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Research ArticleOriginal Article

Practice Patterns of Family Physicians in Practice-Based Research Networks: A Report From ASPN

Paul A. Nutting, Monika Baier, James J. Werner, Gary Cutter, Frank M. Reed and A. John Orzano
The Journal of the American Board of Family Practice July 1999, 12 (4) 278-284; DOI: https://doi.org/10.3122/jabfm.12.4.278
Paul A. Nutting
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
MD, MSPH
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Monika Baier
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
MS
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James J. Werner
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
MS
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Gary Cutter
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
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Frank M. Reed
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
MD
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A. John Orzano
From the Ambulatory Sentinel Practice Network (PAN, JJW), the AMC Cancer Research Center (MB, GC), and Exempla Healthcare (FMR), Denver; and the Department of Family Medicine (AJO), Robert Wood Johnson Medical School, New Brunswick, NJ. Address reprint requests to Paul A. Nutting, MD, MSPH, Center for Research Strategies, The Journal of Family Practice, 225 E 16th Ave, Suite 1150, Denver, CO 80203-1694
MD
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This article has a correction. Please see:

  • Correction - September 01, 1999

Abstract

Background: Practice-based research networks are growing and undertaking larger and more complex studies to inform the clinical practice of family physicians. We describe a study that compares clinical behaviors of physicians in the Ambulatory Sentinel Practice Network (ASPN), a large national practice-based research network, with those from the National Ambulatory Medical Care Survey (NAMCS).

Methods: A survey, replicating NAMCS, was conducted among 129 family physician members of ASPN. Nested logistic regression was used to determine which services could predict ASPN membership after adjustment for common and easily observed patient and physician characteristics.

Results: Of 20 specific patient services, only 4 were predictive of membership in ASPN. Of these 4, 2 were screening or diagnostic services; ASPN physicians were 1.18 times more likely to obtain a blood pressure measurement and 0.60 times as likely to order a culture for streptococcal pharyngitis. ASPN physicians were 2.30 times more likely to provide family planning counseling and 1.66 times more likely to provide smoking cessation counseling after adjusting for patient smoking status.

Conclusions: We conclude that there are minimal differences in the practice patterns of family physicians participating in a large national practice-based research network and those included in the probability sample of NAMCS. Additional work is needed to examine further those characteristics of the phenomena observed in practice-based research network research that might affect generalizability of results to the larger community of practicing family physicians.

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The Journal of the American Board of Family     Practice: 12 (4)
The Journal of the American Board of Family Practice
Vol. 12, Issue 4
1 Jul 1999
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Practice Patterns of Family Physicians in Practice-Based Research Networks: A Report From ASPN
Paul A. Nutting, Monika Baier, James J. Werner, Gary Cutter, Frank M. Reed, A. John Orzano
The Journal of the American Board of Family Practice Jul 1999, 12 (4) 278-284; DOI: 10.3122/jabfm.12.4.278

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Practice Patterns of Family Physicians in Practice-Based Research Networks: A Report From ASPN
Paul A. Nutting, Monika Baier, James J. Werner, Gary Cutter, Frank M. Reed, A. John Orzano
The Journal of the American Board of Family Practice Jul 1999, 12 (4) 278-284; DOI: 10.3122/jabfm.12.4.278
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