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Prioritising the respiratory research needs of primary care: the International Primary Care Respiratory Group (IPCRG) w-Delphi Exercise

Prioritising the respiratory research needs of primary care: the International Primary Care Respiratory Group (IPCRG) w-Delphi Exercise
Prioritising the respiratory research needs of primary care: the International Primary Care Respiratory Group (IPCRG) w-Delphi Exercise
Community-based care, underpinned by relevant primary care research, is an important component of the global fight against non-communicable diseases. The International Primary Care Research Group’s (IPCRG’s) Research Needs Statement identified 145 research questions within five domains (asthma, rhinitis, chronic obstructive pulmonary disease (COPD), smoking, respiratory infections). AIMS: To use an e-mail Delphi process to prioritise the research questions. METHODS: An international panel of primary care clinicians scored the clinical importance, feasibility, and international relevance of each question on a scale of 1-5 (5 = most important). In subsequent rounds, informed by the Group’s median scores, participants scored overall priority. Consensus was defined as 80% agreement for priority scores 4 or 5. RESULTS: Twenty-three experts from 21 countries completed all three rounds. Sixty-two questions were prioritised across the five domains. A recurring theme was for ‘simple tools’ (e.g. questionnaires) enabling diagnosis and assessment in community settings, often with limited access to investigations. Seven questions recorded 100% agreement: these involved pragmatic approaches to the diagnosis of COPD and rhinitis, assessment of asthma and respiratory infections, management of rhinitis, and implementing asthma self-management. CONCLUSIONS: Evidence to underpin the primary care approach to diagnosis and assessment and broad management strategies were overarching priorities. If primary care is to contribute to the global challenge of managing respiratory non-communicable diseases, policymakers, funders, and researchers need to prioritise these questions.

non-communicable diseases, primary care, research priorities, respiratory medicine, IPCRG
1471-4418
19-27
Pinnock, Hilary
6d424703-d584-44a4-9114-d513ea01202e
Ostrem, Anders
d1b24ca3-2111-416d-91e8-0f4b1c96a1ff
Rodriguez, Miguel Roman
2217c76d-ff0b-48d0-9e65-62da688a8840
Ryan, Dermot
1198eef9-313e-4972-8cf7-51da2d373a1a
Stallberg, Bjorn
5ec11e38-31c2-4465-966a-7151ad6d12a7
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Tsiligianni, Ioanna
24b28edd-7f88-483d-8a6c-5c02b858591f
Williams, Sian
04fa1723-0d6a-4b19-bd50-ba55103d8fe8
Yusuf, Osman
4d940a83-acd0-4b03-a499-776ded74e172
Pinnock, Hilary
6d424703-d584-44a4-9114-d513ea01202e
Ostrem, Anders
d1b24ca3-2111-416d-91e8-0f4b1c96a1ff
Rodriguez, Miguel Roman
2217c76d-ff0b-48d0-9e65-62da688a8840
Ryan, Dermot
1198eef9-313e-4972-8cf7-51da2d373a1a
Stallberg, Bjorn
5ec11e38-31c2-4465-966a-7151ad6d12a7
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Tsiligianni, Ioanna
24b28edd-7f88-483d-8a6c-5c02b858591f
Williams, Sian
04fa1723-0d6a-4b19-bd50-ba55103d8fe8
Yusuf, Osman
4d940a83-acd0-4b03-a499-776ded74e172

Pinnock, Hilary, Ostrem, Anders, Rodriguez, Miguel Roman, Ryan, Dermot, Stallberg, Bjorn, Thomas, Mike, Tsiligianni, Ioanna, Williams, Sian and Yusuf, Osman (2012) Prioritising the respiratory research needs of primary care: the International Primary Care Respiratory Group (IPCRG) w-Delphi Exercise. Primary Care Respiratory Journal, 21 (1), 19-27. (doi:10.4104/pcrj.2012.00006).

Record type: Article

Abstract

Community-based care, underpinned by relevant primary care research, is an important component of the global fight against non-communicable diseases. The International Primary Care Research Group’s (IPCRG’s) Research Needs Statement identified 145 research questions within five domains (asthma, rhinitis, chronic obstructive pulmonary disease (COPD), smoking, respiratory infections). AIMS: To use an e-mail Delphi process to prioritise the research questions. METHODS: An international panel of primary care clinicians scored the clinical importance, feasibility, and international relevance of each question on a scale of 1-5 (5 = most important). In subsequent rounds, informed by the Group’s median scores, participants scored overall priority. Consensus was defined as 80% agreement for priority scores 4 or 5. RESULTS: Twenty-three experts from 21 countries completed all three rounds. Sixty-two questions were prioritised across the five domains. A recurring theme was for ‘simple tools’ (e.g. questionnaires) enabling diagnosis and assessment in community settings, often with limited access to investigations. Seven questions recorded 100% agreement: these involved pragmatic approaches to the diagnosis of COPD and rhinitis, assessment of asthma and respiratory infections, management of rhinitis, and implementing asthma self-management. CONCLUSIONS: Evidence to underpin the primary care approach to diagnosis and assessment and broad management strategies were overarching priorities. If primary care is to contribute to the global challenge of managing respiratory non-communicable diseases, policymakers, funders, and researchers need to prioritise these questions.

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More information

e-pub ahead of print date: January 2012
Published date: March 2012
Keywords: non-communicable diseases, primary care, research priorities, respiratory medicine, IPCRG
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 335490
URI: http://eprints.soton.ac.uk/id/eprint/335490
ISSN: 1471-4418
PURE UUID: eface8d6-8f57-484d-9817-918b3cf1fcf0

Catalogue record

Date deposited: 12 Mar 2012 13:50
Last modified: 08 Nov 2021 22:32

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Contributors

Author: Hilary Pinnock
Author: Anders Ostrem
Author: Miguel Roman Rodriguez
Author: Dermot Ryan
Author: Bjorn Stallberg
Author: Mike Thomas
Author: Ioanna Tsiligianni
Author: Sian Williams
Author: Osman Yusuf

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