AMGA Analytics, AMGA (American Medical Group Association), Alexandria, VA, USA.
Collaborative Science and Innovation, Billings Clinic, Billings, MT, USA.
Health Serv Manage Res. 2020 Feb;33(1):33-42. doi: 10.1177/0951484819858830. Epub 2019 Aug 18.
: Increased research engagement of frontline, community-based clinicians could result in greater research relevancy, increased likelihood of implementation into practice, and improved health care for patients. Establishment of learning health systems within health-care organizations may facilitate this process.
: In 2016, the U.S. Northwest Participant and Clinical Interactions Network conducted a region-wide survey in four community-based health systems to identify barriers to clinician involvement in research and understand clinician interest and levels of engagement.
: Survey responses indicated broad interest in research’s value to patients (77% of respondents), contribution to clinical evidence (79%), and fulfillment of intellectual curiosity (77%). Engagement was not always correlated with interest. Top barriers included time (65%), support (34%), and getting started (32%).
: In community health systems in the northwestern United States, clinician interest in research exists but with several significant barriers. Leveraging the learning health system movement may be one way to increase focus on research and address identified barriers.
增加一线社区临床医生的研究参与度，可能会提高研究的相关性，增加研究成果在实践中应用的可能性，并改善患者的医疗服务。在医疗保健组织中建立学习型医疗体系可能会促进这一过程。
2016 年，美国西北参与者和临床互动网络在四个社区医疗系统中进行了一项全区域调查，以确定临床医生参与研究的障碍，并了解临床医生的兴趣和参与程度。
调查结果表明，临床医生普遍认为研究对患者有价值（77%的受访者），对临床证据有贡献（79%），并能满足他们的求知欲（77%）。但参与度并不总是与兴趣相关。最大的障碍包括时间（65%）、支持（34%）和起步（32%）。
在美国西北部的社区医疗系统中，临床医生对研究有兴趣，但存在一些重大障碍。利用学习型医疗体系运动可能是提高对研究的重视和解决已确定障碍的一种方式。
