Clinician Use of Primary Care Research Reports

“Respondent quotation.“

“Also engaging more practitioners in research would help. In that way, more practitioners would learn the language of research.“ (Physician, FP; Researcher; Netherlands; M)^†

“necesita motivar a los jovenes medicos residentes para medicina familiar y asi se involucren en investigacion primaria.“ (You need to motivate young resident doctors for family medicine and get involved in primary research) (PA; Administration, Clinical Psychology, Public Health, Social Work; Dominican Republic; F)

“Often underresourced in terms of manpower and physical resources.” (Physician, FP; South Africa; M)

“Why doesn't every research study done on PC or on some intervention to be implemented in PC have at least one PCP and one PC patient on the research team?“ (Nurse; USA; F)

“Studies should arise from research questions that arise from problems of patients in primary care centers” (Physician, FP; Educator; Argentina; F)

“If and when the research team included: Practitioners, Patients, Community Representatives.” (Social Worker; USA; F)

“There are many models of delivering behavioral health to PC patients. We need more info on types of providers and how they are integrated into PC practice.” (PA; USA; M)

“When there is a multiprofessional team working on the intervention, the researchers need to make clear the interactions among the team members. Who sees the pt first; who administers the test or treatment; when do non-MDs refer to MDs, etc. Team members often have different roles in pt care and should be reported separately.” (Physician, Pediatrics; Nation N/A; F)

“To understand the impact of the research study, I need to know more than is usually reported about who the patients are, beyond the usual age/sex.” (Physician, FP; Nation N/A; Gender N/A)

“There is still too much single-diseased research in general including primary care that ignores treatment burden across diseases.” (Physician, FP; Nation N/A; M)

“What their relationship is: continuity pts? How long? First visit? Referred or primary?” (FP; Physician; Nation N/A; Gender N/A)

“Researchers should collect and report information about the relationship between patients and clinicians in describing their research” (Physician, FP; Ireland; M)

“Major quality, major information about ambulatory setting.” (PA; Public Health; Argentina; F)

“I would like to see research reports describe in their method sections more explanation of why certain statistical techniques are chosen.” (Physician, FP; Canada; F)

“Method sections often describe measures—like patient outcome measures—which appear to be research tools that we do not use in clinical practice. I want to have some information on the clinical validity of these tools in PC before I accept them as validated research tools. Many come from specialty researchers.” (Physician, FP; USA; F)

“Easier access to online journals.” (Physician, FP; Jamaica; M)

“‘Open access’ seems to be a fraud—it's not open to me. It often means that I cannot get access to some study I'm trying to find, even if it was linked from a newsletter or other pub aimed at practicing GPs. Sometimes you can go through a university or some other linkage, but this is not user-friendly or available at point of care. Is just another speedbump between research and practice.” (Physician, IM; Canada; M)

“I think that an audience for primary care research is patients. As such the reporting should be patient-centered.” (Physician, FP; USA; F)

“Centralized repository list with links that is regularly updated and available on the major FM websites.” (Physician, FP; USA; F)

“By making it easier to publish findings and helping researchers to communicate their findings.” (Physician, FP; Researcher; Netherlands; M)

“Developing a standard format of doing this report would help all primary care clinicians.” (Physician, FP; Nigeria; M)

“I would like to see research reports describe in their method sections more explanation of why certain statistical techniques are chosen.” (Physician, FP; Canada; F)

“Succinct reporting.” (Physician, FP; Educator; Australia; F)

“Short and direct to the point.” (Physician, FP; Brazil; F)

“Incorporate simple language summaries” (Physician, FP; Educator; Nigeria; M)

“The focus should be on applicability in 3 short sentences that summarize the findings.” (Physician, FP; Denmark; F)

“Work on providing summaries of a body of research. A single research paper is almost never worthy of changing practice (and hence seldom time efficient for me to read) unless it is a large and particularly well-done RCT.” (Physician, FP; Canada; M)

“Specifically a statement as to how this could be used to change clinical practice activities.” (Physician, FP; USA; M)

“This means that findings/results of research should always be placed in the context of primary and community care.” (Physician, FP; Netherlands; M)

“Research in the primary care setting is different from hospitals in that the population is bigger with healthier persons, thus it is more difficult to prove something works. This fact frustrates the introduction of practices that are proven effective in hospital care but don't get access to the primary care healthcare.” (Physician, FP; Netherlands; M)

“Consider the impact of recommendations when added to other likely protocols/guidelines.” (Physician, FP; Canada; F)

“Research reporting should be reported by taking into account practicality, usefulness, and the contextual nature of the environment of the practicing doctor. For example, there is no reason for an expert panel to report about a conceptual framework that is pure conjecture (or based on available research but has no relevance to the clinical climate of most practitioners).” (Physician, FP; Researcher, Public Health, Behavioral Science; Malaysia; M)

“PC research should call out that it is done in/by/for PC, so we can focus our limited time on reading those studies that are most likely to be helpful to us and our pts.” (Social Worker; USA; F)

“The problem is not individual reports but rather the need for impartial processes of integrating a particular report into clinical decision support, which is the current and likely future interface between research and actual care delivery.“ (Physician, FP; New Zealand; F)

“State what is new and its application in patient care.“ (Physician, Specialty N/A; Nigeria; M)

“Do non-MDs and non-researchers get their due credit when the paper is finally published? In family medicine research, I often see that they do.“ (Social Worker; USA; F)