Abstract
BackgroundNew 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.ObjectiveThis paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.DesignWe reviewed the literature and interviewed over 200 clinicians and stakeholders.ResultsThe 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.ConclusionsMany types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible.
Highlights
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
Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research
When we asked community clinicians what factors shape their attitudes toward clinical research, we learned that even if they were informed of research opportunities, they would need to value clinical research and believe that it is potentially beneficial to their patients and practices to be willing to invest the time and energy necessary to evaluate whether a particular research project would make sense for them
Summary
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. The National Institutes of Health (NIH) and other policymakers have identified broader recruitment of community-based physicians and their patients into largescale clinical studies as a priority for the national health research agenda [1,2,3]. Meeting this goal will require recruiting many clinicians who would not typically participate in clinical research [2,3,4]. We and others have identified many barriers to long-term participation in clinical research by community physicians and other clinicians, including time constraints, insufficient staff
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