You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Linking Practice-Based Research Networks and Clinical and Translational Science Awards: New Opportunities for Community Engagement by Academic Health Centers

Fagnan, Lyle J. MD; Davis, Melinda MA; Deyo, Richard A. MD, MPH; Werner, James J. PhD; Stange, Kurt C. MD, PhD

Academic Medicine:
doi: 10.1097/ACM.0b013e3181cd2ed3
Clinical and Translational Research
Abstract

Purpose: Practice-based research networks (PBRNs) are a part of many National Institutes of Health (NIH)-funded Clinical and Translational Science Award (CTSA) sites. PBRNs, groups of primary care practices committed to collaborating on practice-relevant research, are unfamiliar to many CTSA leaders. Conversely, the CTSAs, as new research structures designed to transform clinical research, are unfamiliar to many PBRN directors. This study examined the extent to which these programs have congruent goals and expectations, and whether their engagement is likely to be mutually beneficial.

Method: The authors sent a Web-based survey to 38 CTSA community engagement directors and a similar survey to 114 PBRN directors during the fall of 2008.

Results: A total of 66% (25/38) CTSA community engagement directors and 61% (69/114) PBRN directors responded. Two thirds of responding CTSAs reported working with PBRNs, and over half of responding PBRNs reported a CTSA affiliation. Both groups indicated this relationship was important. CTSAs looked to PBRNs for access to patients and expertise in engaging communities and clinical practices. PBRNs reported seeking stable infrastructure support and greater collaboration and visibility in the academic research community. PBRN infrastructure support from CTSAs was highly variable. Both groups perceived considerable promise for building sustainable relationships and a bidirectional flow of information and research opportunities.

Conclusions: With fewer than three years of experience, the PBRN/CTSA relationship remains in the discovery phase; the participants are still negotiating expectations. If these collaborations prove mutually beneficial, they may advance the community engagement goals of many academic health centers.

Author Information

Dr. Fagnan is director, Oregon Rural Practice-based Research Network, and associate professor of family medicine, Oregon Health & Science University, Portland, Oregon.

Ms. Davis is research associate, Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, Oregon.

Dr. Deyo is Kaiser Permanente Professor of Evidence-Based Family Medicine and director, Community and Practice Research Program, Oregon Clinical & Translational Science Institute, Oregon Health & Science University, Portland, Oregon.

Dr. Werner is director, Practice-Based Research Network Shared Resources, Case Western Reserve University Clinical and Translational Science Collaborative and Case Comprehensive Cancer Center, Cleveland, Ohio.

Dr. Stange is steward for practice-based research network research, Case Western Reserve University Clinical and Translational Science Collaborative, Cleveland, Ohio.

Please see the end of this article for information about the authors.

Correspondence should be addressed to Dr. Fagnan, Oregon Rural Practice-based Research Network, Oregon Health & Science University, Mail Code L222, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098; telephone: (503) 494-1582; fax (503) 494-1513; e-mail: fagnanl@ohsu.edu.

© 2010 Association of American Medical Colleges