tailieunhanh - báo cáo khoa học: "Bridging the gap between basic science and clinical practice: The role of organizations in addressing clinician barriers"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bridging the gap between basic science and clinical practice: The role of organizations in addressing clinician barriers | Beckett et al. Implementation Science 2011 6 35 http content 6 1 35 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Bridging the gap between basic science and clinical practice The role of organizations in addressing clinician barriers Megan Beckett1 Elaine Quiter6 Gery Ryan1 Claude Berrebi1 Stephanie Taylor1 Michelle Cho7 Harold Pincus2 3 4 and Katherine Kahn1 5 Abstract Background New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine. Objective This paper describes organizational strategies that influence clinicians decisions to participate in clinical research. Design We reviewed the literature and interviewed over 200 clinicians and stakeholders. Results The most common barriers to community clinician participation in clinical research relate to beliefs that clinical research is too burdensome and has little benefit for the participating clinician or patient. We identified a number of approaches healthcare organizations can use to encourage clinicians to participate in research including an outreach campaign to promote the benefits of clinical research selection of study topics of interest to clinicians establishment and enforcement of a set of research principles valuing the clinician and patient development of a transparent schedule of reimbursement for research tasks provision of technological and technical assistance to practices as needed and promotion of a sense of community among clinicians involved in practice-based research. Conclusions Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible. Background The National Institutes of Health NIH and other policymakers have identified broader recruitment of community-based physicians .