{"id":1278,"date":"2016-02-22T14:09:57","date_gmt":"2016-02-22T19:09:57","guid":{"rendered":"http:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=1278"},"modified":"2016-02-22T14:09:57","modified_gmt":"2016-02-22T19:09:57","slug":"what-is-the-future-of-general-practice-academics-interested-in-research-on-multimorbidity","status":"publish","type":"post","link":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=1278","title":{"rendered":"What is the future of general practice academics interested in research on multimorbidity?"},"content":{"rendered":"<p><a class=\"twitter-share-button\" href=\"https:\/\/twitter.com\/share\">Tweet<\/a><br \/>\n<script type=\"text\/javascript\">\/\/ <![CDATA[\n!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0],p=\/^http:\/.test(d.location)?'http':'https';if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src=p+':\/\/platform.twitter.com\/widgets.js';fjs.parentNode.insertBefore(js,fjs);}}(document, 'script', 'twitter-wjs');\n\/\/ ]]><\/script><\/p>\n<div id=\"_mcePaste\">By Aline Ramond-Roquin and Martin Fortin<\/div>\n<div><a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Aline-et-Martin.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1283\" title=\"Aline et Martin\" src=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Aline-et-Martin.jpg\" alt=\"\" width=\"222\" height=\"134\" srcset=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Aline-et-Martin.jpg 222w, https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/wp-content\/uploads\/Aline-et-Martin-220x134.jpg 220w\" sizes=\"auto, (max-width: 222px) 100vw, 222px\" \/><\/a><\/div>\n<div id=\"_mcePaste\">In a recent <a href=\"http:\/\/cmajblogs.com\/thinking-the-unthinkable-about-general-practice-research\/\" target=\"_blank\">provocative blogpost<\/a> [1] hosted by the Canadian Medical Association Journal, the associate editor Domhnall MacAuley initiated an interesting discussion on the challenges general practice research currently faces. We would like to extend the reflection and to discuss some issues relevant for multimorbidity research.<\/div>\n<div id=\"_mcePaste\">First, we somewhat disagree on the fact that academic general practitioners have \u201cbecome less and less embedded in daily patient care\u201d. Many of them still deliver \u201cpersonal, primary and continuing care\u201d. The traditional model of single-handed practitioners offering \u201ctwenty four hour access to patients\u201d is quite obsolete, but this reflects the evolution of general practice rather than a specific characteristic of academics.<\/div>\n<div id=\"_mcePaste\">Indeed, general practitioners can no longer single-handedly fill the increasingly complex needs of their patients. Patients living with multimorbidity, who are now considered the rule in primary care, need interdisciplinary care. The current evolution towards increasing interdisciplinary work has generated specific research questions which require lowering some traditional barriers in the academic setting and developing interdisciplinary research, to appropriately address them. In this regard, having non-doctor primary care researchers in academic departments of general practice should neither be reduced to a question of \u201ccost-effectiveness\u201d, nor be considered as a threat for general practice research, as suggested in the CMAJ blogpost. Rather, collaborations within interdisciplinary teams are definitely an advantage to undertake research in complex fields such as multimorbidity. In these teams, general practitioners with significant clinical activity have a crucial and irreplaceable role.<\/div>\n<div id=\"_mcePaste\">Finally, meaningful research for people living with multimorbidity is often based on complex designs, such as multi-level epidemiological studies or pragmatic trials. We therefore strongly argue for scientific journals not neglecting research grounded in the real world of practice. They should not only focus on \u201csample size\u201d and \u201cinternational generalizability\u201d, but should also be concerned by clinical relevance and potential for implementation and transferability in different contexts. Producing and publishing practice-based evidence is required to practice evidence-based medicine relevant to the context, with the potential to eventually improve the life of our patients.<\/div>\n<div>_______________________________________________________________<\/div>\n<div id=\"_mcePaste\">[1] http:\/\/cmajblogs.com\/thinking-the-unthinkable-about-general-practice-research\/<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tweet By Aline Ramond-Roquin and Martin Fortin In a recent provocative blogpost [1] hosted by the Canadian Medical Association Journal, the associate editor Domhnall MacAuley initiated an interesting discussion on the challenges general practice research currently faces. We would like to extend the reflection and to discuss some issues relevant for multimorbidity research. First, we <a href=\"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/?p=1278\"> read more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":46,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_s2mail":"yes","footnotes":""},"categories":[4],"tags":[],"class_list":["post-1278","post","type-post","status-publish","format-standard","hentry","category-others"],"_links":{"self":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/1278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/users\/46"}],"replies":[{"embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1278"}],"version-history":[{"count":9,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/1278\/revisions"}],"predecessor-version":[{"id":1288,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=\/wp\/v2\/posts\/1278\/revisions\/1288"}],"wp:attachment":[{"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crmcspl-blog.recherche.usherbrooke.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}