Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet)
Abstract Background Despite general practitioners' (GPs') key role in Germany`s primary health care, clinical research in general practice is scarce. Clinical research is mainly conducted at inpatient facilities, although their results are rarely transferable. German GPs have no extra time...
| Autores principales: | , , , , , , , , , , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | English |
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BMC
2024-01-01
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| Colección: | BMC Primary Care |
| Materias: | |
| Acceso en línea: | https://doi.org/10.1186/s12875-023-02239-7 |
| _version_ | 1827388274541330432 |
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| author | Linda Sanftenberg Julia Stofella Katharina Mayr Armin Nassehi Annette Härdtlein Stefanie Stark Thomas Kühlein Peter Konstantin Kurotschka Ildikò Gágyor Stefanie Eck Antonius Schneider Melanie Bößenecker Marco Roos Tobias Dreischulte Jochen Gensichen for the BayFoNet study group |
| author_facet | Linda Sanftenberg Julia Stofella Katharina Mayr Armin Nassehi Annette Härdtlein Stefanie Stark Thomas Kühlein Peter Konstantin Kurotschka Ildikò Gágyor Stefanie Eck Antonius Schneider Melanie Bößenecker Marco Roos Tobias Dreischulte Jochen Gensichen for the BayFoNet study group |
| author_sort | Linda Sanftenberg |
| collection | DOAJ |
| description | Abstract Background Despite general practitioners' (GPs') key role in Germany`s primary health care, clinical research in general practice is scarce. Clinical research is mainly conducted at inpatient facilities, although their results are rarely transferable. German GPs have no extra time or funding for research, as well as limited research training. To support clinical research in German primary health care, practice-based research networks (PBRNs) are developed. As they will be based on an active involvement of GPs, we need more information on GPs` participation-readiness. The aim of this study was to explore facilitators and barriers to participation in the Bavarian Research Practice Network (BayFoNet) from the GPs`perspective before clinical trials will be performed. Methods We have performed semi-structured qualitative interviews with a purposive sample of 20 Bavarian GPs in 2022 under the application of the consolidated framework for implementation research (CFIR). Transcriptions were analysed according to Kuckartz` qualitative content analysis. The five domains of the CFIR framework served as initial deductive codes. Results N = 14 interviewees already agreed to participate in BayFoNet, whereas n = 6 interviewees opted not to participate in BayFoNet at the time of data collection. Main facilitators to conduct clinical research within BayFoNet were the motivation to contribute to evidence strength and quality in general practice, professional development and training of practice staff, as well as networking. Barriers for an active participation were bad experiences with previous clinical studies and lack of resources. Conclusions PBRNS in Germany have to be promoted and the entire practice team has to be involved at an early stage of development. Professional training of general practice staff and a living network might enhance engagement. Participatory approaches could help to develop acceptable and feasible study designs. Furthermore, PBRNs should support patient recruitment and data collection in general practices and disseminate the results of their research projects regularly to maintain GPs` engagement. Trial registration DRKS00028805, NCT05667207. |
| first_indexed | 2024-03-08T16:15:21Z |
| format | Article |
| id | doaj.art-7d99e1b95bc04e78bb10bc1e6b6536fb |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-08T16:15:21Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-7d99e1b95bc04e78bb10bc1e6b6536fb2024-01-07T12:37:40ZengBMCBMC Primary Care2731-45532024-01-0125111010.1186/s12875-023-02239-7Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet)Linda Sanftenberg0Julia Stofella1Katharina Mayr2Armin Nassehi3Annette Härdtlein4Stefanie Stark5Thomas Kühlein6Peter Konstantin Kurotschka7Ildikò Gágyor8Stefanie Eck9Antonius Schneider10Melanie Bößenecker11Marco Roos12Tobias Dreischulte13Jochen Gensichen14for the BayFoNet study groupInstitute of General Practice and Family Medicine, University Hospital, LMU MunichInstitute of General Practice and Family Medicine, University Hospital, LMU MunichInstitute of Sociology, Ludwig-Maximilians-UniversitätInstitute of Sociology, Ludwig-Maximilians-UniversitätInstitute of General Practice and Family Medicine, University Hospital, LMU MunichInstitute of General Practice, Friedrich-Alexander-University of Erlangen-NurembergInstitute of General Practice, Friedrich-Alexander-University of Erlangen-NurembergDepartment of General Practice, University Hospital WürzburgDepartment of General Practice, University Hospital WürzburgInstitute of General Practice and Health Services Research, Department Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM)Institute of General Practice and Health Services Research, Department Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM)General Practice, Faculty of Medicine, University of AugsburgGeneral Practice, Faculty of Medicine, University of AugsburgInstitute of General Practice and Family Medicine, University Hospital, LMU MunichInstitute of General Practice and Family Medicine, University Hospital, LMU MunichAbstract Background Despite general practitioners' (GPs') key role in Germany`s primary health care, clinical research in general practice is scarce. Clinical research is mainly conducted at inpatient facilities, although their results are rarely transferable. German GPs have no extra time or funding for research, as well as limited research training. To support clinical research in German primary health care, practice-based research networks (PBRNs) are developed. As they will be based on an active involvement of GPs, we need more information on GPs` participation-readiness. The aim of this study was to explore facilitators and barriers to participation in the Bavarian Research Practice Network (BayFoNet) from the GPs`perspective before clinical trials will be performed. Methods We have performed semi-structured qualitative interviews with a purposive sample of 20 Bavarian GPs in 2022 under the application of the consolidated framework for implementation research (CFIR). Transcriptions were analysed according to Kuckartz` qualitative content analysis. The five domains of the CFIR framework served as initial deductive codes. Results N = 14 interviewees already agreed to participate in BayFoNet, whereas n = 6 interviewees opted not to participate in BayFoNet at the time of data collection. Main facilitators to conduct clinical research within BayFoNet were the motivation to contribute to evidence strength and quality in general practice, professional development and training of practice staff, as well as networking. Barriers for an active participation were bad experiences with previous clinical studies and lack of resources. Conclusions PBRNS in Germany have to be promoted and the entire practice team has to be involved at an early stage of development. Professional training of general practice staff and a living network might enhance engagement. Participatory approaches could help to develop acceptable and feasible study designs. Furthermore, PBRNs should support patient recruitment and data collection in general practices and disseminate the results of their research projects regularly to maintain GPs` engagement. Trial registration DRKS00028805, NCT05667207.https://doi.org/10.1186/s12875-023-02239-7General practicePrimary health careParticipatory researchPractice based research networkImplementation science |
| spellingShingle | Linda Sanftenberg Julia Stofella Katharina Mayr Armin Nassehi Annette Härdtlein Stefanie Stark Thomas Kühlein Peter Konstantin Kurotschka Ildikò Gágyor Stefanie Eck Antonius Schneider Melanie Bößenecker Marco Roos Tobias Dreischulte Jochen Gensichen for the BayFoNet study group Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) BMC Primary Care General practice Primary health care Participatory research Practice based research network Implementation science |
| title | Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) |
| title_full | Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) |
| title_fullStr | Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) |
| title_full_unstemmed | Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) |
| title_short | Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet) |
| title_sort | expectations of general practitioners on a practice based research network in germany a qualitative study within the bavarian research practice network bayfonet |
| topic | General practice Primary health care Participatory research Practice based research network Implementation science |
| url | https://doi.org/10.1186/s12875-023-02239-7 |
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