title: Bridging the gap between basic science and clinical practice: the role of organizations in addressing clinician barriers.
abstract: BACKGROUND
  New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine.
  
  
  OBJECTIVE
  This paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.
  
  
  METHODS
  We reviewed the literature and interviewed over 200 clinicians and stakeholders.
  
  
  RESULTS
  The most common barriers to community clinician participation in clinical research relate to beliefs that clinical research is too burdensome and has little benefit for the participating clinician or patient. We identified a number of approaches healthcare organizations can use to encourage clinicians to participate in research, including an outreach campaign to promote the benefits of clinical research; selection of study topics of interest to clinicians; establishment and enforcement of a set of research principles valuing the clinician and patient; development of a transparent schedule of reimbursement for research tasks; provision of technological and technical assistance to practices as needed; and promotion of a sense of community among clinicians involved in practice-based research.
  
  
  CONCLUSIONS
  Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible.
authors.affiliation: RAND Health, Santa Monica, California, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Beckett
authors.forename: Elaine
authors.initials: E
authors.lastname: Quiter
authors.forename: Gery
authors.initials: G
authors.lastname: Ryan
authors.forename: Claude
authors.initials: C
authors.lastname: Berrebi
authors.forename: Stephanie
authors.initials: S
authors.lastname: Taylor
authors.forename: Michelle
authors.initials: M
authors.lastname: Cho
authors.forename: Harold
authors.initials: H
authors.lastname: Pincus
authors.forename: Katherine
authors.initials: K
authors.lastname: Kahn
mesh_terms: D055812:Community-Based Participatory Research; D003657:Decision Making; D019317:Evidence-Based Medicine; D006801:Humans; D007407:Interviews as Topic