Article Figures & Data
Tables
- Table 1. Contrast of Innovations Informed by National Institutes of Health (NIH)–Funded Studies and Practice Innovators
Characteristics of NIH-Funded Studies Characteristics of Studies Based on Everyday Practice Begin with identified gap in the literature Begin with identified local need Structured by idealized conceptual framework Structured by awareness of known local assets Design based on infusion of unsustainable resources Design is responsive to local constraints Grant often adds responsibilities to existing jobs Design often redistributes responsibilities based on new services offered Develop grant-dependent roles outside the practices Develop relationships between practices and community resources Designed to minimize impact on physicians Designed to redefine physician role Grant avoids perturbing the system or adding new outside system Design intends to create a learning system Intervention is responsive to pathology Intervention is responsive to patient experiences of health and illness Funded interventions engage idealized patients as represented in the literature Interventions engage real patients as represented in the practice Based on incremental change Based on punctuated change or whole-practice transformation Funded interventions almost exclusively motivated by disease-specific aims Innovations almost exclusively motivated by the health of patients and community