Defining dimensions of research readiness: a conceptual model for primary care research networks.

ABSTRACT

BACKGROUND: Recruitment to research studies in primary care is challenging despite widespread implementation of electronic patient record (EPR) systems which potentially make it easier to identify eligible cases. METHODS: Literature review and applying the learning from a European research readiness assessment tool, the TRANSFoRm International Research Readiness instrument (TIRRE), to the context of the English NHS in order to develop a model to assess a practice's research readiness. RESULTS: Seven dimensions of research readiness were identified (1) Data readiness Is there good data quality in EPR systems; (2) Record readiness Are EPR data able to identify eligible cases and other study data; (3) Organisational readiness Are the health system and socio-cultural environment supportive; (4) Governance readiness Does the study meet legal and local health system regulatory compliance; (5) Study-specific readiness; (6) Business process readiness Are business processes tilted in favour of participation including capacity and capability to take on extra work, financial incentives as well as intangibles such as social and intellectual capital; (7) Patient readiness Are systems in place to recruit patients and obtain informed consent? CONCLUSIONS: The model might enable the development of interventions to increase participation in primary care-based research and become a tool to measure the progress of practice networks towards the most advanced state of readiness.