive their medical care in community primary and specialty care clinics, most clinical research is performed in academic tertiary care hospitals and hospital clinics. Practice-based research networks are most commonly collections of primary care practices that work together to ask and answer health questions for their patients and communities and are an integral part of the translational pathway from discovery to practice to community health. Community primary care practices are at the front line of health equity issues; equity in clinical care, equity in community health, equity in social determinants of health, and equity in health outcomes. Practice-based research networks can gather and combine data from dozens of communities, hundreds of practices and thousands of patients to address health equity and disparities across the full spectrum of community and public health to clinical and primary care. This article will briefly outline the history of PBRNs, types of PBRNs, locations, topics, and patient outcomes over the past 25 years. Current PBRN efforts to address health disparities and improve health equity will be described. New PBRN opportunities to address health disparities and approaches to advance implementation research for health equity in the practice and community will be described. Readers will be challenged to consider ways to engage practice-based research networks in their health equity efforts.
尽管绝大多数人在社区初级保健和专科诊所接受医疗护理，但大多数临床研究都是在学术性三级保健医院和医院诊所进行的。基于实践的研究网络通常是初级保健实践的集合，它们共同为患者和社区提出和回答健康问题，是从发现到实践再到社区健康的转化途径的一个组成部分。社区初级保健实践处于卫生公平问题的前沿；临床护理公平、社区健康公平、健康决定因素的社会公平以及健康结果的公平。基于实践的研究网络可以从数十个社区、数百个实践和数千名患者那里收集和合并数据，以解决整个社区和公共卫生到临床和初级保健的健康公平和差异问题。本文将简要概述过去 25 年来 PBRN 的历史、类型、地点、主题和患者结果。将描述当前 PBRN 为解决健康差异和改善健康公平所做的努力。将描述新的 PBRN 机会，以解决健康差异，并为实践和社区的健康公平实施研究提供途径。读者将面临挑战，需要考虑如何让基于实践的研究网络参与他们的健康公平工作。
