학술논문
Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet).
Document Type
Academic Journal
Author
Sanftenberg L; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany. linda.sanftenberg@med.uni-muenchen.de.; Stofella J; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany.; Mayr K; Institute of Sociology, Ludwig-Maximilians-Universität, Munich, Germany.; Nassehi A; Institute of Sociology, Ludwig-Maximilians-Universität, Munich, Germany.; Härdtlein A; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany.; Stark S; Institute of General Practice, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.; Kühlein T; Institute of General Practice, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.; Kurotschka PK; Department of General Practice, University Hospital Würzburg, Würzburg, Germany.; Gágyor I; Department of General Practice, University Hospital Würzburg, Würzburg, Germany.; Eck S; Institute of General Practice and Health Services Research, Department Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.; Schneider A; Institute of General Practice and Health Services Research, Department Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.; Bößenecker M; General Practice, Faculty of Medicine, University of Augsburg, Augsburg, Germany.; Roos M; General Practice, Faculty of Medicine, University of Augsburg, Augsburg, Germany.; Dreischulte T; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany.; Gensichen J; Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany.
Source
Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9918300889006676 Publication Model: Electronic Cited Medium: Internet ISSN: 2731-4553 (Electronic) Linking ISSN: 27314553 NLM ISO Abbreviation: BMC Prim Care Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Despite general practitioners' (GPs') key role in Germany`s primary health care, clinical research in general practice is scarce. Clinical research is mainly conducted at inpatient facilities, although their results are rarely transferable. German GPs have no extra time or funding for research, as well as limited research training. To support clinical research in German primary health care, practice-based research networks (PBRNs) are developed. As they will be based on an active involvement of GPs, we need more information on GPs` participation-readiness. The aim of this study was to explore facilitators and barriers to participation in the Bavarian Research Practice Network (BayFoNet) from the GPs`perspective before clinical trials will be performed.
Methods: We have performed semi-structured qualitative interviews with a purposive sample of 20 Bavarian GPs in 2022 under the application of the consolidated framework for implementation research (CFIR). Transcriptions were analysed according to Kuckartz` qualitative content analysis. The five domains of the CFIR framework served as initial deductive codes.
Results: N = 14 interviewees already agreed to participate in BayFoNet, whereas n = 6 interviewees opted not to participate in BayFoNet at the time of data collection. Main facilitators to conduct clinical research within BayFoNet were the motivation to contribute to evidence strength and quality in general practice, professional development and training of practice staff, as well as networking. Barriers for an active participation were bad experiences with previous clinical studies and lack of resources.
Conclusions: PBRNS in Germany have to be promoted and the entire practice team has to be involved at an early stage of development. Professional training of general practice staff and a living network might enhance engagement. Participatory approaches could help to develop acceptable and feasible study designs. Furthermore, PBRNs should support patient recruitment and data collection in general practices and disseminate the results of their research projects regularly to maintain GPs` engagement.
Trial Registration: DRKS00028805, NCT05667207.
(© 2023. The Author(s).)
Methods: We have performed semi-structured qualitative interviews with a purposive sample of 20 Bavarian GPs in 2022 under the application of the consolidated framework for implementation research (CFIR). Transcriptions were analysed according to Kuckartz` qualitative content analysis. The five domains of the CFIR framework served as initial deductive codes.
Results: N = 14 interviewees already agreed to participate in BayFoNet, whereas n = 6 interviewees opted not to participate in BayFoNet at the time of data collection. Main facilitators to conduct clinical research within BayFoNet were the motivation to contribute to evidence strength and quality in general practice, professional development and training of practice staff, as well as networking. Barriers for an active participation were bad experiences with previous clinical studies and lack of resources.
Conclusions: PBRNS in Germany have to be promoted and the entire practice team has to be involved at an early stage of development. Professional training of general practice staff and a living network might enhance engagement. Participatory approaches could help to develop acceptable and feasible study designs. Furthermore, PBRNs should support patient recruitment and data collection in general practices and disseminate the results of their research projects regularly to maintain GPs` engagement.
Trial Registration: DRKS00028805, NCT05667207.
(© 2023. The Author(s).)