Dissemination research in primary care: impacting the real world of the practitioner.
Dissemination research in primary care should focus on getting information our and changing practice. Family physicians have a strong orientation toward prevention and are a trusted source of advice for patients but often lack an infrastructure to assist in prevention. Physicians provide such preventive care as: health enhancement, risk avoidance, risk reduction, early identification, and complication reduction. Within this framework important research questions are raised within five areas: the system of care, office organization, the professional, the patient, and education. Increasing the capacity for research should focus on the need for multi-disciplinary teams; longitudinal community-based cohort studies; inter-provincial studies; funded multiple-partner research programs; practitioners organized with a regional focus; and support for fellowships and investigators. The success of dissemination depends on its respect for the context and priorities of both practitioners and the public.
Bass
M J
MJ
Department of Family Medicine, University of Western Ontario, London.
D005194:Family Practice / Q000193:education / Q000639:trends; D006292:Health Priorities; D006302:Health Services Research; D006801:Humans; D007255:Information Services; D010358:Patient Participation; D011320:Primary Health Care; D011322:Primary Prevention; D012107:Research Design