Primary Care Practice-Based Research Comes of Age in the United States

David Lanier

doi:10.1370/afm.338

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The Need for Sustaining Financing and Appropirate Protections for Patients and Practices
Larry A. Green

Published on: 10 June 2005

Published on: (10 June 2005)
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The Need for Sustaining Financing and Appropirate Protections for Patients and Practices
Larry A. Green, Denver, USA
This supplement should go a long way toward allaying remaining doubts about the feasibility, importance, and potential of PBRN's. Taken as a group, the articles in the supplement plead for further action, especially in 2 areas:
1. Commitments are necessary now by medical schools, hospitals, NIH, CDC, and AHRQ to invest in sustaining funding for the core functions of primary care practice based research networks....
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This supplement should go a long way toward allaying remaining doubts about the feasibility, importance, and potential of PBRN's. Taken as a group, the articles in the supplement plead for further action, especially in 2 areas:
1. Commitments are necessary now by medical schools, hospitals, NIH, CDC, and AHRQ to invest in sustaining funding for the core functions of primary care practice based research networks. It is somewhat painful to see the estimates offered as to the amount of money it would take to stabilize these critical laboratories--so little for so much. Yet, who will step up?
2. A united, positive statement about a better way to protect human subjects in practice-based research (whether patients, physicians, practice staff) is desperately needed. These articles expose a great deal of oscillating activity that in the end may totally miss the target of protecting people involved in research, while bleeding away precious and scarce resources and/or forfeiting important research possiblities for inadequate reasons. Perhaps the networks could propose their own best thinking about what approach and specific steps should be taken to protect human subjects while practices actively learn and improve the care of their patients.
Competing interests: None declared
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Competing Interests: None declared.