Rogulj Zdenka Mrdesa, Baloevic Elizabet, Dogas Zoran, Kardum Goran, Hren Darko, Marusic Ana, Marusic Matko
Split University School of Medicine, Split, Croatia.
Wien Klin Wochenschr. 2007;119(5-6):164-9. doi: 10.1007/s00508-007-0777-4.
Although the paradigm of modern medicine is evidence-based practice, there is a lack of research output and interest in research in family medicine. We investigated attitudes towards scientific research among family medicine practitioners in a country in post-communist socioeconomic transition, and related it to their attitudes towards alternative medicine and clinical knowledge relevant for their practice.
We surveyed 427 family medicine practitioners in Croatia about their attitudes towards scientific research (5-point rating scale, total score range 20-100) and alternative medicine (5-point rating scale, total score range 14-70). We also tested their knowledge on diagnosis and treatment of hypertension (10 questions) and diabetes (12 questions).
The attitude towards scientific research was positive (score 79.0 +/- 7.2 out of maximum 100) and significantly more positive than that towards alternative medicine (score 45.0 +/- 9.9 out of maximum 70; t(425) = 19.06, P < 0.001). The respondents correctly answered about half the questions on hypertension and diabetes; knowledge on new diagnostic and treatment guidelines was better than their textbook knowledge. The attitude scores were not related to knowledge or research activity or the medical practice of the respondents.
Family medicine practitioners in a transition country have a more positive attitude towards science than towards alternative medicine, despite the adverse situation in which they practice. To involve family medicine practitioners in research, interventions must be directed towards changes in behavior and practice and not only towards increasing positive attitudes.
尽管现代医学的范式是循证医学实践，但家庭医学领域的研究成果匮乏，且对研究的关注度不高。我们调查了一个处于后共产主义社会经济转型期国家的家庭医学从业者对科学研究的态度，并将其与他们对替代医学以及与其实践相关的临床知识的态度联系起来。
我们对克罗地亚的427名家庭医学从业者进行了调查，询问他们对科学研究的态度（采用5分制评分量表，总分范围为20 - 100）和对替代医学的态度（采用5分制评分量表，总分范围为14 - 70）。我们还测试了他们关于高血压诊断和治疗（10个问题）以及糖尿病诊断和治疗（12个问题）的知识。
对科学研究的态度是积极的（满分100分，得分79.0 ± 7.2），且显著高于对替代医学的态度（满分70分，得分45.0 ± 9.9；t(425) = 19.06，P < 0.001）。受访者正确回答了关于高血压和糖尿病问题的大约一半；对新诊断和治疗指南的知识掌握情况优于他们的教科书知识。态度得分与受访者的知识、研究活动或医疗实践无关。
尽管处于转型期国家的家庭医学从业者执业环境不利，但他们对科学的态度比对替代医学的态度更积极。要让家庭医学从业者参与研究，干预措施必须针对行为和实践的改变，而不仅仅是增强积极态度。
