From the Department of Family Medicine, Atrium Health, Charlotte, NC.
J Am Board Fam Med. 2020 Sep-Oct;33(5):645-649. doi: 10.3122/jabfm.2020.05.200400.
The COVID-19 outbreak is a stark reminder of the ongoing challenge of emerging and reemerging disease, the human cost of pandemics and the need for robust research. For primary care, the advent of COVID-19 has forced an unprecedented wave of practice change. In turn, Practice-Based Research Networks (PBRNs) must rapidly pivot to address the changing environment and the critical challenges faced by primary care. The pandemic has also impacted the ability of PBRNs to deploy traditional research methods such as face-to-face patient and provider interactions, practice facilitation, and stakeholder engagement. Providers need more relevant, patient-centered evidence and the skills to effect change. These skills will become more important than ever as primary care practices evolve in response to the current COVID-19 pandemic and the disparities in health outcomes highlighted by COVID-19 and the global Black Lives Matter social movement for justice. Throughout this issue, authors detail the work conducted by PBRNs that demonstrate many of these evolving concepts. Articles explore how PBRNs can evaluate COVID-19 in primary care, the role of PBRNs in quality improvement, stakeholder engagement, prevention and chronic care management, and patient safety in primary care.
COVID-19 疫情爆发强烈提醒人们,新发和再现疾病仍在持续,大流行病给人类带来的代价,以及对强有力研究的需求。对初级保健来说,COVID-19 的出现迫使实践发生了前所未有的变化。反过来,基于实践的研究网络(PBRN)必须迅速转变,以应对不断变化的环境和初级保健面临的关键挑战。大流行也影响了 PBRN 部署传统研究方法的能力,例如面对面的患者和提供者互动、实践促进以及利益相关者的参与。提供者需要更相关、以患者为中心的证据和实施变革的技能。随着初级保健实践为应对当前 COVID-19 大流行以及 COVID-19 和全球“黑人的命也是命”正义运动凸显的健康结果差异而演变,这些技能将变得比以往任何时候都更加重要。在本期中,作者详细介绍了 PBRN 开展的工作,这些工作展示了许多这些不断发展的概念。文章探讨了 PBRN 如何在初级保健中评估 COVID-19、PBRN 在质量改进、利益相关者参与、预防和慢性病管理以及初级保健中的患者安全方面的作用。