研究密集型机构与研究不太密集型机构的家庭医学研究比较。

A comparison of family medicine research in research intense and less intense institutions.

作者信息

Mainous A G, Hueston W J, Ye X, Bazell C

机构信息

Department of Family Medicine, Medical University of South Carolina, 295 Calhoun St, PO Box 250192, Charleston, SC 29425, USA.

出版信息

Arch Fam Med. 2000 Nov-Dec;9(10):1100-4. doi: 10.1001/archfami.9.10.1100.

DOI:10.1001/archfami.9.10.1100

PMID:11115214

Abstract

BACKGROUND

Family medicine is a relatively new specialty that has been trying to develop a research base for 30 years. It is unclear how institutional research success and emphasis have affected the research productivity of family medicine departments.

OBJECTIVE

To examine the research infrastructure, productivity, and barriers to productivity in academic family medicine in research intense and less intense institutions.

DESIGN, SETTING, AND PARTICIPANTS: A survey of 124 chairs among institutional members of the Association of Departments of Family Medicine. Departments were categorized as being associated with research intense institutions (defined as the top 40 in National Institute of Health funding) or less intense institutions.

MAIN OUTCOME MEASURES

Prioritization of research as a mission, number of funded research grants, total number of research articles published, and number of faculty and staff conducting research.

RESULTS

The response rate was 55% (N = 68). Of 5 potential ratings on the survey, research was the fourth highest departmental priority in both categories of institutions. Departments in research intense institutions were larger, had more faculty on investigational tracks, and employed more research support staff (P<.05). Neither category of department published a large number (median = 10 in both groups) of peer-reviewed articles per year. Controlling for the number of full-time equivalent faculty, the departments in less intense institutions published a median of 0.7 articles, while the research intense institutions published 0.5 (P =.30). Departments in research intense institutions received more grant funding (P<.005) in both unadjusted and adjusted analyses. Chairs reported a scarcity of qualified applicants for research physician faculty openings.

CONCLUSION

Future initiatives should focus on prioritizing research and creating a critical mass of researchers in family medicine. Arch Fam Med. 2000;9:1100-1104

摘要

背景

家庭医学是一个相对较新的专业，30年来一直在努力建立研究基础。目前尚不清楚机构研究的成功与重点如何影响家庭医学部门的研究生产力。

目的

考察研究密集型机构和研究不太密集型机构中学术家庭医学的研究基础设施、生产力以及生产力的障碍。

设计、场所与参与者：对家庭医学系协会机构成员中的124位系主任进行调查。各系被分为与研究密集型机构（定义为国立卫生研究院资金排名前40的机构）相关或与研究不太密集型机构相关。

主要观察指标

将研究作为一项使命的优先级、获得资助的研究项目数量、发表的研究文章总数以及从事研究的教职员工数量。

结果

回复率为55%（N = 68）。在调查的5个潜在评级中，研究在两类机构中都是部门第四高的优先事项。研究密集型机构中的系规模更大，有更多处于研究轨道的教职员工，并且聘用了更多的研究支持人员（P<0.05）。两类系每年发表的同行评议文章数量都不多（两组中位数均为10篇）。在控制全职等效教职员工数量后，研究不太密集型机构中的系发表文章的中位数为0.7篇，而研究密集型机构发表了0.5篇（P = 0.30）。在未调整和调整分析中，研究密集型机构中的系获得的资助资金更多（P<0.005）。系主任们报告称，研究医师教职岗位缺乏合格的申请者。