a UVSQ, CESP, INSERM , Université Paris-Saclay, Univ. Paris-Sud , Villejuif , France.
b Fondation santé des étudiants de France , Paris , France.
Eur J Gen Pract. 2019 Jan;25(1):25-31. doi: 10.1080/13814788.2018.1546282. Epub 2019 Jan 4.
The effectiveness of any national healthcare system is highly correlated with the strength of primary care within that system. A strong research basis is essential for a firm and vibrant primary care system. General practitioners (GPs) are at the centre of most primary care systems.
To inform on actions required to increase research capacity in general practice, particularly in low capacity countries, we collected information from the members of the European General Practice Research Network (EGPRN) and the European World Organization of Family Doctors (Wonca).
A qualitative design including eight semi-structured interviews and two discursive workshops were undertaken with members of EGPRN and Wonca Europe. Appreciative inquiry methods were utilized. Krueger's (1994) framework analysis approach was used to analyse the data.
Research performance in general practice requires improvements in the following areas: visibility of research; knowledge acquisition; mentoring and exchange; networking and research networks; collaboration with industry, authorities and other stakeholders. Research capacity building (RCB) strategies need to be both flexible and financially supported. Leadership and collaboration are crucial.
Members of the GP research community see the clear need for both national and international primary care research networks to facilitate appropriate RCB interventions. These interventions should be multifaceted, responding to needs at different levels and tailored to the context where they are to be implemented.
任何国家医疗体系的有效性都与该体系中基层医疗的实力高度相关。强大的研究基础对于坚实而充满活力的基层医疗系统至关重要。全科医生（GP）是大多数基层医疗系统的核心。
为了了解提高全科医学研究能力（尤其是在低能力国家）所需的行动，我们从欧洲全科医学研究网络（EGPRN）和欧洲世界家庭医生组织（Wonca）的成员那里收集了信息。
采用定性设计，对 EGPRN 和 Wonca Europe 的成员进行了 8 次半结构化访谈和 2 次讨论式研讨会。采用欣赏式探询方法。使用 Krueger（1994）的框架分析方法对数据进行分析。
全科医学研究绩效需要在以下方面进行改进：研究的可见性；知识获取；指导和交流；网络和研究网络；与行业、当局和其他利益相关者的合作。研究能力建设（RCB）策略需要灵活且有资金支持。领导力和合作至关重要。
GP 研究界的成员清楚地认识到，需要建立国家和国际基层医疗研究网络，以促进适当的 RCB 干预措施。这些干预措施应该是多方面的，针对不同层次的需求，并根据实施的背景进行定制。
