Reengineering the clinical research enterprise to involve more community clinicians

Author:

Ryan Gery,Berrebi Claude,Beckett Megan,Taylor Stephanie,Quiter Elaine,Cho Michelle,Pincus Harold,Kahn Katherine

Abstract

Abstract Background The National Institutes of Health has called for expansion of practice-based research to improve the clinical research enterprise. Methods This paper presents a model for the reorganization of clinical research to foster long-term participation by community clinicians. Based on the literature and interviews with clinicians and other stakeholders, we posited a model, conducted further interviews to test the viability of the model, and further adapted it. Results We propose a three-dimensional system of checks and balances to support community clinicians using research support organizations, community outreach, a web-based registry of clinicians and studies, web-based training services, quality audits, and a feedback mechanism for clinicians engaged in research. Conclusions The proposed model is designed to offer a systemic mechanism to address current barriers that prevent clinicians from participation in research. Transparent mechanisms to guarantee the safety of patients and the integrity of the research enterprise paired with efficiencies and economies of scale are maintained by centralizing some of the functions. Assigning other responsibilities to more local levels assures flexibility with respect to the size of the clinician networks and the changing needs of researchers.

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health,Health Informatics,Health Policy,General Medicine

Reference22 articles.

1. Zerhouni E: The NIH roadmap. Science. 2003, 72 (302): 63-64. 10.1126/science.1091867.

2. Kahn K, Ryan G, Beckett M, Taylor S, Berrebi C, Cho M, Quiter E, Fremont A, Pincus H: Bridging the gap between basic science and clinical practice: a role for community clinicians. Implementation Science. 2011,

3. Beckett M, Quiter E, Ryan G, Berrebi C, Taylor S, Cho M, Pincus H, Kahn K: Bridging the gap between basic science and clinical practice: the role of organizations in addressing clinician barriers. Implementation Science. 2011,

4. Zerhouni EA: US biomedical research: basic, translational, and clinical sciences. JAMA. 2005, 294 (11): 1352-1358. 10.1001/jama.294.11.1352.

5. Campbell EG, Weissman JS, Moy E, Blumenthal D: Status of clinical research in academic health centers: views from the research leadership. JAMA. 2001, 286 (7): 800-806. 10.1001/jama.286.7.800.

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