"Not a kidney or a lung:" research challenges in a network of safety net clinics

Fam Med. 2014 Feb;46(2):105-11.

Abstract

Background and objectives: To gain a better understanding of the facilitators and barriers to creating a practice-based research network (PBRN) of safety net clinics, we conducted a qualitative study within our network of safety net health centers.

Methods: Utilizing snowball sampling, we conducted interviews with 19 of our founding stakeholders and analyzed these interviews to draw out common themes.

Results: The results showed four barriers to research in our network: lack of research generated from clinician questions, lack of appropriate funding, lack of clinician time, and lack of infrastructure. We discuss these results and suggest that inadequate funding for practice-based research, particularly in the health care safety net, is a unifying theme of these four barriers.

Conclusions: Our results suggest that the national funding strategy for research relevant to underserved populations and all of primary care must undergo a fundamental shift. We discuss the features of possible models to meet this need.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Biomedical Research* / economics
  • Biomedical Research* / statistics & numerical data
  • Family Practice*
  • Humans
  • Interviews as Topic
  • Medically Underserved Area*
  • Qualitative Research
  • Research Support as Topic
  • United States