Shvartzman Pesach
Harefuah. 2008 Dec;147(12):995-6, 1028, 1027.
The Departments of Family Medicine in Israel were established in the late 1970's. Currently, there are 12 departments of Family Medicine (FM) dispersed throughout Israel each academically affiliated with one of the four Medical Schools. The number of Family Medicine specialist physicians has increased in the past decades from 140 specialists in 1975 to 1,187 in 2004. The number of academic specialist physicians is approximately 213 for the years 2000-2004. An evaluation of the publication rate of family physicians analyzed a total of 1,165 publications (1975-2004). Over half of the articles were published in the last 10 years. Seventy-two percent were cited in MEDLINE. Publications in English encompassed 64.7% of the publications, Hebrew 34.6%, and 0.7% other. About 6% of the articles were published in journals with impact factor = 3 with research articles accounting for 46.9%. The publication output of FM in Israel is high, averaging 85.4 publications/1000 FM physicians/year. Almost 70% of the articles were published in non-FM journals. Academically affiliated FM board certified physicians published at higher rates averaging 334.3/1000 academic FM physicians/year (data available for 2000-2004 only). In this editorial the reasons for physicians to engage in research are reviewed as well as the incentives and barriers in place. In addition, the network model and research center models are discussed as possible solutions. Outlooks for the future are outlined.
以色列的家庭医学系于20世纪70年代末成立。目前,以色列各地分布着12个家庭医学系,每个系在学术上都隶属于四所医学院之一。在过去几十年中,家庭医学专科医生的数量从1975年的140名增加到2004年的1187名。2000 - 2004年期间,学术专科医生的数量约为213名。一项对家庭医生发表率的评估分析了1975 - 2004年期间的1165篇出版物。超过一半的文章是在过去10年发表的。72%的文章被MEDLINE引用。英文出版物占出版物总数的64.7%,希伯来文占34.6%,其他语言占0.7%。约6%的文章发表在影响因子为3的期刊上,其中研究文章占46.9%。以色列家庭医学的发表量很高,平均每年每1000名家庭医学医生发表85.4篇文章。几乎70%的文章发表在非家庭医学期刊上。学术附属的家庭医学委员会认证医生的发表率更高,平均每年每1000名学术家庭医学医生发表334.3篇文章(仅提供2000 - 2004年的数据)。在这篇社论中,回顾了医生从事研究的原因以及现有的激励措施和障碍。此外,还讨论了网络模式和研究中心模式作为可能的解决方案。概述了未来的展望。