Reutlingen Research Institute, Reutlingen University, Reutlingen, Germany.
Institute for General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Stud Health Technol Inform. 2024 Aug 22;316:190-194. doi: 10.3233/SHTI240376.
General practice-based research networks have become an integral tool to gain medical knowledge from primary care in many countries. For this purpose, a scalable IT-infrastructure is presented considering the limiting peculiarities in the German health system and enabling GPs to participate in clinical studies based on their patient population. The infrastructure consists of a central study management server and local clients for each practice. It adopts to the currently limited digital connectivity of GP practices, data protection regulations for clinical data and the needs of the medical staff to manage a clinical study. The infrastructure is in production at the four university hospitals in the state of Baden-Württemberg. Until now three clinical studies with over 70 GPs and 350 Participants are successfully conducted or have been finished. Further clinical studies are in the planning stages.
基于全科医生实践的研究网络已经成为许多国家从初级保健中获取医学知识的重要工具。为此，考虑到德国卫生系统的限制特点，提出了一种可扩展的 IT 基础设施，使全科医生能够根据其患者群体参与临床研究。该基础设施由一个中央研究管理服务器和每个实践的本地客户端组成。它适用于目前全科医生实践中有限的数字连接、临床数据的数据保护法规以及医务人员管理临床研究的需求。该基础设施正在巴登-符腾堡州的四所大学医院投入使用。迄今为止，已经成功开展了三项涉及 70 多名全科医生和 350 名参与者的临床研究，或者已经完成。更多的临床研究正在规划阶段。
