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A Short History of Primary Care Practice-based Research Networks: From Concept to Essential Research Laboratories
Open accessAbstract
Sail forth—steer for the deep waters only, reckless O Soul, exploring, I with thee, and thou with me, for we are bound where mariner has not yet dared to go, and we will risk the ship, ourselves and all. —Walt Whitman This is a story about the evolution of practice-based research networks (
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“Indeed, reports of PBRN performance metrics are rare for both medical and dental PBRNs, and have primarily focused on the number of studies completed and the number of participants involved [6,14,15].”
From Structure, function, and productivity from the National Dental Practice-Based Research Network. (2022) · cites this paper as [15]
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A community pharmacy practice-based research network: A protocol for a realist evaluation
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“The first PBRN in the United States was proposed during the 1979 meeting of the North American Primary Care Research Group ( Green & Hickner, 2006), based on a legacy of community practice and research in primary care.”
BackgroundInnovations in Pharmacy through Practice-Based Research
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Improving Recruitment and Retention of Pharmacists in a Practice-Based Research Network
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“Although primary care PBRNs have existed in the United States since the 1970s [2], pharmacy PBRNs are relatively newer, with the majority of reports appearing in the literature over the last 20 years [3–14].”
BackgroundEnhancing the Evidence for Behavioral Counseling
Alcántara, C., Klesges, L. M., Resnicow, K., Stone, A., & Davidson, K. W. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.05.015 · Cited by 7
“Practice-based research networks (PBRNs) are primary care practices that work collectively to answer community-relevant healthcare questions and translate research results into practice.(25,26) To register as a PBRN with the Agency for Healthcare Research and Quality, a practice must be composed of at least 50% primar…”
BackgroundPractice-based Research Networks (PBRNs) in the Era of Integrated Delivery Systems
Carey, T. S., Halladay, J. R., Donahue, K. E., & Cykert, S. (2015) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2015.05.140353 · Cited by 7
“Practice-based research networks (PBRNs) have been used for over a quarter century to conduct research on processes and outcomes of care in community practices.(1) Clinicians, researchers, and funders such as the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality recognize that PBRN…”
BackgroundDania, A., Nagykaldi, Z., Haaranen, A., Muris, J., Evans, P. H., Mäntyselkä, P., & van Weel, C. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13159-w · Cited by 6
“This is consistent with the needs identified in the previous decade [2, 45, 52] and also in recent studies [26, 30, 45].”
InfluentialLeitch, S. V., Li, J.-R., & Stokes, T. (2024) · Journal of Primary Health Care · doi:10.1071/hc24046 · Cited by 6
Could 5R Research Help Achieve the Triple Aim?
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Practice-Based Research Networks and Massage Therapy: a Scoping Review
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“Practice-based research networks (PBRNs) have been used to facilitate medical and health care research for decades.(1) Since the beginning of the 21st century, PBRNs have rapidly grown in number and their impact on health-care research is significant.”
Gleadhill, C., Williams, C. M., Kamper, S. J., Alderman, K. B., Delbridge, A., Mahon, B., Donald, B., Delore, C., Boettcher, C., Renfrew, D., et al. (2023) · Health Research Policy and Systems · doi:10.1186/s12961-023-00983-x · Cited by 6
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From Alma Ata to Prescription for Health
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Phillips, W. R., Gebauer, S., Kueper, J. K., Martinez-Guijosa, A., Felzien, M., Hartman, T. O., Westfall, J. M., DeVoe, J. E., Stewart, M., Herbert, C. P., et al. (2023) · The Annals of Family Medicine · doi:10.1370/afm.3009 · Cited by 5
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“…of published studies demonstrate the effectiveness of CBPR in directly influencing health outcomes, indicating a clear need for additional research (Green & Hickner, 2006; Kinney, Aggarwal, Northridge, Janssen, & Shepard, 2000; Macaulay, Hanusaik, & Beauvais, 1991; Macaulay et al., 1998; Nevin &…”
Clinical trial design in the era of comparative effectiveness research
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“Practice-based research networks have been developed and initiated worldwide, and provide an infrastructure for conducting research in primary care settings.(17) Recruitment of participants in primary care settings may be associated with some unique challenges.”
A mixed methods investigation of leadership and performance in practice-based research networks
Patterson, B. J. (2013) · doi:10.17077/etd.52sbkt1v · Cited by 5
“AHRQ alone has dedicated millions of dollars in financing grants and resource centers aimed to empower PBRN development and research (AHRQ, 2005; Green & Hickner, 2006).”
BackgroundMethodKrist, A. H., Huffstetler, A. N., Villalobos, G. C., Rockwell, M. S., Richards, A., Funk, A., Sabo, R. T., Bortz, B. A., Webel, B., Lee, J. H., et al. (2023) · Journal of Clinical and Translational Science · doi:10.1017/cts.2023.530 · Cited by 4
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“They were formed from local, regional and national primary care practices.([4,5]) Some PBRNs are discipline specific (e.”
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“The objectives of the project were to: (1) involve all interested member practices in a new research project, (2) address a topic of importance to member practices, (3) employ feasible, low cost research methods, (4) provide practice- and network-wide feedback to participating Evaluating the Development, Implementatio…”
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Building Primary Care Research Capacity in a College of Osteopathic Medicine
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“Practice-based research networks (PBRNs) are a concept that originated with the expansion of the primary care medical specialty in the 1960s [1].”
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“PBRNs have been an engine for translational research in a number of disciplines in the U.S. health care system since the 1970s (L. A. Green, 1999; L. A. Green et al., 1978; L. A. Green & Hickner, 2006).”
BackgroundFurthering Dissemination and Implementation Research
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“As of 2005, the Agency for Healthcare Research and Quality (AHRQ)-funded PBRN Resource Center at Indiana University reported that practices from all 50 states and Puerto Rico participated in over 100 existing PBRNs.(1) Throughout the growth of the PBRN movement, the issue of generalizability of research findings has b…”
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“The history of practice-based research networks (PBRN) dates back to the 1970s and 1980s when the Agency for Healthcare Research and Quality (AHRQ) began to establish networks of clinicians who not only practiced, but were also committed to engaging in collaborative research relevant to their practices in order to add…”
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Metadata
- Authors
- Green, L. A., & Hickner, J.
- Affiliations
- University of Colorado Health (US)
- University of Chicago (US)
- Venue
- The Journal of the American Board of Family Medicine
- Published
- 2006-01-01
- Volume
- 19
- Issue
- 1
- Pages
- 1-10
- ISSN
- 1557-2625 (ISSN-L)
- 1558-7118
- OpenAlex
- W2134927115
- Cited by
- 187
- References
- 40
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 5 · 2023: 10 · 2022: 4 · 2021: 5 · 2020: 10 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 20 · 2014: 16 · 2013: 7 · 2012: 21
- FWCI
- 22.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of the American Board of Family Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- practice-based research networks, primary care research, research infrastructure, family medicine research
- MeSH terms
- Family Practice, Humans, Laboratories, Primary Health Care, Research Support as Topic, United States, Biomedical Research, History, 20th Century
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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