RAND Health, Santa Monica, California, USA.
Implement Sci. 2011 Apr 4;6:35. doi: 10.1186/1748-5908-6-35.
New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine.
This paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.
We reviewed the literature and interviewed over 200 clinicians and stakeholders.
The most common barriers to community clinician participation in clinical research relate to beliefs that clinical research is too burdensome and has little benefit for the participating clinician or patient. We identified a number of approaches healthcare organizations can use to encourage clinicians to participate in research, including an outreach campaign to promote the benefits of clinical research; selection of study topics of interest to clinicians; establishment and enforcement of a set of research principles valuing the clinician and patient; development of a transparent schedule of reimbursement for research tasks; provision of technological and technical assistance to practices as needed; and promotion of a sense of community among clinicians involved in practice-based research.
Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible.
新的美国国立卫生研究院政策呼吁扩大以实践为基础的研究，以改善临床研究事业，并促进循证医学的传播。
本文描述了影响临床医生参与临床研究决策的组织策略。
我们查阅了文献并采访了 200 多名临床医生和利益相关者。
社区临床医生参与临床研究的最常见障碍与他们的信念有关，即临床研究过于繁琐，对参与的临床医生或患者几乎没有益处。我们确定了医疗机构可以用来鼓励临床医生参与研究的一些方法，包括开展宣传活动来推广临床研究的益处；选择临床医生感兴趣的研究课题；制定一套重视临床医生和患者的研究原则，并加以执行；为研究任务制定透明的报销时间表；根据需要为实践提供技术和技术援助；以及在参与以实践为基础的研究的临床医生中营造一种社区感。
许多类型的现有医疗机构都可以为社区临床医生参与临床研究提供所需的技术和知识援助。有多种方法可供选择。
