Brown B A, Long H L, Weitz T A, Milliken N
UCSF National Center of Exellence in Women's Health, University of California, San Francisco, USA.
Women Health. 2000;31(2-3):153-66. doi: 10.1300/j013v31n02_08.
To rectify the historic lack of research on women's health and the exclusion of women from many significant clinical trials, regulations have been promulgated requiring the inclusion of women and minorities in research studies. Acknowledging that the National Institutes of Health (NIH) mandate has resulted in more inclusive research, the unintended consequences associated with implementation of these regulations must also be explored. While the requirements preclude the use of cost as a reason for excluding women and/or minorities, the additional funding necessary to recruit adequate numbers of study participants has not been provided. Consequently, study recruiters often face unacknowledged expectations and job pressures as they attempt to meet recruitment goals. While it is important to support the NIH mandate, the additional stress imposed upon research study recruiters must also be recognized. Focus groups with study recruiters from various backgrounds and types of research provide an understanding of the challenges recruiters face when attempting to recruit diverse populations of women into research, and provide an understanding of the impact of recruitment goals on study recruiters' job satisfaction.
为了纠正历史上对女性健康研究的缺乏以及女性被排除在许多重要临床试验之外的状况，现已颁布法规，要求在研究中纳入女性和少数族裔。认识到美国国立卫生研究院（NIH）的指令已带来更具包容性的研究，但也必须探讨与实施这些法规相关的意外后果。虽然这些要求排除了以成本为由排除女性和/或少数族裔的做法，但招募足够数量研究参与者所需的额外资金却未得到提供。因此，研究招募人员在试图实现招募目标时，往往面临未被承认的期望和工作压力。虽然支持NIH的指令很重要，但研究招募人员所承受的额外压力也必须得到认识。与来自不同背景和研究类型的研究招募人员进行焦点小组讨论，有助于了解招募人员在试图招募不同女性群体参与研究时所面临的挑战，并有助于了解招募目标对研究招募人员工作满意度的影响。
