Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Reengineering the clinical research enterprise to involve more community clinicians | Ryan et al. Implementation Science 2011 6 36 http content 6 1 36 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Reengineering the clinical research enterprise to involve more community clinicians Gery Ryan 1 Claude Berrebi1 Megan Beckett1 Stephanie Taylor1 6 Elaine Quiter7 Michelle Cho8 Harold Pincus2 3 4 and Katherine Kahn1 5 Abstract Background The National Institutes of Health has called for expansion of practice-based research to improve the clinical research enterprise. Methods This paper presents a model for the reorganization of clinical research to foster long-term participation by community clinicians. Based on the literature and interviews with clinicians and other stakeholders we posited a model conducted further interviews to test the viability of the model and further adapted it. Results We propose a three-dimensional system of checks and balances to support community clinicians using research support organizations community outreach a web-based registry of clinicians and studies web-based training services quality audits and a feedback mechanism for clinicians engaged in research. Conclusions The proposed model is designed to offer a systemic mechanism to address current barriers that prevent clinicians from participation in research. Transparent mechanisms to guarantee the safety of patients and the integrity of the research enterprise paired with efficiencies and economies of scale are maintained by centralizing some of the functions. Assigning other responsibilities to more local levels assures flexibility with respect to the size of the clinician networks and the changing needs of researchers. Introduction The scale and complexity of today s biomedical research problems increasingly demand that scientists move beyond the confines of their own discipline and explore new organizational models for team science 1 . With this statement Dr. Elias Zerhouni galvanized the research community to consider how
