JAMA & ARCHIVES
Arch Fam Med
SEARCH
GO TO ADVANCED SEARCH
HOME  PAST ISSUES  TOPIC COLLECTIONS  CME  PHYSICIAN JOBS  CONTACT US  HELP
Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In
  Vol. 2 No. 9, September 1993 TABLE OF CONTENTS
  Archives
  •  Online Features
  Original Contributions
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

How Representative of Typical Practice Are Practice-Based Research Networks?

A Report From the Ambulatory Sentinel Practice Network Inc (ASPN)

Larry A. Green, MD; Rebecca S. Miller, MS; Frank M. Reed, MD; Donald C. Iverson, PhD; Gwyn E. Barley, MPl

Arch Fam Med. 1993;2(9):939-949.


Abstract

Objective
To evaluate the patients and practices of family physicians in a national practice-based research network to understand whether results from practice-based research networks are likely to be relevant to other Practicing clinicians.

Study Design
Survey focused on family physicians that replicated the National Ambulatory Medical Care Survey (NAMCS).

Setting
The Ambulatory Sentinel Practice Network Inc (ASPN), a practice-based research network, consisting of volunteer primary care practices that serve approximately 350 000 patients.

Outcome Measures
Comparison of visits reported in ASPN with the visits reported in the 1990 NAMCS in terms of patient demographics, reasons for visit, diagnostic and therapeutic services, diagnoses, disposition, and amount of time spent with patients.

Results
Overall, the two samples differed with respect to demographic characteristics of patients, while problems, diagnoses, services, disposition, and time spent with patients were similar. Specific pair-wise comparisons identified areas of difference.

Conclusion
The ASPN and possibly other similar practice-based research networks are sufficiently representative of family practice to serve as useful laboratories in which family practice and primary care can be explored.



Author Affiliations

From the Ambulatory Sentinel Practice Network Inc and the Department of Family Medicine (Drs Green and Iverson and Mss Miller and Barley), University of Colorado Health Sciences Center, and AMC Cancer Research Center (Dr Reed), Denver.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Global Health and Primary Care Research
Beasley et al.
J Am Board Fam Med 2007;20:518-526.
ABSTRACT | FULL TEXT  

Annals Journal Club: Acanthosis Nigricans and Diabetes Risk Factors
Ann Fam Med 2007;5:iii-iii.
FULL TEXT  

Describing Primary Care Encounters: The Primary Care Network Survey and the National Ambulatory Medical Care Survey
Binns et al.
Ann Fam Med 2007;5:39-47.
ABSTRACT | FULL TEXT  

Patient Visits to a National Practice-Based Research Network: Comparing Pediatric Research in Office Settings With the National Ambulatory Medical Care Survey
Slora et al.
Pediatrics 2006;118:e228-e234.
ABSTRACT | FULL TEXT  

A Safety-Net Antibiotic Prescription for Otitis Media: The Effects of a PBRN Study on Patients and Practitioners
Siegel et al.
CLIN PEDIATR 2006;45:518-524.
ABSTRACT  

Further Investigation of the Negative Association between Hypertension and Peripheral Neuropathy in the Elderly: An Oklahoma Physicians Resource/Research Network (OKPRN) Study.
Cho et al.
J Am Board Fam Med 2006;19:240-250.
ABSTRACT | FULL TEXT  

Pharmacy Clarification of Prescriptions Ordered in Primary Care: A Report from the Applied Strategies for Improving Patient Safety (ASIPS) Collaborative
Hansen et al.
J Am Board Fam Med 2006;19:24-30.
ABSTRACT | FULL TEXT  

Moving the Frontiers Forward: Incorporating Community-Based Participatory Research Into Practice-Based Research Networks
Macaulay and Nutting
Ann Fam Med 2006;4:4-7.
FULL TEXT  

Improving Detection of Suicidal Ideation Among Depressed Patients in Primary Care
Nutting et al.
Ann Fam Med 2005;3:529-536.
ABSTRACT | FULL TEXT  

Prescription for Health: Round 1 Initial Results
Green
Ann Fam Med 2005;3:S2-S3.
FULL TEXT  

When Do Older Patients Change Primary Care Physicians?
Mold et al.
J Am Board Fam Med 2004;17:453-460.
ABSTRACT | FULL TEXT  

How and Why to Study the Practice Content of a Practice-Based Research Network
Pearce et al.
Ann Fam Med 2004;2:425-428.
ABSTRACT | FULL TEXT  

Pediatricians' Training and Identification and Management of Psychosocial Problems
Leaf et al.
CLIN PEDIATR 2004;43:355-365.
ABSTRACT  

Continuity of Primary Care: To Whom Does It Matter and When?
Nutting et al.
Ann Fam Med 2003;1:149-155.
ABSTRACT | FULL TEXT  

Primary Care Referral of Children With Psychosocial Problems
Rushton et al.
Arch Pediatr Adolesc Med 2002;156:592-598.
ABSTRACT | FULL TEXT  

Child Sex Differences in Primary Care Clinicians' Mental Health Care of Children and Adolescents
Gardner et al.
Arch Pediatr Adolesc Med 2002;156:454-459.
ABSTRACT | FULL TEXT  

Competing Demands From Physical Problems: Effect on Initiating and Completing Depression Care Over 6 Months
Nutting et al.
Arch Fam Med 2000;9:1059-1064.
ABSTRACT | FULL TEXT  

Primary Care Treatment of Pediatric Psychosocial Problems: A Study From Pediatric Research in Office Settings and Ambulatory Sentinel Practice Network
Gardner et al.
Pediatrics 2000;106:44e-44.
ABSTRACT | FULL TEXT  

Uninsured Children With Psychosocial Problems: Primary Care Management
McInerny et al.
Pediatrics 2000;106:930-936.
ABSTRACT | FULL TEXT  

Increasing Identification of Psychosocial Problems: 1979-1996
Kelleher et al.
Pediatrics 2000;105:1313-1321.
ABSTRACT | FULL TEXT  

Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study
Jellinek et al.
Arch Pediatr Adolesc Med 1999;153:254-260.
ABSTRACT | FULL TEXT  

Problems in Laboratory Testing in Primary Care
Nutting et al.
JAMA 1996;275:635-639.
ABSTRACT  

Human Immunodeficiency Virus Seroprevalence in Community-Based Primary Care Practices, 1990-1992: A Report From the Ambulatory Sentinel Practice Network
Miller et al.
Arch Fam Med 1995;4:1042-1047.
ABSTRACT  

Practice-Based Research Networks: Their Current Level of Validity, Generalizability, and Potential for Wider Application
Stange
Arch Fam Med 1993;2:921-923.
ABSTRACT  




HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1993 American Medical Association. All Rights Reserved.