کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6151066 1231505 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Understanding facilitators and barriers to reengineering the clinical research enterprise in community-based practice settings
ترجمه فارسی عنوان
درک تسهیل کننده ها و موانع برای بازسازی مجدد شرکت تحقیقاتی بالینی در تنظیمات عمل مبتنی بر جامعه
کلمات کلیدی
تحقیقات بالینی، آزمایشات بالینی، تمرین مبتنی بر جامعه، مهندسی، فناوری اطلاعات،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی
Solutions are employed to support clinical research trial tasks in community-based practice settings. Using the IT Implementation Framework (ITIF), an integrative framework intended to guide the synthesis of theoretical perspectives for planning multi-level interventions to enhance IT use, we sought to understand the barriers and facilitators to clinical research in community-based practice settings preliminary to implementing new informatics solutions for improving clinical research infrastructure. The studies were conducted in practices within the Columbia University Clinical Trials Network. A mixed-method approach, including surveys, interviews, time-motion studies, and observations was used. The data collected, which incorporates predisposing, enabling, and reinforcing factors in IT use, were analyzed according to each phase of ITIF. Themes identified in the first phase of ITIF were 1) processes and tools to support clinical trial research and 2) clinical research peripheral to patient care processes. Not all of the problems under these themes were found to be amenable to IT solutions. Using the multi-level orientation of the ITIF, we set forth strategies beyond IT solutions that can have an impact on reengineering clinical research tasks in practice-based settings. Developing strategies to target enabling and reinforcing factors, which focus on organizational factors, and the motivation of the practice at large to use IT solutions to integrate clinical research tasks with patient care processes, is most challenging. The ITIF should be used to consider both IT and non-IT solutions concurrently for reengineering of clinical research in community-based practice settings.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contemporary Clinical Trials - Volume 36, Issue 1, September 2013, Pages 166-174
نویسندگان
, , , , ,