Clinicians' perspectives on and interest in participating in a clinical data research network across the Southeastern United States.

Abstract:

BACKGROUND:Partnerships between clinicians and researchers could increase the generalizability of research findings and increase uptake of research results across populations. Yet engaging clinicians in research is challenging. Clinical Data Research Networks (CDRNs) provide access to a broad array of clinical data, patients, clinicians and health systems by building on existing health records (EHRs) to facilitate multi-site community engaged research (CEnR). METHODS:A mixed-methods sequential explanatory design was employed. Sixty semi-structured interviews with clinicians from various disciplines and healthcare settings were conducted using five open-ended questions. Inductive content analysis was used to identify emerging themes in the data. RESULTS:We identified the following emerging themes: 1) Research with relevance and benefits to clinics and provider's patient population; 2) Difficulties of engaging in research with existing patient care demands; 3) Clear and continuous two-way communication about research, coordinated with provider and clinic needs; 4) Tailored compensation approaches meet provider preferences; 5) Increasing clinician awareness about Clinical Data Research Networks (CDRNs). CONCLUSION:Our interview study provides insight into community clinician perspectives on Clinical Data Research Networks, indicating motivations and challenges to research involvement including consequences of time spent on research participation, barriers to expanding research and meaningful involvement in research governance. Findings can be used to guide the development of strategies to better engage providers in research in clinical settings, which could ultimately improve patient outcomes.

journal_name

BMC Health Serv Res

authors

Unertl KM,Fair AM,Favours JS,Dolor RJ,Smoot D,Wilkins CH

doi

10.1186/s12913-018-3399-9

subject

Has Abstract

pub_date

2018-07-20 00:00:00

pages

568

issue

1

issn

1472-6963

pii

10.1186/s12913-018-3399-9

journal_volume

18

pub_type

杂志文章
  • Barriers and facilitators with medication use during the transition from hospital to home: a qualitative study among patients.

    abstract:BACKGROUND:During transitions from hospital to home, up to half of all patients experience medication-related problems, such as adverse drug events. To reduce these problems, knowledge of patient experiences with medication use during this transition is needed. This study aims to identify the perspectives of patients o...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4028-y

    authors: Daliri S,Bekker CL,Buurman BM,Scholte Op Reimer WJM,van den Bemt BJF,Karapinar-Çarkit F

    更新日期:2019-03-29 00:00:00

  • Measuring productivity of healthcare services under environmental constraints: evidence from China.

    abstract:BACKGROUND:Despite the growing literature on the efficiency and productivity of the Chinese healthcare system, less attention has been given to examining the undesirable outputs linked to healthcare services, including environmental pollution. Taking the atmospheric environmental pollution resulting from the incinerati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05496-9

    authors: Yu J,Liu Z,Zhang T,Hatab AA,Lan J

    更新日期:2020-07-22 00:00:00

  • Improving equity in health care financing in China during the progression towards Universal Health Coverage.

    abstract:BACKGROUND:China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major policy goal of health care system during the progression towards universal coverage. METHODS:We used p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2798-7

    authors: Chen M,Palmer AJ,Si L

    更新日期:2017-12-29 00:00:00

  • "It's very complicated": a qualitative study of medicines management in intermediate care facilities in Northern Ireland.

    abstract:BACKGROUND:Intermediate care (IC) describes a range of services targeted at older people, aimed at preventing unnecessary hospitalisation, promoting faster recovery from illness and maximising independence. Older people are at increased risk of medication-related adverse events, but little is known about the provision ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0869-1

    authors: Millar AN,Hughes CM,Ryan C

    更新日期:2015-06-02 00:00:00

  • Graduates of Lebanese medical schools in the United States: an observational study of international migration of physicians.

    abstract:BACKGROUND:As healthcare systems around the world are facing increasing physician shortages, more physicians are migrating from low to high income countries. As an illustrative case of international migration of physicians, we evaluated the current number and historical trends of Lebanese medical graduates (LMG) in the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-7-49

    authors: Akl EA,Maroun N,Major S,Chahoud B,Schünemann HJ

    更新日期:2007-04-05 00:00:00

  • Challenges in identifying barriers to adoption in a theory-based implementation study: lessons for future implementation studies.

    abstract:BACKGROUND:Exploring barriers to the uptake of research based recommendations into practice is an important part of the development of implementation programmes. Techniques to identify barriers can include use of theory-informed questionnaires and qualitative interviews. Conceptualising and measuring theory-informed fa...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-422

    authors: Hanbury A,Farley K,Thompson C,Wilson P,Chambers D

    更新日期:2012-11-23 00:00:00

  • Validating an algorithm to identify metastatic gastric cancer in the absence of routinely collected TNM staging data.

    abstract:BACKGROUND:Accurate TNM stage information is essential for cancer health services research, but is often impractical and expensive to collect at the population-level. We evaluated algorithms using administrative healthcare data to identify patients with metastatic gastric cancer. METHODS:A population-based cohort of g...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3125-7

    authors: Mahar AL,Jeong Y,Zagorski B,Coburn N

    更新日期:2018-05-02 00:00:00

  • Evaluation of a Tennessee statewide initiative to reduce early elective deliveries using quasi-experimental methods.

    abstract:BACKGROUND:Concerted quality improvement (QI) efforts have been taken to discourage the practice of early elective deliveries (EEDs), but few studies have robustly examined the impact of directed QI interventions in reducing EED practices. Using quasi-experimental methods, we sought to evaluate the impact of a statewid...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4033-1

    authors: Thompson MP,Graetz I,McKillop CN,Grubb PH,Waters TM

    更新日期:2019-04-02 00:00:00

  • Identifying the barriers and enablers in the implementation of the New Zealand and Australian Antenatal Corticosteroid Clinical Practice Guidelines.

    abstract:BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-016-1858-8

    authors: Mc Goldrick EL,Crawford T,Brown JA,Groom KM,Crowther CA

    更新日期:2016-10-28 00:00:00

  • Workplace health promotion for older workers: a systematic literature review.

    abstract:BACKGROUND:Aging of the workforce is a growing problem. As workers age, their physical, physiological and psychosocial capabilities change. Keeping older workers healthy and productive is a key goal of European labor policy and health promotion is a key to achieve this result. Previous studies about workplace health pr...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-016-1518-z

    authors: Poscia A,Moscato U,La Milia DI,Milovanovic S,Stojanovic J,Borghini A,Collamati A,Ricciardi W,Magnavita N

    更新日期:2016-09-05 00:00:00

  • Health-care services utilization and costs associated with radical cystectomy for bladder cancer: a descriptive population-based study in the province of Quebec, Canada.

    abstract:BACKGROUND:Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The objective of this study was to characterize the use of health-care services and costs associated with BC among patients who underwent radical cystectomy (RC) in the province of Quebec. METHODS:We conducted a descrip...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0972-3

    authors: Santos F,Dragomir A,Zakaria AS,Kassouf W,Aprikian A

    更新日期:2015-08-05 00:00:00

  • Support for a tax increase to provide unrestricted access to an Alzheimer's disease medication: a survey of the general public in Canada.

    abstract:BACKGROUND:Public drug insurance plans provide limited reimbursement for Alzheimer's disease (AD) medications in many jurisdictions, including Canada and the United Kingdom. This study was conducted to assess Canadians' level of support for an increase in annual personal income taxes to fund a public program of unrestr...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-246

    authors: Oremus M,Tarride JE,Clayton N,Raina P

    更新日期:2009-12-29 00:00:00

  • The effects of improving hospital physicians working conditions on patient care: a prospective, controlled intervention study.

    abstract:BACKGROUND:Physicians, particularly in hospitals, suffer from adverse working conditions. There is a close link between physicians' psychosocial work environment and the quality of the work they deliver. Our study aimed to explore whether a participatory work-design intervention involving hospital physicians is effecti...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-401

    authors: Weigl M,Hornung S,Angerer P,Siegrist J,Glaser J

    更新日期:2013-10-09 00:00:00

  • Organisation and financing of the health care systems of Bulgaria and Greece -- what are the parallels?

    abstract:BACKGROUND:The Bulgarian and Greek Medical Care systems have been reformated the last fifteen years. The aim of this study was an examination and comparison of the Bulgarian and Greek Medical Care Systems. METHODS:This study was prepared by using all the published data related to both Bulgarian and Greek Medical Care ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-5-41

    authors: Exadaktylos NM

    更新日期:2005-05-28 00:00:00

  • Does the presence of a pharmacist in primary care clinics improve diabetes medication adherence?

    abstract:BACKGROUND:Although oral hypoglycemic agents (OHAs) are an essential element of therapy for the management of type 2 diabetes, OHA adherence is often suboptimal. Pharmacists are increasingly being integrated into primary care as part of the move towards a patient-centered medical home and may have a positive influence ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-391

    authors: Kocarnik BM,Liu CF,Wong ES,Perkins M,Maciejewski ML,Yano EM,Au DH,Piette JD,Bryson CL

    更新日期:2012-11-13 00:00:00

  • Improving access to psychosocial interventions for common mental health problems in the United Kingdom: narrative review and development of a conceptual model for complex interventions.

    abstract:BACKGROUND:In the United Kingdom and worldwide, there is significant policy interest in improving the quality of care for patients with mental health disorders and distress. Improving quality of care means addressing not only the effectiveness of interventions but also the issue of limited access to care. Research to d...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-12-249

    authors: Gask L,Bower P,Lamb J,Burroughs H,Chew-Graham C,Edwards S,Hibbert D,Kovandžić M,Lovell K,Rogers A,Waheed W,Dowrick C,AMP Research Group.

    更新日期:2012-08-13 00:00:00

  • Beliefs and intention of heterosexual couples about undertaking Couple's HIV Testing and Counselling (CHTC) services in Ethiopia.

    abstract:BACKGROUND:Couples HIV Testing & Counselling (CHTC) service is an approach that may enable more people to be reached and tested for HIV. However, little is known about how couples may use this service and what they think about CHTC as an approach to finding out their HIV status. This study aimed to understand how indiv...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-4947-7

    authors: Hailemariam TG,Rawstorne P,Sisay MM,Nathan S

    更新日期:2020-02-05 00:00:00

  • Use of cross-border healthcare services among ethnic Danes, Turkish immigrants and Turkish descendants in Denmark: a combined survey and registry study.

    abstract:BACKGROUND:Healthcare obtained abroad may conflict with care received in the country of residence. A special concern for immigrants has been raised as they may have stronger links to healthcare services abroad. Our objective was to investigate use of healthcare in a foreign country in Turkish immigrants, their descenda...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-390

    authors: Nielsen SS,Yazici S,Petersen SG,Blaakilde AL,Krasnik A

    更新日期:2012-11-13 00:00:00

  • Modeling patient access to therapeutic oxytocin in Zanzibar, Tanzania.

    abstract:BACKGROUND:Our objective is to estimate the effects of therapeutic oxytocin supply chain factors and social determinants of health on patient access to oxytocin in low-income settings using system dynamics modeling. Postpartum hemorrhage (PPH), a major cause of maternal mortality disproportionately affects women in low...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3452-8

    authors: Nadkarni D,Gravelyn S,Brova M,Rashid S,Yee R,Guttieres D,Clifford K,Desai D,Zaman M

    更新日期:2018-08-17 00:00:00

  • The adoption of a new diagnostic technology for tuberculosis in two Brazilian cities from the perspective of patients and healthcare workers: a qualitative study.

    abstract:BACKGROUND:This article presents the qualitative component linked to a larger study of implementation of the Xpert™ MTB/Rif technology in two Brazilian cities. Despite intrinsic advantages of new health technologies, its introduction can be disruptive to existing routines, and it is thus important to understand how the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0941-x

    authors: de Camargo KR Jr,Guedes CR,Caetano R,Menezes A,Trajman A

    更新日期:2015-07-21 00:00:00

  • The convergence of Chinese county government health expenditures: capitation and contribution.

    abstract:BACKGROUND:The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest dev...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1635-8

    authors: Zhang G,Zhang L,Wu S,Xia X,Lu L

    更新日期:2016-08-19 00:00:00

  • Implementation fidelity of a nurse-led falls prevention program in acute hospitals during the 6-PACK trial.

    abstract:BACKGROUND:When tested in a randomized controlled trial (RCT) of 31,411 patients, the nurse-led 6-PACK falls prevention program did not reduce falls. Poor implementation fidelity (i.e., program not implemented as intended) may explain this result. Despite repeated calls for the examination of implementation fidelity as...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2315-z

    authors: Morello RT,Barker AL,Ayton DR,Landgren F,Kamar J,Hill KD,Brand CA,Sherrington C,Wolfe R,Rifat S,Stoelwinder J

    更新日期:2017-06-02 00:00:00

  • Cost-effectiveness of pain management services for chronic low back pain: a systematic review of published studies.

    abstract:BACKGROUND:Chronic low back pain (CLBP) is a highly prevalent condition that has substantial impact on patients, the healthcare system and society. Pain management services (PMS), which aim to address the complex nature of back pain, are recommended in clinical practice guidelines to manage CLBP. Although the effective...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-5013-1

    authors: AlMazrou SH,Elliott RA,Knaggs RD,AlAujan SS

    更新日期:2020-03-12 00:00:00

  • Prevalence and determinants of dental visits among older adults: findings of a nationally representative longitudinal study.

    abstract:BACKGROUND:The first aim was to present descriptive data on the frequency of dental visits among older adults in Germany. The second aim was to identify the determinants of the number of dental visits using a longitudinal approach. METHODS:Longitudinal data were derived from the German Ageing Survey, which is a nation...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4427-0

    authors: Spinler K,Aarabi G,Valdez R,Kofahl C,Heydecke G,König HH,Hajek A

    更新日期:2019-08-20 00:00:00

  • Defining ambulatory care sensitive conditions for adults in Portugal.

    abstract:BACKGROUND:Ambulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization. Which conditions are sensitive to ambulatory care varies according to the scope of health care serv...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05620-9

    authors: Sarmento J,Rocha JVM,Santana R

    更新日期:2020-08-15 00:00:00

  • Comorbidities as a driver of the excess costs of community-acquired pneumonia in U.S. commercially-insured working age adults.

    abstract:BACKGROUND:Adults with certain comorbid conditions have a higher risk of pneumonia than the overall population. If treatment of pneumonia is more costly in certain predictable situations, this would affect the value proposition of populations for pneumonia prevention. We estimate the economic impact of community-acquir...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-379

    authors: Polsky D,Bonafede M,Suaya JA

    更新日期:2012-10-31 00:00:00

  • Improving utilization of and retention in PMTCT services: can behavioral economics help?

    abstract:BACKGROUND:The most recent strategic call to action of the World Health Organization sets the elimination of pediatric HIV as a goal. While recent efforts have focused on building infrastructure and ensuring access to high-quality treatment, we must now turn our focus to the behavior change needed to eliminate vertical...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-406

    authors: Taylor NK,Buttenheim AM

    更新日期:2013-10-10 00:00:00

  • Relevant patient characteristics for estimating healthcare needs according to healthcare providers and people with type 2 diabetes: a Delphi survey.

    abstract:BACKGROUND:Recently, there has been growing interest in providing more tailored, patient-centered care for the treatment of type 2 diabetes mellitus (T2DM). Yet it remains unclear which patient characteristics should be determined to guide such an approach. Therefore, the opinions of healthcare providers (HCP) and peop...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4371-z

    authors: Hertroijs DFL,Brouwers MCGJ,Elissen AMJ,Schaper NC,Ruwaard D

    更新日期:2019-08-16 00:00:00

  • A cross sectional observational study of research activity of allied health teams: is there a link with self-reported success, motivators and barriers to undertaking research?

    abstract:BACKGROUND:Team-based approaches to research capacity building (RCB) may be an efficient means to promote allied health research participation and activity. In order to tailor such interventions, a clearer understanding of current patterns of research participation within allied health teams is needed. Different self-r...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-1996-7

    authors: Wenke RJ,Mickan S,Bisset L

    更新日期:2017-02-06 00:00:00

  • Prevalence and income-related equity in hypertension in rural China from 1991 to 2011: differences between self-reported and tested measures.

    abstract:BACKGROUND:Along with economic growth and living standard improvement, hypertension has become one of the most prevalent chronic diseases in China. Self-reported measures and tested measures of hypertension may differ significantly due to the low awareness of prevalence. The objective of this study is to figure out whe...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4289-5

    authors: Cao D,Zhou Z,Si Y,Xiao X,Wang X,Shen C,Ren Y,Su M,He S,Gao J

    更新日期:2019-07-01 00:00:00