COMMENTARY National Institutes of Health Eliminates Funding for National Architecture Linking Primary Care Research

Roadmap presents a strategic shift for practice-based research networks from direct funding of a har-monized national infrastructure of cooperating research networks to a model of local engagement of primary care clinics performing practice-based research under the aegis of regional academic health centers through Clinical and Translational Science Awards. Although this may present important oppor-tunities for partnering between community practices and large health centers, for primary care re-searchers, the promise of a transformational change that brings a unified national primary care commu-nity into the clinical research enterprise seems likely to remain unfulfilled. (J Am Board Fam Med 2007