role of primary care and the racgp in clinical trials...e chair racgp board, and nsw/act faculty...
TRANSCRIPT
MichaelTAMStaff Specialist Academic Primary and Integrated Care Unit
SWSLHD and Ingham Institute
Conjoint Senior Lecturer School of Public Health and Community Medicine
UNSW Sydney
Role of Primary Care and theRACGP in Clinical Trials
eco
logy
White KL et al. The ecology of medical care. N Engl J Med 1961;265:885-892
eco
logy
The availability of good medical care tends to vary inversely with the need
for it in the population served.
Hart J. The inverse care law. Lancet 1971;297(7696):405-412
gras
sro
ots
?
?
“GPs are asked constantly to be part of research projects or to refer patients without any particular
benefit…”
“…we don’t want to spam this community with research requests although we are all vitally supportive of
it.”
inundation
?
“I am happy to participate in clinical trials if I am not heavily disadvantaged in either time or income.
I do not ever recall being approached to participate in a research project that is adequately funded to
cover my income/time spent participating.”
burden of costs
?
Having said that, we have participated in the COMPASS and ACCEPT trials as we felt they were beneficial for
our patients from the outset and did not impose greatly on the running of the practice.
burden of costs
?
GP researchers are also wanting to do their own research projects and so feel at a disadvantage when bigger trials with better funding are trying to also
do projects in our space.
competition
?
We are not being very inspiring. I suppose this sounds like a big moan. I see only barriers.
Salaried doctors running around working diligently on research is just another world for the average G.P.
who is fee-for-service.
weariness
inte
rpre
tati
on
don’t rely on a “deficits” framework
build relationships based on:
RespectTrustReciprocity
the
Co
llege
A/Prof CharlotteHESPEChair RACGP Board, and NSW/ACT Faculty Council
Head General Practice and Primary Care Research, School of Medicine
University of Notre Dame, Sydney Australia
• RACGP is working with the MRFF to try and increase the amount of research funds that can flow into primary care based research
• RACGP is working with DoH and AAAPC to look at ways of strengthening GP practice based research networks (PBRNs)
• RACGP encourages a collaborative approach• with primary care researchers to achieve the goal
of increased evidence based practice• with PBRNs to assist them in recruitment
the
Co
llege
A/Prof CharlotteHESPEChair RACGP Board, and NSW/ACT Faculty Council
Head General Practice and Primary Care Research, School of Medicine
University of Notre Dame, Sydney Australia
In turn we are more than happy to assist in ways to communicate with GPs in
general and to facilitate recruitment of appropriate patients from the GP setting.
It needs to be a win-win for everyone.
relationships