An analysis of reasons for discontinuing participation in a practice-based research network

Journal Name: 
Fam.Med.
Authors: 
Green,L.A.
Niebauer,L.J.
Miller,R.S.
Lutz,L.J.
Abstract: 
Now that primary care practice-based research networks are known to be feasible, it is important to learn more about the reasons practices participate and withdraw. The Ambulatory Sentinel Practice Network (ASPN) experience presents a special opportunity to study 32 practices that withdrew from the Network since it began in 1982. One hundred percent of these practices responded to a structured telephone survey. The desire to be part of a group doing research (47%) and response to recruitment by an esteemed colleague (28%) were the most important reasons for joining the Network. Changes within the practice (50%), the additional burdens associated with ASPN (22%), and lack of support among practice colleagues and staff (13%) were the most important reasons for withdrawing. Six suggestions were made that could have helped these practices continue in ASPN. Thirteen percent of practices that withdrew rejoined the Network at a later date. Eight years after initiating investigations, 70% of the practices that were ever part of ASPN remained fully involved
8
1991
Volume: 
23
Pages: 
447-449
Keywords: 
Ambulatory, analysis, ASPN, primary care, Primary Health Care, Professional Practice, Research, response, support, survey, Telephone