Table 3.

Thematic Summary of Practice-Based Research Network (PBRN) Clinician Motivation Emphasizing Community- and System-Level Improvements

Primary ThemeMain Types of SatisfactionQuote
PBRN enables exploring and enhancing the quality of health care delivered in rural communityImproved clinical care and quality of health care in real world setting/increased relevance to community“I had an understanding from early in life in rural areas and populations were not well studied. This led me to…earn a masters in public health as well as to complete a medical degree. This joint track really allowed me to do both clinical medicine as well as get some exposure to the looking at the bigger issues of healthcare, part of that being research and understanding how things are affected in rural areas as opposed to urban areas.”
Participation in PBRN increases the relevance of research for local clinic population/vulnerable population not often part of research studies (rural community)Improved clinical care related to increased relevance of research to clinic/community“I feel it is important to put research in places where it can benefit people and their community.”
Participation in PBRN increases the relevance of research for local clinic population/vulnerable population not often part of research studies (rural migrant community)Improved clinical care related to increased relevance of research to clinic/community“Evidence-based practice is important and there is not a lot of data out there on problems more common to a rural than an urban setting.”
Answered questions from practice with data from practice
Provided epidemiologic data to document a community health problem“Community based research and outreach were developed from the specific needs of the immigrant community affected.”
Development of a communications network to streamline office processes and coordination with local health departmentsImproved clinical care/care coordination“I feel we finally got some hold of this monster (flu vaccine demand) and took it back from the consumer demand chaos of years past. This year the medical community directed traffic.”
Implementing tools to enhance the public health role of family medicine practices. In this case, the development of an influenza tracking system (real time surveillance) that was linked to community education and follow-upImproved care to the larger community“When we see the trend going up (influenza cases), we can use that data to convince our school teachers to get their flu shots.”