Abstract
Medical investigators increasingly attempt to demonstrate the effectiveness of treatments given in routine practice settings as well as in research settings. We identified and describe several key issues in practice-based research: identifying the appropriate population; drawing the sample; recruitment of physicians and patients; maintenance of the physician-researcher relationship; and data management. Three on-going practice-based projects are described from the perspective of these key issues. Two are practice-based randomized trials, one is a large cohort study. Common characteristics are identified which contributed to the success of the three projects: direct recruitment of clinicians by clinicians; close liaison with local medical organizations; on-going personal contact with the practices; and recognition of the value of the practicing physician's time.
Similar content being viewed by others
References
Morris, BAP. Community and university-Partners in research.Fam Pract Res J 1992; 12: 123.
Nelson EC, Kirk JW, Bise BW, Chapman RJ, Hale FA, Stamps PL, et al. The cooperative information project: part 1: A sentinel practice network for service and research in primary care. J Fam Pract 1981; 13:641.
Carey, TS, Garrett, J, Jackman, A, McLaughlin, C, Fryer, J, Smucker, DR, and the North Carolina Back Pain Project. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons.NEJM 1995; 333:913–917.
Doak LG, Doak CC. Patient comprehension profiles: Recent findings and strategies.Patient Counseling and Health Education. 1980; 2.
Green LA, Wood M, Becker L, Farley ES, Freeman WL, Froom J, et al. The Ambulatory Sentinel Practice Network: Purpose, methods, and policies.J Fam Pract 1984; 18:275.
Culpepper L, Froom J. The international primary care network: Purpose, methods and policies.Fam Med 1988; 20:197.
Solbert LI, Mayer TR, Seifert MM, Cole PM. The Minnesota AFP research panel: A model for collaborative practicing family physician research.Fam Med 1983; 15:139.
Green LA, Niebauer LJ, Miller RS, Lutz LJ. An analysis of reasons for discontinuing participation in a practice-based research network.Fam Med 1991; 23:447.
Sackett DL, Haynes RB, Tugwell P. Clinical epidemiology: A basic science for clinical medicine. Boston: Little-Brown, 1985: 146.
Falk RJ, Hogan S, Carey TS, Jennette JC. Clinical course of anti-neutrophil cytoplasmic antibody-associated glomerulonephritis and systemic vasculitis: The Glomerular Disease Collaborative Network.Ann Intern Med 1990; 113:656.
Kosecoff J, Chassin MR, Fink A, Flynn MF, McCloskey L, Genovese BJ, et al. Obtaining clinical data on the appropriateness of medical care in community practice.JAMA 1987; 258:2538.
Author information
Authors and Affiliations
Additional information
Supported in part by AHCPR Grant #HS06664, National Heart Lung and Blood Institute Grant #HL44157, and National Cancer Institute Grant #CA54343.
Rights and permissions
About this article
Cite this article
Carey, T.S., Kinsinger, L., Keyserling, T. et al. Research in the community recruitimg and retaining practices. J Community Health 21, 315–327 (1996). https://doi.org/10.1007/BF01702785
Issue Date:
DOI: https://doi.org/10.1007/BF01702785