Chopra Vineet, Burden Marisha, Jones Christine D, Mueller Stephanie, Gupta Vineet, Ahuja Neera, Sigmund Alana, Eid Shaker M
The Division of Hospital Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Division of Hospital Medicine, University of Colorado, Aurora, Colorado.
J Hosp Med. 2019 Apr;14(4):207-211. doi: 10.12788/jhm.3136.
Little is known about the state of research in academic hospital medicine (HM) despite the substantial growth of this specialty.
We used the Society of Hospital Medicine (SHM) membership database to identify research programs and their leadership. In addition, the members of the SHM Research Committee identified individuals who lead research programs in HM. A convenience sample of programs and individuals was thus created. A survey instrument containing questions regarding institutional information, research activities, training opportunities, and funding sources was pilot tested and refined for electronic dissemination. Data were summarized using descriptive statistics.
A total of 100 eligible programs and corresponding individuals were identified. Among these programs, 28 completed the survey in its entirety (response rate 28%). Among the 1,586 faculty members represented in the 28 programs, 192 (12%) were identified as engaging in or having obtained extramural funding for research, and 656 (41%) were identified as engaging in quality improvement efforts. Most programs (61%) indicated that they received $500,000 or less in research funding, whereas 29% indicated that they received >$1 million in funding. Major sources of grant support included the Agency for Healthcare Research and Quality, National Institutes of Health, and the Veterans Health Administration. Only five programs indicated that they currently have a research fellowship program in HM. These programs cited lack of funding as a major barrier to establishing fellowships. Almost half of respondents (48%) indicated that their faculty published between 11-50 peer-reviewed manuscripts each year.
This survey provides the first national summary of research activities in HM. Future waves of the survey can help determine whether the research footprint of the field is growing.
尽管学术医院医学（HM）这一专业有了显著发展，但对其研究状况却知之甚少。
我们利用医院医学协会（SHM）的会员数据库来识别研究项目及其负责人。此外，SHM研究委员会的成员还确定了在HM领域领导研究项目的个人。由此创建了一个项目和个人的便利样本。一份包含有关机构信息、研究活动、培训机会和资金来源问题的调查问卷经过预测试并进行了完善，以便进行电子传播。数据采用描述性统计进行汇总。
总共识别出100个符合条件的项目及相应个人。在这些项目中，有28个完整地完成了调查（回复率为28%）。在这28个项目所代表的1586名教员中，有192人（12%）被确定参与了研究或获得了校外研究资金，656人（41%）被确定参与了质量改进工作。大多数项目（61%）表示其获得的研究资金为50万美元或更少，而29%的项目表示获得的资金超过100万美元。主要的资助来源包括医疗保健研究与质量局、国立卫生研究院和退伍军人健康管理局。只有五个项目表示它们目前设有HM研究奖学金项目。这些项目称缺乏资金是设立奖学金的主要障碍。几乎一半的受访者（48%）表示其教员每年发表11至50篇经同行评审的手稿。
本次调查提供了HM领域研究活动的首个全国性总结。未来几轮调查有助于确定该领域的研究影响力是否在扩大。
