title: [Clinical research outside of teaching hospitals: Current situation in north-eastern France].
abstract: BACKGROUND
  Most clinical research in France takes place in teaching hospitals. There are, however, many advantages to developing it in other hospitals: access to innovative treatments, improvement in healthcare quality, attractiveness of hospitals, increased trial inclusion rates and reduced selection bias. The objectives of our study were to report on the current situation of clinical research outside teaching hospitals.
  
  
  METHODS
  A three-stage survey was conducted between January 2012 and May 2013 in non-teaching hospitals of north-eastern France. First, questionnaires were sent to administrative and medical boards of all hospitals with more than 100 beds, then to head doctors of every department in hospitals with more than 300 beds and finally meetings were organized with members of 20 selected hospitals.
  
  
  RESULTS
  The administrative and medical boards of 85 hospitals participated in the first stage of the survey; half of these hospitals were engaged in clinical research activities and for 10 the internal structuring was cross-disciplinary. Answers from 178 departments were obtained during the second stage; 47% reported a clinical research activity. Meetings with research teams in 20 hospitals allowed us to identify difficulties concerning research funding, transversal organization and sponsoring.
  
  
  CONCLUSIONS
  Clinical research existed in more than half of the respondent non-teaching hospitals. Obstacles to its development can be grouped in three categories: 1) internal structuring of clinical research, 2) access to information and knowledge of how clinical research functions and to interlocutors outside the hospital and 3) access to skills necessary to sponsor clinical research.
authors.affiliation: Plateforme d'appui à la recherche clinique, hôpital de Mercy, CHR Metz-Thionville, 1, allée du Château, CS 45001, 57085 Metz cedex 03, France. Electronic address: c.goetz@chr-metz-thionville.fr.
authors.forename: C
authors.initials: C
authors.lastname: Goetz
authors.affiliation: Groupement interrégional de recherche clinique et d'innovation Est (GIRCI Est), GCS Grand-Est, 2, boulevard Maréchal-de-Tassigny, BP 77908, 21079 Dijon cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Dupoux
authors.affiliation: Groupement interrégional de recherche clinique et d'innovation Est (GIRCI Est), GCS Grand-Est, 2, boulevard Maréchal-de-Tassigny, BP 77908, 21079 Dijon cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Déloy
authors.affiliation: Plateforme d'appui à la recherche clinique, hôpital de Mercy, CHR Metz-Thionville, 1, allée du Château, CS 45001, 57085 Metz cedex 03, France.
authors.forename: C
authors.initials: C
authors.lastname: Hertz
authors.affiliation: Groupement interrégional de recherche clinique et d'innovation Est (GIRCI Est), GCS Grand-Est, 2, boulevard Maréchal-de-Tassigny, BP 77908, 21079 Dijon cedex, France.
authors.forename: T
authors.initials: T
authors.lastname: Jeanmaire
authors.affiliation: Direction des projets et des affaires médicales, hôpital de Mercy, CHR Metz-Thionville, 1, allée du Château, CS 45001, 57085 Metz cedex 03, France.
authors.forename: N
authors.initials: N
authors.lastname: Parneix
mesh_terms: D035843:Biomedical Research / Q000706:statistics & numerical data*; D005602:France; D006784:Hospitals, Teaching; D006801:Humans
keywords: Clinical research; Clinical trial; Développement; Enquête; Health facilities; Hospitals; Hôpitaux non universitaires; Organisation; Recherche clinique