• Annalisa Roveta, Guglielmo Pacileo, Mauro Cappelletti, Donatella Alesso, Alberto Bonissone, Lorenzo Fossati, Maria C Giaccari, Fabio Maccapani, Camillo Milano, Nicolò Parodi, Federico Torregiani, Francesca Ugo, Costanza Massarino, Luigi M Castello, and Antonio G Maconi.
• Research Laboratories, Department of Research and Innovation (DAIRI), SS Antonio e Biagio e Cesare Arrigo Public Hospital, Alessandria, Italy - aroveta@ospedale.al.it.
• Minerva Med. 2024 Apr 1; 115 (2): 162170162-170.

BackgroundPrimary care is considered essential for the sustainability of the Health System. Practice-Based Research Networks (PBRN) play a strategic role in translation of primary care research into practice. Research Capacity Building in primary care requires a improvement and development strategy and well-developed research infrastructures to support physicians.MethodsWe used the system development methodology referring to the Lean Thinking to create and support a research team in primary and pediatric care. In particular a "cascade" deployment model and the X-Matrix, a framework used in management studies to support strategy definition and management process.ResultsA research unit in primary and pediatric care has been created, by sharing vision, mission, core values, long-term strategies. The definition of a annual planning led to monitoring actions to guarantee the expected goals.ConclusionsLean methodology is useful to adapt to various managerial and operational contexts, including healthcare. In our case it allowed team members to spread the culture of research, its importance and role to improve the health of patients, thank to the organizational support of a hospital IR, the Research and Innovation Department.

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