Practice-Based Research Networks: A Resource for Translation Research

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A group of ambulatory practices devoted primarily to patient care--affiliated with each other to investigate questions related to their practice.

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Practice-Based Research Networks: A Resource for Translation Research

  1. 1. Practice-Based Research Networks (PBRNs): a Resource for Translation Research Lyndee Knox, PhD LA Net Associate Professor University of Southern California knox@usc.edu www.lanetpbrn.net
  2. 2. “If we want more evidence- based practice,we need more practice-based evidence.” Larry W. Green, 2004
  3. 3. OverviewWhat are Primary Care Practice-BasedResearch Networks or PBRNs?Case example: LA NetCan they be a resource to RCMIs?
  4. 4. What is a PBRN?A group of ambulatory practices devotedprimarily to patient care -- affiliated witheach other to investigate questions relatedto their practiceBegun 30 years ago in US as a way tostudy process of primary care
  5. 5. Overview stats 89 PBRNs in US 14.7 million patients 12,957 providersFrom: AHRQ National PBRN Resource Center Survey, 2005N=89 out of 111 identified PBRNs
  6. 6. But why in primary care setting? In an average month:1000 people 800 with symptoms 21 visit a hospital outpatient clinic 14 receive home 113 PCP Visits visits health care 13 visit an PBRN emergency department Focus 8 are in a hospital <1 academicNew Ecology of Medical Care - 2000 health center
  7. 7. LA NetLocated in LA CountyFounded 2002 w/ funding from HRSA/AHRQ~180 providers, 20 clinic partners in Los AngelesCountyFluid membership – opt inor out based on interest
  8. 8. LA Net project generationTOP DOWN (40%) Respond to RFAs from funding agencies; collaborate with outside researchersBOTTOM UP (60%) Study ideas come from providers Use participatory process called the “Reflective Practitioner”
  9. 9. Examples of Current Health Disparity Studies by PBRNs Office-based modified colon endoscopy as an alternative to flexible sigmoidoscopy (LA Net) CAM Use and Disclosure by Latin American Immigrant Patients (LA Net) Longitudinal Study of Hyperlipidemia in a Primary Care Population (ProHealth)
  10. 10. Ethnic Disparity in the Use of JointArthroplasty (ResNet)Black women’s health study cheekcell collection (SCOR)Gene polymorphisms in relation tocancer in Black women and Blackwomens health study (SCOR)
  11. 11. Locations of PBRNs and RCMI Sites Pediatrics PBRN Internal Medicine PBRNFamily Medicine PBRNNursing/Nurse Practitioner Other PBRN (includes Community Health Centers andPBRN multispecialty primary care networks)RCMI Sites
  12. 12. SummaryPBRNs are available and they workThey can be effective partners for RCMIs fortranslation research, and for increasing therelevance and eventual “translatability” ofmedical research

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