A Survey of Research Experience and Interests among Practice Based Research Network Providers
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A Survey of Research A Survey of Research Experience and Interests Experience and Interests among Practice Based among Practice Based Research Network Providers Research Network Providers Lisa Schrader MT MBA, Rod Erickson Lisa Schrader MT MBA, Rod Erickson MD, David Warner MD, Tom Grau MD, MD, David Warner MD, Tom Grau MD, Kay Kluge MS, Paul V. Targonski MD Kay Kluge MS, Paul V. Targonski MD PhD PhD Mayo Health System Practice Based Mayo Health System Practice Based Research Network (MHS PBRN) Research Network (MHS PBRN)
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A Survey of Research Experience and Interests among Practice Based Research Network Providers. Lisa Schrader MT MBA, Rod Erickson MD, David Warner MD, Tom Grau MD, Kay Kluge MS, Paul V. Targonski MD PhD Mayo Health System Practice Based Research Network (MHS PBRN). “If you’ve seen one PBRN, - PowerPoint PPT Presentation
Transcript of A Survey of Research Experience and Interests among Practice Based Research Network Providers
A Survey of Research Experience A Survey of Research Experience and Interests among Practice and Interests among Practice
Based Research Network Based Research Network ProvidersProviders
Lisa Schrader MT MBA, Rod Lisa Schrader MT MBA, Rod Erickson MD, David Warner MD, Erickson MD, David Warner MD,
Tom Grau MD, Kay Kluge MS, Paul Tom Grau MD, Kay Kluge MS, Paul V. Targonski MD PhDV. Targonski MD PhD
Mayo Health System Practice Based Mayo Health System Practice Based Research Network (MHS PBRN) Research Network (MHS PBRN)
““If you’ve seen one PBRN, If you’ve seen one PBRN,
you’ve seen one PBRN”you’ve seen one PBRN”
D. Hahn and othersD. Hahn and others
BackgroundBackground A number of PBRN surveys have been employed
– Assess the capacity of sites and networks to support PBRN research
The specific interests and expertise of practioners in community based practices – Areas of interest – Interest in participating providers– Expertise– Experience– Inform potential members-growth opportunities
We undertook a survey of all community based practioners in the MHS
ObjectivesObjectives
To describe the research interests and expertise of Mayo Health System Practice-Based Research Network providers and sites.
To identify areas of interest for educational outreach regarding clinical research skills development.
Figure 1: Participating Clinical Practices within the
Mayo Health SystemPBRN
Methods IMethods I
Design – Cross sectional web-based survey, mass contact via e-mail with one reminder two weeks after initial contact.
Setting –Mayo Health System: 12 systems, 59 sites
Participants – All clinical practitioners within the Mayo Health System (MD, DO, nurse practitioner, physician assistant) were eligible to participate.
Methods IIMethods II Intervention
– An e-mail recruitment letter inviting individuals to participate and obtaining informed consent was sent to all one thousand ten eligible persons. The web-based survey contained 14 questions assessing the following areas
Experience– specific types of research (ie, clinical trial, patient-oriented,
bench, etc) – research roles (ie, principal investigator, co-investigator,
collaborator, recruiter, reviewer, etc) Provider demographics Participant interests
– specific research topics (write in). Outcome measures
– Basic descriptive analyses documenting research expertise and interests among PBRN providers and secondary inferential analyses exploring interests and expertise by provider demographics.
ResultsResults A total of 1,010 providers in the Mayo Health
System were identified and offered participation in the survey study, with 271 completing at least part of the survey (response rate = 27%)
Research experience (Figure 2) and interest in active research roles (Figure 3) among respondents was relatively high and indicates a sufficient variety and depth of capacity for practice-based research. Specific areas of interest among respondents for research participation and skills development are presented in Tables 2 and 3.
Mayo Health System PBRN Provider SurveyMayo Health System PBRN Provider SurveySurvey RespondentSurvey Respondent DemographicsDemographics
Gender: 66% Male
Age: 16% < 35 YO 22% 35-44 YO 32% 45-54 YO 27% 55+ YO
Practice Tenure: 19% < 5 years 15% 5-9 years 17% 15-19 years 38% 20 + years
Race: 92% White 5% Asian
Hispanic Ethnicity: 4% Hispanic or
Latino 1% Don’t Know 95% Not
Hispanic/Latino
Academic Rank: 79% None 11% Instructor 7% Assistant Prof 2% Associate Prof 1% Professor
Mayo Health System PBRN Provider SurveyMayo Health System PBRN Provider SurveySurvey RespondentSurvey Respondent DemographicsDemographics
SpecialtySpecialty NumberNumber % of Total% of Total
Family MedicineFamily Medicine 5050 3030
Internal MedicineInternal Medicine 3333 2020
SurgerySurgery 3333 2020
Emergency Medicine Emergency Medicine 88 55
Mental HealthMental Health 99 55
GeriatricsGeriatrics 66 44
OtherOther 2727 1616
Figure 2: Previous Research Experience among Respondents
10.8
16.7
56.6
59.4
0 10 20 30 40 50 60 70
Percent w ith Previous Experience
Helped recruit participants toclinical research studies
Collaborated or served as a co-investigatorIn clinical research studies
Led (PI of)studies
Mayo Health System PBRN Provider SurveyMayo Health System PBRN Provider SurveyPrevious Research Experience (n=169)Previous Research Experience (n=169)
Examples of “Other” Experiences:
REP Direct data collection Developed project but
couldn’t get it funded Master’s thesis WREN office based research
participant Basic science research with
NIH/AHA support Ran the PROS network for
North Dakota IRB approved project not
taking off because of lack of funds
Airborne allergens in Middle East
Previous ExperiencePrevious Experience Yes Yes (%)(%)
Helped recruit Helped recruit participants to clinical participants to clinical research studiesresearch studies
39.139.1
Collaborated or been a Collaborated or been a co-investigator in clinical co-investigator in clinical researchresearch
42.642.6
Been the principal Been the principal investigator for, or led, investigator for, or led, clinical research studiesclinical research studies
15.415.4
OtherOther 13.113.1
0 20 40 60 80 100
Clinical Trials
HC Cost/Financing
HC Access/Delivery
HC Quality/Outcomes
Pt oriented Disease Specific Studies
Records Based Disease Specific Studies
Top
ical
Are
as
Participatory Interest (%) Skills Development Interest (%)
Participatory and Educational Research Interest
Figure 3: Interest in Research Roles among
Respondents
45.1
74.1
71.7
65.3
63.9
41
0 10 20 30 40 50 60 70 80
Percent Somewhat or Very Interested in Role
Review Research Proposalsand Provide Feedback
Recruit participants for ongoing studiesother than my own
Develop research ideas to share or forothers to implement
Develop research ideas to share or forothers to implement
Run an occasional study in an area
that interests me
Run a sustainable program ofresearch in a specific field
Research Interests by SpeciatlyResearch Interests by SpeciatlyPrimary Care vs. Non-Primary Primary Care vs. Non-Primary
CareCare Primary CarePrimary Care Non-primary care Non-primary care
Health Care Quality and OutcomeHealth Care Quality and Outcome 43/81 43/81 43/79 43/79
Access and the delivery of health care 29/75 Access and the delivery of health care 29/75 28/66 28/66
Disease specific studies Disease specific studies 27/73 27/73 35/77 35/77excluding clinical trials and chart reviewsexcluding clinical trials and chart reviews
Cost and financing of health careCost and financing of health care 20/64 20/64 24/60 24/60
Disease specific chart reviewDisease specific chart review 18/62 18/62 26/71 26/71
Clinical trialsClinical trials 15/74 15/74 37/87 37/87
(Percent very interested/very + somewhat (Percent very interested/very + somewhat interested)interested)
CommentsComments
– Response rate for the MHS PBRN survey was slightly higher than anticipated for a web-based survey of MHS providers4. Concerns regarding possible selection bias remain an issue.
– Generalization of results to other PBRNs may be limited by the demographics of the MHS provider composition, including racial and practice specialty distributions.
– Provides snapshot of those interested in practice based research within a fairly large community practice based network
CommentsComments
– Provides insight into differences in research interest between primary care and non-primary care specialties
– Write-in provided very rich information regarding research ideas and interest
QuestionsQuestions
Mayo Health System PBRN SurveyMayo Health System PBRN Survey“Research Interests and Experience among Primary Care and “Research Interests and Experience among Primary Care and
Community-Based Health Care Providers” (MCR IRB 07-Community-Based Health Care Providers” (MCR IRB 07-007330)007330)
Aims:Aims:– Describe the research interests and expertise of Describe the research interests and expertise of
Mayo Health System Practice Based Research Mayo Health System Practice Based Research Network providers and sitesNetwork providers and sites
– Identify areas of interest for educational Identify areas of interest for educational outreach regarding clinical research skills outreach regarding clinical research skills developmentdevelopment
Electronic survey with introductory e-mailElectronic survey with introductory e-mail MHS providers and MCR primary care:MHS providers and MCR primary care:
– 1010 MHS1010 MHS Interim Analysis (n=179)Interim Analysis (n=179)
– Currently 279/1010 replies in MHSCurrently 279/1010 replies in MHS
Research Interests by SpeciatlyResearch Interests by SpeciatlyPrimary Care vs. Non-Primary Primary Care vs. Non-Primary
CareCare
