Bridging the gap between basic science and clinical practice: The role of organizations in addressing clinician barriers

Megan Beckett, Elaine Quiter, Gery Ryan, Claude Berrebi, Stephanie Taylor, Michelle Cho, Harold Pincus, Katherine Kahn*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Background: New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine.Objective: This paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.Design: We reviewed the literature and interviewed over 200 clinicians and stakeholders.Results: The most common barriers to community clinician participation in clinical research relate to beliefs that clinical research is too burdensome and has little benefit for the participating clinician or patient. We identified a number of approaches healthcare organizations can use to encourage clinicians to participate in research, including an outreach campaign to promote the benefits of clinical research; selection of study topics of interest to clinicians; establishment and enforcement of a set of research principles valuing the clinician and patient; development of a transparent schedule of reimbursement for research tasks; provision of technological and technical assistance to practices as needed; and promotion of a sense of community among clinicians involved in practice-based research.Conclusions: Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible.

Original languageAmerican English
Article number35
JournalImplementation Science
Issue number1
StatePublished - 4 Apr 2011
Externally publishedYes

Bibliographical note

Funding Information:
This publication was made possible by Contract Number HHSN275200403390C from National institute of Child Health and Human Development NICHD. The authors would like to thank Sydne Newberry for editorial assistance and Nancee Inouye for research assistance associated with the project.


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