How different is research in GP and does it make a difference ?. Prof.J.Degryse Md PhD K.U.Leuven Профессор Йан Дегрис. Conference Sint-Petersburg Russia May 26-27th 2014. Introduction. Is primary-care research a lost cause ? (The Lancet 361, 2003 editorial)
How different is research in GP and does it make a difference ?
Prof.J.Degryse Md PhD
Профессор Йан Дегрис
Conference Sint-Petersburg Russia
May 26-27th 2014
Fig 1 Odds ratios of various outcomes among children with acute otitis media who were treated with antibiotics or placebo
Del Mar, C. B et al. BMJ 1997;314:1526
«The strength of primary-care research in any country isprobably a good indicator of the strength and quality of primary care in that country. »
Douglas JD. Lancet 2003
Or vice-versa ?
« There is only ONE kind of research: good research »
« It is different and it makes a difference »
Part 2: Three strategic examples
Recruiting teaching practices to participate in a punctual research.(example: respiratory research)
Building a network of sentinel practices(example: the INTEGO network)
Investing in large scale observational cohort studies.
(example: the BELFRAIL study)
Averroës , a primary care research network
« L'aveugle se détourne de la fosse où le clairvoyant se laisse tomber. »[ Averroès ]
Averroes was a defender of Aristotelian philosophy against Ash'ari theologians led by Al-Ghazali. Although highly regarded as a legal scholar of the Maliki school of Islamic law, Averroes' philosophical ideas were considered controversial in Muslim circles.Averroes had a greater impact on Western European circles and he has been described as the "founding father of secular thought in Western Europe
“The BFC80+ was designed to acquire a better understanding of the epidemiologyand pathophysiology of chronic diseases in the very elderly and to study the dynamic interaction between health, frailty and disability in a multi-system approach”.
. . .
86 GPs-55 practices
Diagnoses, prescribed drugs, laboratory results, background
Thesaurus (+ ICPC/iCD10
Table 8: Top 20 most frequent new diagnoses, 2007-2009