Chew-Graham Carolyn A, May Carl R, Perry Mark S
School of Primary Care, University of Manchester, Rusholme Health Centre, Walmer Street, Manchester M14 5NP, UK.
Fam Pract. 2002 Jun;19(3):285-9. doi: 10.1093/fampra/19.3.285.
Qualitative research methods are recognized increasingly as valuable tools for primary care research, and add an extra dimension to quantitative work.
The aim of this study was to illustrate the benefits and problems attending the dual role of clinician/qualitative researcher.
As part of two studies employing semi-structured interviews of GPs in a North-West conurbation, about the topics of consultations on chronic low back pain and drug misuse in primary care, respondents' views on their interaction with a GP researcher were explored.
Access to the GP by the interviewing GP was easier when the GP researcher was known to the respondent. Such prior knowledge, however, may then influence the content of the data and the manner in which the GP researcher is perceived. During the interview itself, where respondents recognized the researcher as a clinician, interviews were broader in scope and provided richer and more personal accounts of attitudes and behaviour in clinical practice. The GP was also identified as an expert and judge, not just of clinical decision making but also about moral judgements made by GPs in their work. This will impact on the data obtained at interview and must be taken into consideration when the data are interpreted and analysed.
Qualitative research techniques increasingly are advocated as appropriate for research on and in general practice. The professional identity of the researcher plays an important part in constructing the kind of data obtained in such studies, and this must be made apparent in reporting and discussions of such qualitative work.
定性研究方法日益被视为基层医疗研究的宝贵工具，为定量研究增添了新的维度。
本研究旨在阐明临床医生/定性研究人员双重角色所带来的益处和问题。
作为两项研究的一部分，在西北部一个大城市对全科医生进行了半结构化访谈，访谈主题为慢性腰痛的诊疗咨询以及基层医疗中的药物滥用问题，探讨了受访者对与全科医生研究人员互动的看法。
当受访者认识全科医生研究人员时，访谈的全科医生更容易接触到该全科医生。然而，这种先验知识可能会影响数据内容以及对全科医生研究人员的认知方式。在访谈过程中，当受访者将研究人员视为临床医生时，访谈范围更广，能提供关于临床实践中态度和行为更丰富、更个人化的描述。全科医生还被视为专家和评判者，不仅在临床决策方面，而且在其工作中做出的道德判断方面。这将影响访谈中获取的数据，在对数据进行解释和分析时必须予以考虑。
定性研究技术日益被倡导适用于基层医疗的研究。研究人员的专业身份在构建此类研究中所获得的数据类型方面起着重要作用，这一点在对此类定性研究的报告和讨论中必须明确体现。
