Building a practice-based research network for healthcare integration: a protocol paper for a mixed-method project

Peters, Sanne; Chakraborty, Samantha; Barton, Christopher; Sturgiss, Elizabeth; Mazza, Danielle; Leon-Santiago, Maria De; Staunton-Smith, Timothy; Russell, Grant

doi:10.1136/bmjopen-2021-060524

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…Alternative research approaches, such as implementation research, have advanced and grown as new strategies to reduce the gap between research and practice, mainly because they systematically approach the factors that contribute to this gap, understanding the context and identifying barriers and solutions for delivering sustainable and effective health care. 41 Thus, to make progress in overcoming these structural barriers it is important to understand the essential pieces of the research process, without which a project will likely die prematurely. One of these elements is the minimal infrastructure required for PC-PBR research projects to be long-lasting and sustainable.…”

Section: Discussionmentioning

confidence: 99%

Challenges and Recommendations for Conducting Research in Primary Health Care Practice: An integrative review

Bonfim

Belotti

Almeida

et al. 2023

Preprint

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Background Primary care practice-based research is valuable for advancing scientific knowledge in real-world settings and promoting evidence-based practice. It has external validity to other primary health care settings, making translation of research findings easier. However, conducting such research can be challenging, especially in low- and middle-income countries with limited resources and infrastructure. Systematizing the challenges and recommendations is necessary to support researchers in producing high-quality research in primary care.Objective To identify challenges and recommendations for conducting practice-based research in primary health care services.Method An integrative literature review was performed on PubMed, Embase, Scopus, Web of Science and Lilacs databases.Results 440 articles were identified and 25 were included in the analysis. There was a prevalence of descriptive studies, conducted in developed countries, and the majority with the participation of physicians. The challenges and recommendations for conducting practice-based research in primary health care services were grouped into six topics: research planning; infrastructure; engagement of health professionals in research; knowledge translation; relation between universities and practice; international partnerships and collaboration.Conclusion The challenges to implementing research in primary health care settings are similar in several analyzed contexts and the recommendations found point to the necessity for lasting and systemic action that engages managers, decision makers, academics, health professionals of different categories and users, aiming towards the sustainability and transformation of the practice.

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Section: Discussionmentioning

confidence: 99%

Challenges and Recommendations for Conducting Research in Primary Health Care Practice: An integrative review

Bonfim

Belotti

Almeida

et al. 2023

Preprint

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“…A practical solution may be found in the Practice-Based Research Networks, that are sustained collaborations between clinicians, researchers, and members of the community, who share the interest of generating high-quality research for PC. 16,17 These could act as a point of reference for research and collaboration between academic centers, policymakers, community-based services, and PC. 16,18 In the future, considering the results of this study and data collected during interviews, we will conduct a quantitative analysis, at a national level, to be applied to all PC health professionals, in order to describe the real panorama of PC research in Portugal and formulate robust and effective recommendations for its promotion.…”

Section: Discussionmentioning

confidence: 99%

Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study

Morgado¹,

Rodrigues

Ramos

et al. 2023

Acta Med Port

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Introduction: There are several barriers discouraging clinicians from undertaking research, including insufficient funding, lack of time, organizational issues and lack of support. The strengthening of research capacity is perceived from three levels: characteristics of the researcher, the environment, and organizational issues. To date, Portugal is lacking studies on this subject. The aim of this study was to identify the best practices to promote research in Portuguese Primary Health Care.Methods: We conducted a qualitative study using semi-structured interviews with family doctors with broadly recognized research work and other stakeholders. We selected a sample by convenience and snowball sampling. From a total of 14 doctors invited by email, 12 responded positively, and we subsequently included two other stakeholders. We conducted the interviews in digital or face-to-face formats. Two team members handled the coding of interviews independently. We kept all recordings and transcripts confidential, only accessible to researchers.Results: We identified 16 strategies: 1) increasing institutional support; 2) creating support structures; 3) redefining the residency program; 4) investing in research training; 5) redefining curriculum evaluation; 6) establishing dedicated time for research; 7) increasing funding; 8) improving access to research data; 9) being a research driver; 10) establishing a research culture; 11) working in collaboration; 12) creating formally organized research groups; 13) creating autonomous research centers; 14) improving the definition of the research subjects and study designs; 15) reviewing procedures for ethics’ committees; and 16) reviewing the current selection of articles for publication.Conclusion: Overall, a greater proportion of interviewees identified the following as the most relevant strategies for research promotion: institutional support, including technical and scientific support from public institutions, private entities and academic centers; the reorganization of working hours with protected time for research; increased funding directed towards research and breaking isolation in research, promoting teamwork with clinicians within the same area or from different professional backgrounds.

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“…Alternative research approaches, such as implementation research, have advanced and grown as new strategies to reduce the gap between research and practice, mainly because they systematically approach the factors that contribute to this gap, understanding the context and identifying barriers and solutions for delivering sustainable and effective health care [41]. Thus, to make progress in overcoming these structural barriers it is important to understand the essential pieces of the research process, without which a project will likely die prematurely.…”

Section: Discussionmentioning

confidence: 99%

Challenges and strategies for conducting research in primary health care practice: an integrative review

Bonfim,

Belotti,

de Almeida

et al. 2023

BMC Health Serv Res

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Background Providing accessible and high-quality patient-centered healthcare remains a challenge in many countries, despite global efforts to strengthen primary health care (PHC). Research and knowledge management are integral to enhancing PHC, facilitating the implementation of successful strategies, and promoting the use of evidence-based practices. Practice-based research in primary care (PC-PBR) has emerged as a valuable approach, with its external validity to diverse PHC settings, making it an effective means of translating research findings into professional practice. Objective To identify challenges and strategies for conducting practice-based research in primary health care services. Method An integrative literature review was conducted by searching the PubMed, Embase, Scopus, Web of Science, and Lilacs databases. The research question, guided by the PICo framework, directed the execution of study selection and data extraction. Data analysis followed the RAdAR method's three phases: pre-analysis, data analysis, and interpretation of results. Results Out of 440 initially identified articles, 26 met the inclusion criteria. Most studies were conducted in high-income countries, primarily the United States. The challenges and strategies for PC-PBR were categorized into six themes: research planning, infrastructure, engagement of healthcare professionals, knowledge translation, the relationship between universities and health services, and international collaboration. Notable challenges included research planning complexities, lack of infrastructure, difficulties in engaging healthcare professionals, and barriers to knowledge translation. Strategies underscore the importance of adapting research agendas to local contexts, providing research training, fostering stakeholder engagement, and establishing practice-based research networks. Conclusion The challenges encountered in PC-PBR are consistent across various contexts, highlighting the need for systematic, long-term actions involving health managers, decision-makers, academics, diverse healthcare professionals, and patients. This approach is essential to transform primary care, especially in low- and middle-income countries, into an innovative, comprehensive, patient-centered, and accessible healthcare system. By addressing these challenges and implementing the strategies, PC-PBR can play a pivotal role in bridging the gap between research and practice, ultimately improving patient care and population health.

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Building a practice-based research network for healthcare integration: a protocol paper for a mixed-method project

Cited by 4 publications

References 38 publications

Challenges and Recommendations for Conducting Research in Primary Health Care Practice: An integrative review

Challenges and Recommendations for Conducting Research in Primary Health Care Practice: An integrative review

Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study

Challenges and strategies for conducting research in primary health care practice: an integrative review

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