Moving the research agenda to where it matters
Year: 1999
Type: editorial
Abstract: Ninety per cent of healthcare contacts take place in primary care, and the importance of undertaking research in this setting is well recognised.1 2 Primary care research is not new but has evolved around university departments of general practice. Here, academics work within a fixed hierarchical structure—which may inhibit flexibility and innovation. Funding spirals, assessment exercises, and internal politics often divorce research practitioners from their service commitments and there remains a dissonance between the view of the world of those who guide decision making in health care and those who commission and provide it.
General practitioners are reluctant to follow evidence based guidelines3; health economists continue to develop technical solutions that are inaccessible and unacceptable to end users4; university academics remain trapped in a paradigm of hypothesis generation, experimental design, and interpretation of data as they seek to make reality fit their disciplinary matrices. Although research general practices and research practice networks have evolved to foster research that …
Source: BMJ
Authors: D. Kernick, J. Stead, M. Dixon
Institution: College of Physicians and Surgeons of Ontario
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2018390843