Expanding delivery system research in public health settings: Lessons from practice-based research networks

Glen P. Mays, Rachel A. Hogg

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Background : Delivery system research to identify how best to organize, finance, and implement health improvement strategies has focused heavily on clinical practice settings, with relatively little attention paid to public health settings-where research is made more difficult by wide heterogeneity in settings and limited sources of existing data and measures. This study examines the approaches used by public health practice-based research networks (PBRNs) to expand delivery system research and evidence-based practice in public health settings. METHODS:: Practice-based research networks employ quasi-experimental research designs, natural experiments, and mixed-method analytic techniques to evaluate how community partnerships, economic shocks, and policy changes impact delivery processes in public health settings. In addition, network analysis methods are used to assess patterns of interaction between practitioners and researchers within PBRNs to produce and apply research findings. Results : Findings from individual PBRN studies elucidate the roles of information exchange, community resources, and leadership and decision-making structures in shaping implementation outcomes in public health delivery. Network analysis of PBRNs reveals broad engagement of both practitioners and researchers in scientific inquiry, with practitioners in the periphery of these networks reporting particularly large benefits from research participation. Conclusions : Public health PBRNs provide effective mechanisms for implementing delivery system research and engaging practitioners in the process. These networks also hold promise for accelerating the translation and application of research findings into public health settings.

Original languageEnglish
Pages (from-to)485-498
Number of pages14
JournalJournal of Public Health Management and Practice
Issue number6
StatePublished - Nov 2012


  • implementation research
  • practice-based research
  • public health delivery
  • public health services and systems research
  • research translation

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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