Table 2.
Key themes in recruitment challenge and illustrative quotes presented by the practice representatives
| Recruitment challenge identified | Illustrative feedback received |
|---|---|
| Decision made on behalf of practices/providers is made by administrators/management who acts as gatekeeper | ‘Several of us have also been discussing what the financial tipping point is for practices/ residency programs to participate in...studies…These studies are so important to the discipline, but what makes sense for the time and energy of the clinicians and entire clinic unit is still a bit unknown…[Our practice] is doing great work in terms of PCMH [Patient Centered Medical Home] and is leading the pack in so many ways—we want to make sure we guide them about what to expect if they participate in the future’. |
| ‘Once we feel that the practices are comfortable, we will turn them over to you to get the process rolling’. | |
| ‘We are not a good source of practices for this study given the composition and interests of our practice population’. | |
| A need for approval by the board/ organization’s advisory group | ‘We are just so busy so the board decided it is too much and docs will be running screaming from the building if we ask them for one more thing to do’. |
| Large organizations measure research value/ ‘worthiness’ largely by time, effort and/or money | ‘.. I would like to ask [researcher] if there are any significant …benefits (monetary) for the participants in the CKD study. I understand the value of clinical research, but honestly the clinical staff at our program are so busy that only two things would get us involved, 1. special interest in the topic (which no one here has) or 2. enough money to create special interest. Again, this does not reflect on the inherent value of the study’. |
| ‘I like your study and I wish we could support it, but I am afraid that we need to decline this offer. … While I believe we could do this, I could not convince our CMOI [Chief Medical Officer] to commit to doing this’. | |
| ‘The study sound intriguing…for us to get providers involved there need to be some carrot’. | |
| Competing demands | ‘I have four current projects I am working on … and I just do not feel I can commit to another right now’. |