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如果你来自知名组织,我会信任你:探索和了解柬埔寨社区对医疗保健研究的态度。

If you come from a well-known organisation, I will trust you: Exploring and understanding the community's attitudes towards healthcare research in Cambodia.

机构信息

Cambodia Oxford Medical Research Unit, Siem Reap, Cambodia.

Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

出版信息

PLoS One. 2018 Apr 18;13(4):e0195251. doi: 10.1371/journal.pone.0195251. eCollection 2018.

Abstract

OBJECTIVE

To explore Cambodian community members' understanding of and attitudes towards healthcare research.

DESIGN

This qualitative study generated data from semi-structured interviews and focus group discussions. This study was conducted at a non-governmental paediatric hospital and in nearby villages in Siem Reap province, Cambodia. A total of ten semi-structured interviews and four focus group discussions were conducted, involving 27 participants. Iterative data collection and analysis were performed concurrently. Data were analysed by thematic content analysis and the coding structure was developed using relevant literature.

RESULTS

Participants did not have a clear understanding of what activities related to research compared with those for routine healthcare. Key attitudes towards research were responsibility and trust: personal (trust of the researcher directly) and institutional (trust of the institution as a whole). Villagers believe the village headman holds responsibility for community activities, while the village headman believes that this responsibility should be shared across all levels of the government system.

CONCLUSIONS

It is essential for researchers to understand the structure and relationship within the community they wish to work with in order to develop trust among community participants. This aids effective communication and understanding among all parties, enabling high quality ethical research to be conducted.

摘要

目的

探讨柬埔寨社区成员对医疗保健研究的理解和态度。

设计

本定性研究通过半结构式访谈和焦点小组讨论收集数据。该研究在柬埔寨暹粒省的一家非政府儿科医院和附近村庄进行。共进行了 10 次半结构式访谈和 4 次焦点小组讨论,涉及 27 名参与者。同时进行了迭代数据收集和分析。采用主题内容分析对数据进行分析,并使用相关文献制定编码结构。

结果

与常规医疗保健相比,参与者对哪些活动与研究相关并不清楚。对研究的关键态度是责任和信任:个人(对研究人员的直接信任)和机构(对整个机构的信任)。村民认为村长对社区活动负责,而村长认为这种责任应该由政府系统的各级共同承担。

结论

研究人员必须了解他们希望与之合作的社区的结构和关系,以便在社区参与者中建立信任。这有助于各方之间进行有效的沟通和理解,从而开展高质量的伦理研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86cf/5905956/01c59e8470e7/pone.0195251.g001.jpg

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