Practice-Based Research in Primary Care: Facilitator of, or Barrier to, Practice Improvement?

Thomas Bodenheimer; Denise M. Young; Kate MacGregor; Jodi Summers Holtrop

doi:10.1370/afm.341

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Scientific Skepticism and Resistance to Change
Joseph E. Scherger

Published on: 03 August 2005

Published on: (3 August 2005)
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Scientific Skepticism and Resistance to Change
Joseph E. Scherger, San Diego, CA. USA
Hooray for this article. Tom Bodenheimer and his co-authors take on the issue of how primary care research may impede rather than promote important practice change. During my morning run today where I often blow off frustrations, I thought of the notion that the Annals of Family Medicine might be like a Tory publication in the early days of an American revolution. Some of the necessary process changes we need to make ar...
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Hooray for this article. Tom Bodenheimer and his co-authors take on the issue of how primary care research may impede rather than promote important practice change. During my morning run today where I often blow off frustrations, I thought of the notion that the Annals of Family Medicine might be like a Tory publication in the early days of an American revolution. Some of the necessary process changes we need to make are clear: electronic health records, clinical decision support and web based continuous communication. Each, when studied today, may look very problemmatic in today's applications. While we need to stay on track with good science, what we need most for the new model of family medicine and practice redesign is clear vision, belief in better model, and courage to change.
Competing interests: None declared
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Competing Interests: None declared.