Expectations of general practitioners on a practice based research network in Germany- a qualitative study within the Bavarian Research Practice Network (BayFoNet)

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2024年1月2日

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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,
Andrea Baumgärtel,
Isabell Endrich,
Maike Ermster,
Jan Gehrmann,
Alexander Hapfelmeier,
Susann Hueber,
Merle Klanke,
Christian Kretzschmann,
Peter Konstantin Kurotschka,
Klaus Linde,
Klara Lorenz,
Linda Sanftenberg,
Antonius Schneider,
Stefanie Stark,
Til Uebel,
Fabian Walter

摘要

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.