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The James Lind Alliance. Clinicians’ Perspective: Opportunities and Challenges John Scadding JLA Annual Meeting, 3 December 2005 RSM, London. JLA Opportunities for Clinicians. Address issues of importance & relevance to patients.
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The James Lind Alliance Clinicians’ Perspective: Opportunities and Challenges John Scadding JLA Annual Meeting, 3 December 2005 RSM, London
JLA Opportunities for Clinicians • Address issues of importance & relevance to patients. • Patients & clinicians set priorities for research, not industry. • Quality patient participation, not just numbers in trials. • Minimise biases of individuals in research. • Better recruitment of patients to studies: understanding of trial methods. • Identification of under-researched areas.
JLA Opportunities for Clinicians 7. Identification of systematic reviews needed. 8. Easier passage of research proposals through ethics committees. 9. Attraction of non-commercial funding. 10. Ensure relevant trials are conducted: new vs best existing treatment. 11. Greater involvement of NHS clinicians in therapeutic research. 12. More research done as part of routine NHS healthcare.
JLA Challenges for Clinicians • Ability to work in collaboration with patients, other clinicians, DUETs, & Cochrane review groups. • Ensure appropriate clinician groups & individuals contribute to working partnerships. • Set aside personal agendas. • Methods for systematic acquisition of clinicians’ views and experiences (as with patients, for DUETs). • Development of skills to reach consensus decisions. • Working to patient defined outcomes in research.
JLA Challenges for Clinicians 7. Listen to patients’ views on quality of life measures. 8. Listen to patients’ views on interventions to be measured in research. 9. Engage in research within constraints of the new consultant contract. 10. Work with NHS managers: importance of research in routine care. 11. Influence metrics for incentives in patient focused research in healthcare. 12. Work within framework of CRNs: “Best Research for Best Health”.