title: "Not a kidney or a lung:" research challenges in a network of safety net clinics.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Family Medicine, Oregon Health & Science University.
authors.forename: John
authors.initials: J
authors.lastname: Heintzman
authors.forename: Sonja
authors.initials: S
authors.lastname: Likumahuwa
authors.forename: Christine
authors.initials: C
authors.lastname: Nelson
authors.forename: M Patrice
authors.initials: MP
authors.lastname: Eiff
authors.forename: Rachel
authors.initials: R
authors.lastname: Gold
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Carroll
authors.forename: John
authors.initials: J
authors.lastname: Muench
authors.forename: Christian
authors.initials: C
authors.lastname: Hill
authors.forename: Meena
authors.initials: M
authors.lastname: Mital
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: DeVoe
mesh_terms: D035843:Biomedical Research / Q000191:economics / Q000706:statistics & numerical data; D005194:Family Practice; D006801:Humans; D007407:Interviews as Topic; D008507:Medically Underserved Area; D036301:Qualitative Research; D012109:Research Support as Topic; D014481:United States