National Academy of Medicine

Integrating Research into Health Care Systems: Executives' Views

By Karin Johnson, Claudia Grossmann, Jane Anau, Sarah Greene, Kilian Kimbel, Eric Larson, Katherine Newton
January 08, 2015 | Discussion Paper

This discussion paper summarizes the results of a survey of attendees of the April 2014 Institute of Medicine workshop, sponsored by the Patient-Centered Outcomes Research Institute (PCORI): Heath System Leaders Working Toward High Value Care through Integration of Care and Research. Designed and implemented by the PCORnet Health Care Systems Interaction and Sustainability Task Force, the aim of the survey was to explore the benefits and challenges of integrating research into practice from the perspective of health system leaders including those systems that are part of the PCORI patient-centered clinical research network, PCORnet. Conclusions from this sample include enthusiasm for the opportunity that data networks offer to learn from ongoing clinical work, especially as it offers a return on the substantial investments systems have made in health information technology, balanced against concerns that the pace of research is “out of sync” with demands of healthcare systems, and a sense that topics of interest to researchers do not always map well with needs of systems to improve access, improve quality and reduce rising costs. These responses also suggest that follow-up activities might include development of both local and national processes where researchers and delivery systems can meet, share ideas and establish priorities for research projects, reduce challenges of mounting research in delivery systems and establish processes for translation of results into practice and thereby eliminate the current silos separating researchers and delivery system leaders

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Disclaimer: The views expressed in this paper are those of the authors and not necessarily of the authors’ organizations, the National Academy of Medicine (NAM), or the National Academies of Sciences, Engineering, and Medicine (the National Academies). The paper is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.