Development of a research agenda for general practice based on knowledge gaps identified in Dutch guidelines and input from 48 stakeholders.

Autor: Burgers JS; a Department of Family Medicine, Care and Public Health Research Institute (CAPHRI) , Maastricht University , Maastricht , The Netherlands.; b Dutch College of General Practitioners , Utrecht , The Netherlands., Wittenberg J; b Dutch College of General Practitioners , Utrecht , The Netherlands., Keuken DG; b Dutch College of General Practitioners , Utrecht , The Netherlands., Dekker F; c General Practice , Ilpendam , The Netherlands., Hohmann FP; d General Practice , Rotterdam , The Netherlands., Leereveld D; e Knowledge Institute of Medical Specialists , Utrecht , The Netherlands., Ligthart SA; f General Practice, Amersfoort/Nijmegen, and Department of General Practice , Academic Medical Centre , Amsterdam , The Netherlands., Mulder JA; g Netherlands Patient Federation , Utrecht , The Netherlands., Rutten G; h Diabetology in Primary Care, Julius Centre , University Medical Centre , Utrecht , The Netherlands., van der Wouden JC; i Department of General Practice & Elderly Care Medicine , VU University Medical Centre , Amsterdam , The Netherlands., van Balen JAM; b Dutch College of General Practitioners , Utrecht , The Netherlands., Knottnerus JA; a Department of Family Medicine, Care and Public Health Research Institute (CAPHRI) , Maastricht University , Maastricht , The Netherlands.
Jazyk: angličtina
Zdroj: The European journal of general practice [Eur J Gen Pract] 2019 Jan; Vol. 25 (1), pp. 19-24. Date of Electronic Publication: 2018 Nov 26.
DOI: 10.1080/13814788.2018.1532993
Abstrakt: Background: Several funding organizations using different agendas support research in general practice. Topic selection and prioritization are often not coordinated, which may lead to duplication and research waste.
Objectives: To develop systematically a national research agenda for general practice involving general practitioners, researchers, patients and other relevant stakeholders in healthcare.
Methods: We reviewed knowledge gaps from 90 Dutch general practice guidelines and formulated research questions based on these gaps. In addition, we asked 96 healthcare stakeholders to add research questions relevant for general practice. All research questions were prioritized by practising general practitioners in an online survey (n = 232) and by participants of an invitational conference including general practitioners (n = 48) and representatives of other stakeholders in healthcare (n = 16), e.g. patient organizations and medical specialists.
Results: We identified 787 research questions. These were categorized in two ways: according to the chapters of the International Classification for Primary Care (ICPC) and in 12 themes such as common conditions, person-centred care and patient education, collaboration and organization of care. The prioritizing procedure resulted in top 10 lists of research questions for each ICPC chapter and each theme.
Conclusion: The process resulted in a widely supported National Research Agenda for General Practice. We encourage both researchers and funding organizations to use this agenda to focus their research on the most relevant issues in general practice and to generate new evidence for the next generation of guidelines and the future of general practice.
Databáze: MEDLINE