Thomsen Janus Laust, Jarbøl Dorthe, Søndergaard Jens
Institute of Public Health, Department of General Practice, University of Aarhus, Aarhus, Denmark.
Fam Pract. 2006 Oct;23(5):545-9. doi: 10.1093/fampra/cml034. Epub 2006 Jul 15.
Research activity in primary care has been steadily increasing, but is still insufficient and more researchers are needed. Many initiatives have been launched to recruit and retain primary care researchers, but only little is known about barriers and facilitators to a research career in primary care.
To examine barriers and facilitators to recruiting and retaining primary care medical researchers.
Semi-structured interviews with 33 primary care medical researchers, all medical doctors. We used a phenomenological approach to analysing the interviews.
Important barriers to pursuing a research career in primary care were heavy workload, isolation at work, short-term funding and low salary. Important facilitators to attracting and retaining primary care researchers were the desire and opportunity to improve primary care, the flexible working conditions, the career opportunities, including the possibility of combining university-based research with clinical work and a friendly and competent research environment.
Better strategies for recruiting and retaining researchers are a prerequisite for the development of primary care, and in future the main emphasis should be on working conditions, networking and mentoring. Studies including those primary care physicians who have chosen not to do research are highly needed.
初级保健领域的研究活动一直在稳步增加,但仍不充分,需要更多的研究人员。已经发起了许多举措来招募和留住初级保健研究人员,但对于初级保健研究职业的障碍和促进因素知之甚少。
研究招募和留住初级保健医学研究人员的障碍和促进因素。
对33名初级保健医学研究人员(均为医生)进行半结构化访谈。我们采用现象学方法分析访谈内容。
在初级保健领域从事研究职业的重要障碍包括工作量大、工作中孤立无援、短期资金和低薪。吸引和留住初级保健研究人员的重要促进因素包括改善初级保健的愿望和机会、灵活的工作条件、职业机会,包括将大学研究与临床工作相结合的可能性,以及友好且有能力的研究环境。
更好的招募和留住研究人员的策略是初级保健发展的先决条件,未来应主要关注工作条件、建立联系和指导。非常需要开展包括那些选择不从事研究的初级保健医生的研究。