• John Heintzman, Sonja Likumahuwa, Christine Nelson, M Patrice Eiff, Rachel Gold, Joseph E Carroll, John Muench, Christian Hill, Meena Mital, and Jennifer E DeVoe.
• Department of Family Medicine, Oregon Health & Science University.
• Fam Med. 2014 Feb 1; 46 (2): 105-11.

Background And ObjectivesTo gain a better understanding of the facilitators and barriers to creating a practice-based research network (PBRN) of safety net clinics, we conducted a qualitative study within our network of safety net health centers.MethodsUtilizing snowball sampling, we conducted interviews with 19 of our founding stakeholders and analyzed these interviews to draw out common themes.ResultsThe results showed four barriers to research in our network: lack of research generated from clinician questions, lack of appropriate funding, lack of clinician time, and lack of infrastructure. We discuss these results and suggest that inadequate funding for practice-based research, particularly in the health care safety net, is a unifying theme of these four barriers.ConclusionsOur results suggest that the national funding strategy for research relevant to underserved populations and all of primary care must undergo a fundamental shift. We discuss the features of possible models to meet this need.

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