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OtherAbout Practice-Based Research Networks

Characterizing a Practice-based Research Network: Oregon Rural Practice-based Research Network (ORPRN) Survey Tools

Lyle J. Fagnan, Cynthia Morris, Scott A. Shipman, Jennifer Holub, Anne King and Heather Angier
The Journal of the American Board of Family Medicine March 2007, 20 (2) 204-219; DOI: https://doi.org/10.3122/jabfm.2007.02.060140
Lyle J. Fagnan
MD
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Cynthia Morris
PhD, MPH
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Scott A. Shipman
MD, MPH
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Jennifer Holub
MA, MPH
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Anne King
MBA
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Heather Angier
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  • Article
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Article Figures & Data

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    Figure 1.

    Map of the locations of member practices of the Oregon Rural Practice-based Research Network (ORPRN).

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Tables

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    Table 1.

    Characteristics of the ORPRN Practices (N = 31 practices)

    CharacteristicPercentage
    Private practice58%
    Certified rural health clinic48%
    High-speed Internet access93%
    Electronic health record39%
    Accepting new Medicaid patients96%
    Accepting new Medicare patients96%
    Active patient panels per practice (mean)5663
    Patient visits per week (mean)210
    Clinician FTE* (mean)3.6
    Nonclinician FTE† (mean)10.3
    • * 1.0 FTE = 32 hours of office patient care per week.

    • † 1.0 FTE = 40 hours per week.

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    Table 2.

    Characteristics of Patients in ORPRN Practices (N = 31 practices; 166,003 patients)

    CharacteristicMeanMedianRange
    Gender
        Male44%43%35% to 60%
        Female56%57%40% to 65%
    Age
        Birth to 4 years11%7%0% to 55%
        5 to 14 years11%10%0% to 35%
        15 to 44 years27%27%0% to 60%
        45 to 64 years24%26%0% to 40%
        65 to 7415%12%0% to 40%
        75 years or older10%10%0% to 40%
    Ethnicity
        Hispanic/Latino12%3%0% to 50%
        Not Hispanic/Latino88%97%50% to 100%
    Overall payment breakdown
        Medicare25%25%0% to 70%
        Medicaid23%18%4% to 65%
        Private37%35%10% to 73%
        No insurance13%10%0% to 54%
        Other4%0%0% to 74%
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    Table 3.

    Characteristics of ORPRN Clinicians (N = 96)

    CharacteristicPercentage
    Degree
        Physician66%
        Nurse practitioner18%
        Physician assistant17%
    Specialty*
        Family medicine88%
        Internal medicine7%
        Pediatrics7%
        Other2%
        Primary care/occupational medicine1%
        Hospice/palliative care1%
    Age
        Under 30 years3%
        30 to 39 years29%
        40 to 49 years25%
        50 to 64 years41%
        65 years or older2%
    Sex
        Female43%
        Male57%
    Use E-mail with patients17%
    • * Multiple responses allowed.

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    Table 4.

    Services Provided by ORPRN Clinicians

    ServiceORPRN Clinicians (n = 96)ORPRN Family Physicians (n = 55)
    General primary care99%100%
    Emergency room care46%58%
    Care of hospitalized patients64%93%
    Mental health treatment/counseling77%84%
    Substance abuse services32%44%
    Labor and delivery professional services31%55%
    Home visits57%66%
    Nursing home care68%91%
    Hospice care56%78%
    Flexible sigmoidoscopy21%29%
    Colonoscopy16%26%
    Exercise testing28%42%
    Ultrasound scanning in pregnancy12%18%
    Colposcopy33%51%
    Upper GI Tract Endoscopy17%26%
    • View popup
    Table 5.

    ORPRN Clinicians’ Report of Availability of Services to Their Patients (n = 96)

    ServiceAlways/Almost Always AvailableFrequently AvailableSometimes/Rarely, Never Available
    Access to general surgery on a timely basis81%14%5%
    Referrals to dentists on a timely basis17%25%58%
    Nutritional counseling services49%22%29%
    Diagnostic imaging services82%14%4%
    Inpatient mental health care12%13%76%
    Outpatient mental health services20%27%53%
    Hospice care92%4%5%
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The Journal of the American Board of Family Medicine: 20 (2)
The Journal of the American Board of Family Medicine
Vol. 20, Issue 2
March-April 2007
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Characterizing a Practice-based Research Network: Oregon Rural Practice-based Research Network (ORPRN) Survey Tools
Lyle J. Fagnan, Cynthia Morris, Scott A. Shipman, Jennifer Holub, Anne King, Heather Angier
The Journal of the American Board of Family Medicine Mar 2007, 20 (2) 204-219; DOI: 10.3122/jabfm.2007.02.060140

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Characterizing a Practice-based Research Network: Oregon Rural Practice-based Research Network (ORPRN) Survey Tools
Lyle J. Fagnan, Cynthia Morris, Scott A. Shipman, Jennifer Holub, Anne King, Heather Angier
The Journal of the American Board of Family Medicine Mar 2007, 20 (2) 204-219; DOI: 10.3122/jabfm.2007.02.060140
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  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Appendix 1. Clinical Practice Member Characterization Survey
    • Appendix 2. Clinician Characterization Survey
    • Appendix 3. Anonymous Satisfaction Survey of Clinician Members
    • Appendix 4. Practice and member characteristics of the Oregon Rural Practice-based Research Network (ORPRN)
    • Acknowledgments
    • Notes
    • References
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  • Increasing the Role of Practice Networks in Medical Research
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More in this TOC Section

  • Practice-based Research Networks (PBRNs) Bridging the Gaps between Communities, Funders, and Policymakers
  • Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study
  • Clinician and Staff Perspectives on Participating in Practice-based Research (PBR): A Report from the Wisconsin Research and Education Network (WREN)
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