Hearld Kristine R, Hearld Larry R, Hall Allyson G
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
SAGE Open Med. 2017 Jan 4;5:2050312116686709. doi: 10.1177/2050312116686709. eCollection 2017.
There is growing interest in engaging patients in healthcare research, which raises important questions about the factors that may promote such engagement. The purpose of this study was to examine the association between patient characteristics and three aspects of patient engagement in the medical research process: awareness, interest, and actual participation.
Cross-sectional, bivariate analyses were employed using the 2014 Health Information National Trends Survey.
Analyses suggest modest levels of interest among respondents engaging as patient partners in the research process (37.7% of respondents), low level of awareness of what patient engagement in research was (15.3% of respondents), and a very low level of actual participation (2.7% of respondents). Respondents of higher socioeconomic status and with more positive patient attitudes regarding their health and healthcare were more likely to be interested in research. In comparison, relatively few patient characteristics were significantly associated with patient awareness and actual participation in research.
Although it is promising that people are interested in being engaged in research, the results suggest that there is work to be done to raise awareness of these engagement opportunities. Likewise, the gap between awareness and participation highlights opportunities to identify why patients may be reluctant to participate even when they are aware of research opportunities.
让患者参与医疗保健研究的兴趣日益浓厚,这引发了一些关于可能促进这种参与的因素的重要问题。本研究的目的是探讨患者特征与患者在医学研究过程中参与的三个方面之间的关联:认知、兴趣和实际参与。
采用2014年健康信息国家趋势调查进行横断面双变量分析。
分析表明,作为患者伙伴参与研究过程的受访者兴趣水平一般(37.7%的受访者),对患者参与研究的认知水平较低(15.3%的受访者),实际参与水平极低(2.7%的受访者)。社会经济地位较高且对自身健康和医疗保健态度更积极的受访者对研究更感兴趣。相比之下,与患者对研究的认知和实际参与显著相关的患者特征相对较少。
尽管人们对参与研究感兴趣是有希望的,但结果表明,提高对这些参与机会的认识仍有工作要做。同样,认知与参与之间的差距凸显了找出患者即使意识到研究机会也可能不愿参与的原因的机会。