PT - JOURNAL ARTICLE AU - Allen Hutchinson AU - Lorne A. Becker TI - How the Philosophies, Styles, and Methods of Family Medicine Affect the Research Agenda AID - 10.1370/afm.195 DP - 2004 May 01 TA - The Annals of Family Medicine PG - S41--S44 VI - 2 IP - suppl 2 4099 - http://www.annfammed.org/content/2/suppl_2/S41.short 4100 - http://www.annfammed.org/content/2/suppl_2/S41.full SO - Ann Fam Med2004 May 01; 2 AB - Family physicians provide person-centered, continuous, comprehensive care that is accessible and available at the time of need. Although this core philosophy is shared around the world, its translation into actual practice can vary greatly with time and from place to place as family physicians adapt to local constraints and conditions. Factors driving these local variations include entrenched habits and patterns of care, funding systems, patient expectations, public policy, and the availability and quality of other critical health system components. This diversity provides both an opportunity and a challenge for family medicine research. The potential for fruitful comparisons and contrasts arising from natural experiments may require investigators to use multiple research methods capable of evaluating complex interventions and comparisons. Family medicine has the capacity to be an excellent laboratory in which research in representative populations can offer the pragmatic answers needed by practicing physicians. The nature of the research questions and interventions require the involvement of clinicians in the formulation of research questions and evaluation of the applicability of research results. The variations in implementation of the family medicine philosophy can be a potential asset because of the research opportunities they provide.