卫生专业学员调查：患病率、回复率及指导研究人员的预测因素

Surveys of Health Professions Trainees: Prevalence, Response Rates, and Predictive Factors to Guide Researchers.

作者信息

Phillips Andrew W, Friedman Benjamin T, Utrankar Amol, Ta Andrew Q, Reddy Shalini T, Durning Steven J

机构信息

A.W. Phillips is a fellow, Division of Critical Care, Stanford University, Stanford, California. B.T. Friedman is a second-year resident, Division of Emergency Medicine, University of Washington, Seattle, Washington. A. Utrankar is a third-year medical student, Vanderbilt University School of Medicine, Nashville, Tennessee. A.Q. Ta is a first-year medical student, University of Illinois College of Medicine, Chicago, Illinois. S.T. Reddy is professor of medicine, University of Chicago, Pritzker School of Medicine, and associate program director, Internal Medicine Residency Program, Mercy Hospital and Medical Center, Chicago, Illinois. S.J. Durning is professor of medicine and pathology and director, Graduate Programs in Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

出版信息

Acad Med. 2017 Feb;92(2):222-228. doi: 10.1097/ACM.0000000000001334.

DOI:10.1097/ACM.0000000000001334

PMID:27532869

Abstract

PURPOSE

To establish a baseline overall response rate for surveys of health professions trainees, determine strategies associated with improved response rates, and evaluate for the presence of nonresponse bias.

METHOD

The authors performed a comprehensive analysis of all articles published in Academic Medicine, Medical Education, and Advances in Health Sciences Education in 2013, recording response rates. Additionally, they reviewed nonresponse bias analyses and factors suggested in other fields to affect response rate including survey delivery method, prenotification, and incentives.

RESULTS

The search yielded 732 total articles; of these, 356 were research articles, and of these, 185 (52.0%) used at least one survey. Of these, 66 articles (35.6%) met inclusion criteria and yielded 73 unique surveys. Of the 73 surveys used, investigators reported a response rate for 63.0% of them; response rates ranged from 26.6% to 100%, mean (standard deviation) 71.3% (19.5%). Investigators reported using incentives for only 16.4% of the 73 surveys. The only survey methodology factor significantly associated with response rate was single- vs. multi-institutional surveys (respectively, 74.6% [21.2%] vs. 62.0% [12.8%], P = .022). Notably, statistical power for all analyses was limited. No articles evaluated for nonresponse bias.

CONCLUSIONS

Approximately half of the articles evaluated used a survey as part of their methods. Limited data are available to establish a baseline response rate among health professions trainees and inform researchers which strategies are associated with higher response rates. Journals publishing survey-based health professions education research should improve reporting of response rate, nonresponse bias, and other survey factors.

摘要

目的

为健康职业培训学员调查建立基线总体反应率，确定与提高反应率相关的策略，并评估无应答偏倚的存在情况。

方法

作者对2013年发表在《学术医学》《医学教育》和《健康科学教育进展》上的所有文章进行了全面分析，记录反应率。此外，他们还回顾了无应答偏倚分析以及其他领域中提出的影响反应率的因素，包括调查交付方式、预先通知和激励措施。

结果

检索共得到732篇文章；其中356篇为研究文章，其中185篇（52.0%）至少使用了一项调查。其中，66篇文章（35.6%）符合纳入标准，产生了73项独特的调查。在使用的73项调查中，研究者报告了其中63.0%的调查的反应率；反应率范围为26.6%至100%，平均（标准差）为71.3%（19.5%）。研究者报告在73项调查中仅16.4%使用了激励措施。与反应率显著相关的唯一调查方法因素是单机构调查与多机构调查（分别为74.6% [21.2%] 与62.0% [12.8%]，P = 0.022）。值得注意的是，所有分析的统计效力均有限。没有文章评估无应答偏倚。