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在巴西家庭健康计划中开展研究的社区健康工作者、护士和医生。

Community health agents, nurses and physicians conducting research in Brazil's family health program.

作者信息

Rahman Rahbel, Pinto Rogério Meireles, Zanchetta Margareth Santos, Lu Joanna, Bailey Renee

机构信息

Fordham University, Graduate School of Social Service, New York, NY, USA.

University of Michigan, School of Social Work, Ann Arbor, MI, USA.

出版信息

Health Promot Int. 2019 Mar 1;34(Supplement_1):i92-i102. doi: 10.1093/heapro/daz015.

Abstract

While the integration of community-based providers within interprofessional health teams has been recommended by policymakers worldwide, there is limited research on how medical and community-based providers inform and participate in health research. Our study uses cross-sectional data from 169 Community Health Workers (CHWs), 62 nurses, and 31 physicians within Brazil's Family Health Strategy Program. Using an integrated framework of social cognitive theories and Theory for Planned Behavior, a reliable and valid instrument was developed to examine differences in past research involvement, and opinions about health and public health research (research efficacy and perceptions of research process). Descriptive frequencies and ANOVA F-tests were performed. Results indicated that CHWs has greater mistrust in the research process, and were not involved in substantive aspects of research (specification of aims, data collection, analysis, dissemination). Nurses compared to CHWs recruited participants to research studies, and had greater willingness to learn, participate and implement research initiatives. Physicians compared to CHWs and nurses developed survey instruments and disseminated research. For community-based and medical providers to be involved in all aspects of research, researchers ought to set up structured infrastructures of community collaborative boards. Furthermore, researchers can test our scale with other providers working within health teams globally.

摘要

虽然全球政策制定者都建议将社区医疗服务提供者纳入跨专业医疗团队,但关于医疗和社区医疗服务提供者如何为健康研究提供信息并参与其中的研究却很有限。我们的研究使用了巴西家庭健康战略项目中169名社区卫生工作者、62名护士和31名医生的横断面数据。我们运用社会认知理论和计划行为理论的综合框架,开发了一种可靠且有效的工具,以检验过去研究参与情况的差异,以及对健康和公共卫生研究的看法(研究效能和对研究过程的认知)。我们进行了描述性频率分析和方差分析F检验。结果表明,社区卫生工作者对研究过程的不信任程度更高,且未参与研究的实质性环节(目标设定、数据收集、分析、传播)。与社区卫生工作者相比,护士会招募参与者参与研究,并更愿意学习、参与和实施研究倡议。与社区卫生工作者和护士相比,医生会开发调查工具并传播研究成果。为了让社区医疗服务提供者和医疗服务提供者参与研究的各个方面,研究人员应该建立结构化的社区合作委员会基础设施。此外,研究人员可以与全球医疗团队中的其他服务提供者一起测试我们的量表。

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