Here’s the question:
What would your question be of a practice based primary care research network?
Consider that you are involved in establishing some of the first research questions that would be answered by a group of engaged, networked, and interested primary care practices – what would those questions be?
For this thought experiment, you could be a funder or a participant (clinician or patient) or an outside researcher.
Assume the network could collect whatever kinds of data you would need to answer your question.
Assume, also, for your quantitative types, that the network has 80 primary care providers (mostly family doctors, some nurse practictioners) across multiple sites both rural and urban and that these were full service primary care practices. Amazingly, all patients consent to participate and there are 120,000 patients. All practices are using an EMR and data from the charts would be encoded to support your question(s).
I will start with one of my questions:
What is the impact on overall capacity* of practices where patients with mental illness (mood disorders such as depression and anxiety) are given a proactive program and the tools to self manage their condition through a Personal Health Record (PHR)? Is there a difference if the PHR is integrated with their primary care provider’s practice EMR? Does self management also change quality of care (perceived and objective) for the patients involved?
* capacity should be examined both in terms of financial cost to the practice to run the program and changes in number of patients seen by providers over time compared to matched controls.
If this is interesting to you, add your own question as a comment or join the discussion by supporting / adding to other questions.
My goal here is to collect the types of questions people want answered not to focus on how to answer them (that comes later).