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利默里克大学全科医学教育和研究网络(ULEARN-GP):实践特征和全科医生视角。

The University of Limerick Education and Research Network for General Practice (ULEARN-GP): practice characteristics and general practitioner perspectives.

机构信息

Graduate Entry Medical School, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland.

Health Research Institute, University of Limerick, Limerick, Ireland.

出版信息

BMC Fam Pract. 2020 Feb 5;21(1):25. doi: 10.1186/s12875-020-1100-y.

Abstract

BACKGROUND

A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to describe Ireland's newest general practice-based research network and to analyse the perspectives of the network's members on research engagement.

METHOD

A survey was sent to all GPs participating in the network in order to document practice characteristics so that this research network's profile could be compared to other national profiles of Irish general practice. In depth interviews were then conducted and analysed thematically to explore the experiences and views of a selection of these GPs on research engagement.

RESULTS

All 134 GPs responded to the survey. Practices have similar characteristics to the national profile in terms of location, size, computerisation, type of premises and out of hours arrangements. Twenty-two GPs were interviewed and the resulting data was categorised into subthemes and four related overarching themes: GPs described catalysts for research in their practices, the need for coherence in how research is understood in this context, systems failures, whereby the current health system design is prohibitive of GP participation and aspirations for a better future.

CONCLUSION

This study has demonstrated that the research network under examination is representative of current trends in Irish general practice. It has elucidated a better understanding of factors that need to be addressed in order to encourage more GPs to engage in the research process.

摘要

背景

一个运作良好的、具有强大研究成分的全科医学领域被认为是任何现代医疗体系的重要基础。如果全科医生是已建立的研究网络的一部分,他们更有可能参与研究。这项研究的主要目的是描述爱尔兰最新的基于全科医学的研究网络,并分析该网络成员对研究参与的看法。

方法

向网络中所有参与的全科医生发送了一份调查,以记录实践特征,以便将这个研究网络的概况与其他爱尔兰全科医学的国家概况进行比较。然后进行了深入的访谈,并进行了主题分析,以探讨其中一些全科医生对研究参与的经验和看法。

结果

所有 134 名全科医生都对调查做出了回应。实践具有与国家概况相似的特征,包括地点、规模、计算机化、场所类型和非工作时间安排。对 22 名全科医生进行了访谈,所得数据被归类为子主题和四个相关的总体主题:全科医生描述了他们实践中的研究催化剂,需要在这种背景下理解研究的一致性,系统故障,即当前的卫生系统设计阻止了全科医生的参与,以及对更好未来的渴望。

结论

这项研究表明,所检查的研究网络代表了爱尔兰全科医学的当前趋势。它阐明了需要解决哪些因素,以鼓励更多的全科医生参与研究过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54df/7003418/4622b838d632/12875_2020_1100_Fig1_HTML.jpg

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