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初级保健研究入门:在六种实用研究方法中进行选择。

Getting started in primary care research: choosing among six practical research approaches.

作者信息

Fetters Michael D

机构信息

Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

Fam Med Community Health. 2019 Mar 30;7(2):e000042. doi: 10.1136/fmch-2018-000042. eCollection 2019.

Abstract

While many primary care practitioners want to conduct research, many also struggle with getting started. This article's purpose is to assist emerging researchers in identifying a topic of interest, to try the 'fit' of feasible research approaches and commit to a research approach. The article addresses six objectives: (1) identify how important primary care research comes from clinical stories; (2) recognise how clinical stories become the source of research topics; (3) discern how the research process resembles the care of patients; (4) distinguish the essential features of six research approaches feasible for primary care researchers; (5) evaluate the fit of the six research approaches featured in this special issue; and (6) develop a list of steps that need to be taken to implement primary care research projects. Using 'HPV (human papilloma) vaccination' as a hypothetical topic, the article illustrates how an emerging researcher can complete the worksheets. Using the HPV topic, a worksheet illustration shows how to complete the worksheets, and examples from the literature illustrate how actual studies have used six feasible research approaches for primary care: (1) survey research, (2) semistructured qualitative interviews, (3) curriculum development, (4) continuous quality improvement, (5) clinical policy analysis and (6) case study research. The worksheet exercises support choosing a feasible research approach for emerging researchers. Emerging researchers using these exercises can identify a topic, choose a research strategy aligned with the researcher's interest, create a study title, develop a list of the next steps, and be well positioned to implement an original research project.

摘要

虽然许多初级保健从业者希望开展研究,但也有许多人在起步阶段面临困难。本文的目的是帮助初涉研究的人员确定感兴趣的主题,尝试可行的研究方法是否“合适”,并确定一种研究方法。本文阐述了六个目标:(1)确定初级保健研究的重要性如何源于临床案例;(2)认识临床案例如何成为研究主题的来源;(3)辨别研究过程与患者护理的相似之处;(4)区分对初级保健研究人员可行的六种研究方法的基本特征;(5)评估本期特刊中介绍的六种研究方法的适用性;(6)制定实施初级保健研究项目需要采取的步骤清单。本文以“人乳头瘤病毒(HPV)疫苗接种”作为一个假设主题,说明初涉研究的人员如何填写工作表。以HPV主题为例,工作表示例展示了如何填写工作表,文献中的实例说明了实际研究如何运用初级保健的六种可行研究方法:(1)调查研究,(2)半结构化定性访谈,(3)课程开发,(4)持续质量改进,(5)临床政策分析,(6)案例研究。工作表练习有助于初涉研究的人员选择可行的研究方法。使用这些练习的初涉研究的人员可以确定一个主题,选择一种符合研究人员兴趣的研究策略,创建一个研究标题,列出后续步骤清单,并为实施一个原创研究项目做好充分准备。

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本文引用的文献

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Discovering and doing family medicine and community health research.开展家庭医学与社区健康研究。
Fam Med Community Health. 2019 Mar 30;7(2):e000084. doi: 10.1136/fmch-2018-000084. eCollection 2019.
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Fundamentals of case study research in family medicine and community health.家庭医学与社区卫生案例研究的基础
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Fundamentals of qualitative analysis in family medicine.家庭医学定性分析基础
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Basics of statistics for primary care research.基层医疗研究的统计学基础。
Fam Med Community Health. 2019 May;7(2). doi: 10.1136/fmch-2018-000067. Epub 2019 Mar 28.

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