Askew Deborah A, Clavarino Alexandra M, Glasziou Paul P, Del Mar Christopher B
Centre for General Practice, School of Population Health, The University of Queensland Medical School, Herston Road, Herston, QLD 4006, Australia.
Med J Aust. 2002 Jul 15;177(2):74-7. doi: 10.5694/j.1326-5377.2002.tb04670.x.
To determine general practitioners' (GPs') attitudes towards and involvement in general practice research.
Postal survey and semi-structured interviews conducted from May to September 2001.
467 of 631 GPs in four Queensland Divisions of General Practice responded to the survey (74% response rate); 18 selected GPs were interviewed.
Survey - attitudes to research; access to information resources; and involvement in research. Interviews - the need for general practice research; barriers against and factors enabling greater participation in research.
389/463 (84%) GPs, especially younger and more recent graduates, had positive attitudes to research, but only 29% wanted more involvement. 223/462 (48%) were aware they had access to MEDLINE, although presumably all those with Internet access (89%) would have free access via PubMed. Barriers included the general practice environment (especially fee-for-service funding), and the culture of general practice. Enabling factors included academic mentors; opportunities to participate in reputable, established research activities relevant to general practice; and access to information resources.
Although Australian general practice has a weak research culture, about a third of GPs would like to increase their involvement in research. However, the research must be perceived as relevant, and structured to minimise the inherent barriers in the environment and culture of general practice.
确定全科医生对全科医疗研究的态度及参与情况。
2001年5月至9月进行邮寄调查和半结构式访谈。
昆士兰四个全科医疗分区的631名全科医生中有467名回复了调查（回复率74%）；18名选定的全科医生接受了访谈。
调查——对研究的态度；信息资源获取情况；参与研究情况。访谈——全科医疗研究的必要性；阻碍更大程度参与研究的因素及促进因素。
389/463（84%）的全科医生，尤其是年轻医生和刚毕业的医生，对研究持积极态度，但只有29%的人希望更多地参与研究。223/462（48%）的人意识到他们可以访问MEDLINE，尽管据推测所有有互联网接入的人（89%）都可以通过PubMed免费访问。阻碍因素包括全科医疗环境（尤其是按服务收费的资金模式）和全科医疗文化。促进因素包括学术导师；参与与全科医疗相关的知名、既定研究活动的机会；以及信息资源获取情况。
尽管澳大利亚全科医疗的研究文化薄弱，但约三分之一的全科医生希望增加他们对研究的参与。然而，研究必须被认为是相关的，并进行结构化设计，以尽量减少全科医疗环境和文化中固有的障碍。
