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  • 标题:“Not a Kidney or a Lung:” Research Challenges in a Network of Safety Net Clinics
  • 作者:John Heintzman, MD, MPH ; Sonja Likumahuwa, MID, MPH ; Christine Nelson, PhD, RN
  • 期刊名称:Family Medicine
  • 印刷版ISSN:0742-3225
  • 电子版ISSN:1938-3800
  • 出版年度:2014
  • 卷号:46
  • 期号:2
  • 页码:105-11
  • 出版社:Society of Teachers of Family Medicine
  • 摘要:Background AND OBJECTIVES: To gain a better understanding of the facilitators and barriers to creating a practice-based research network (PBRN) of safety net clinics, we conducted a qualitative study within our network of safety net health centers. Methods: Utilizing snowball sampling, we conducted interviews with 19 of our founding stakeholders and analyzed these interviews to draw out common themes. Results: The results showed four barriers to research in our network: lack of research generated from clinician questions, lack of appropriate funding, lack of clinician time, and lack of infrastructure. We discuss these results and suggest that inadequate funding for practice-based research, particularly in the health care safety net, is a unifying theme of these four barriers. Conclusions: Our results suggest that the national funding strategy for research relevant to underserved populations and all of primary care must undergo a fundamental shift. We discuss the features of possible models to meet this need.
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