McKenna Hugh, Ashton Sue, Keeney Sinead
School of Nursing, 12J05b, University of Ulster, Shore Road, Newtownabbey, BT37 OQB, UK.
Int J Nurs Stud. 2004 May;41(4):369-78. doi: 10.1016/j.ijnurstu.2003.10.008.
People with health problems deserve a service that is based on best available evidence and is possible within obtainable resources. No credible health professional could deny that sound evidence should be an integral part of clinical decision making. The demand for up to date information to inform care and treatment highlights the crucial role of research and development in the modern health service. However, within primary care, practitioners have not always been able to underpin their actions with robust research findings. In addition, the research activities within primary care are limited to a small number of 'enthusiasts'. This paper aims to analyse the literature surrounding this area, highlighting the significance of United Kingdom (UK) government reports on primary care, primary care research activities and the pursuit of evidence based practice in primary care. It shows that primary care research has been the 'poor relation' in terms of research funding and this has resulted is a dearth of high quality research results to underpin practice.
有健康问题的人理应获得基于现有最佳证据且在可获取资源范围内可行的服务。没有任何一位可信的医疗专业人员会否认可靠的证据应成为临床决策的一个组成部分。对用于指导护理和治疗的最新信息的需求凸显了研发在现代医疗服务中的关键作用。然而，在初级医疗保健领域，从业者并非总能以强有力的研究结果为其行动提供支撑。此外，初级医疗保健领域的研究活动仅限于少数“热心人士”。本文旨在分析围绕该领域的文献，突出英国政府关于初级医疗保健、初级医疗保健研究活动以及在初级医疗保健中追求循证实践的报告的重要性。结果表明，初级医疗保健研究在研究资金方面一直处于“不受重视的地位”，这导致缺乏高质量的研究成果来为实践提供支持。
