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Commentaries: Kevin A. Peterson National Institutes of Health Eliminates Funding for National Architecture Linking Primary Care Research J Am Board Fam Med 2007; 20: 229-231 [Abstract] [Full text] [PDF]

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Keep Going

Larry A. Green   (11 April 2007)

Keep Going 11 April 2007
Larry A. Green, physician University of Colorado Send response to journal: Re: Keep Going larry.green{at}uchsc.edu Larry A. Green	Dr. Peterson and others who rose to the opportunity presented by NIH to establish modern infrastructure for practice-based research deserve the thanks of all primary care and public health investigators. When tantalizing, early successes such as those referenced here are glimpsed, but not secured, those involved likely feel disappointments not even recognized by those at the periphery. Silence from the field and national primary care organizations, leaving it to the involved investigators to champion further efforts, is not a sufficient response. While following the opportunities inherent in the CTSA's, family medicine, general internal medicine, and general pediatrics also need to attend to the creation of robust information infrastructures that can enable the discovery of frontline practice and the delivery to the people of a better return on their public investments in health related research. Perhaps we can label this effort to create a national architecture for linking primary care investigators as "successful pilot work." And then, perhaps primary care's national organizations can build on it in 2007 and extend further their advocacy for next steps to create national architecture for research capacity sorely needed. There is more than one kind of "backbone" needed here.