Jahan Saulat, Henary Basem
Primary Health Care Administration, Qassim, Saudi Arabia.
Aust J Prim Health. 2013;19(2):171-6. doi: 10.1071/PY11146.
Research in primary health care (PHC) is underdeveloped and scarce, especially in developing countries. It is important to understand the attitudes and aspirations of PHC physicians for the promotion of research. The aim of this study was to determine the attitudes of PHC physician managers toward research in Qassim province and to identify barriers that impede performing research in the PHC system. The study was based on social cognitive theory framework, and was pre-experimental with a 'one-group pre-test-post-test' design. The study participants were physician managers in PHC administration, Qassim. The participants' attitudes were measured by adapting statements from the Attitude Towards Research scale. The intervention was the 1-day training program 'Introduction to Research in Primary Health Care'. A total of 23 PHC physicians participated in the study. The mean age of the participants was 45.4 (±1.6) years, and the mean years of work experience was 16.2 (±2.2) years. Only one participant had an article published in a peer-reviewed journal. The results of the study showed that PHC physicians had a baseline positive attitude toward research that was further enhanced after participating in an introductory research-training program. During the pre-test, out of the total score of 63, the mean score on attitude toward research was 48.35 (±6.8) while the mean total attitude score in the post-test was 49.7 (±6.6). However, the difference was not statistically significant at P<0.05. The item with the highest score regarded the role of research in the improvement of health care services, while the lowest-scoring item was about support from administration to conduct research. The participants recognised lack of skills, lack of training and inadequate resources as major barriers in conducting research. Our study results suggest that the PHC physicians' positive attitudes toward research can be further improved through in-service training. To promote research in PHC in Qassim, regular research-training programs and incentives for conducting research should be provided to the PHC physicians.
初级卫生保健（PHC）研究发展不足且稀缺，尤其是在发展中国家。了解初级卫生保健医生对于促进研究的态度和期望很重要。本研究的目的是确定卡西姆省初级卫生保健医生管理人员对研究的态度，并找出阻碍初级卫生保健系统开展研究的障碍。该研究基于社会认知理论框架，采用“一组前测-后测”设计的预实验。研究参与者是卡西姆初级卫生保健管理部门的医生管理人员。通过改编自《对研究的态度量表》的陈述来测量参与者的态度。干预措施是为期1天的“初级卫生保健研究入门”培训项目。共有23名初级卫生保健医生参与了该研究。参与者的平均年龄为45.4（±1.6）岁，平均工作年限为16.2（±2.2）年。只有一名参与者在同行评审期刊上发表过文章。研究结果表明，初级卫生保健医生对研究有基线积极态度，在参加入门研究培训项目后这种态度进一步增强。在前测中，在总分63分中，对研究的态度平均得分为48.35（±6.8），而后测中的平均总态度得分为49.7（±6.6）。然而，在P<0.05时，差异无统计学意义。得分最高的项目是关于研究在改善医疗服务中的作用，而得分最低的项目是关于行政部门对开展研究的支持。参与者认为缺乏技能、缺乏培训和资源不足是开展研究的主要障碍。我们的研究结果表明，通过在职培训可以进一步提高初级卫生保健医生对研究的积极态度。为了促进卡西姆省初级卫生保健研究，应向初级卫生保健医生提供定期的研究培训项目和开展研究的激励措施。
