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急诊科高使用频率与参与研究意愿之间的关联

The Association between Emergency Department Super-Utilizer Status and Willingness to Participate in Research.

作者信息

Young Henry W, Martin Emmett T, Kwiatkowski Evan, Tyndall J Adrian, Cottler Linda B

机构信息

Department of Emergency Medicine, University of Florida, 1329 SW 16th Street, Suite 5270, Gainesville, FL 32610, USA.

Department of Biostatics, University of North Carolina, 135 Dauer Drive, Chapel Hill, N.C. 27599, USA.

出版信息

Emerg Med Int. 2020 Jun 29;2020:9404293. doi: 10.1155/2020/9404293. eCollection 2020.

Abstract

BACKGROUND

Research based on emergency departments (EDs) primarily focuses on medical conditions. There is limited research that investigates patients who willingly participate in research. This current study explored ED super-utilizers' (SUs') and nonsuper-utilizers' (NSUs') attitudes toward research.

OBJECTIVE

The study assesses the willingness of SUs to participate in research. We hypothesize that the SU population will be as interested as nonutilizers in participating in medical research.

METHODS

This prospective observational study stratified participants into SU and NSU cohorts based on their self-reported number of ED visits within 6 months. Surveys were captured in a secured database and analyzed using SAS 9.4.

RESULTS

7,481 completed questionnaires. SUs were more interested in participating in all types of research compared to NSUs. Both groups were most willing to participate in surveys. Neither group was particularly interested in studies that required medications. SUs were not more willing to participate in studies without payment than NSUs. Both groups trusted researchers at the same rates.

CONCLUSION

Although rarely included in medical research, SUs were more willing to participate in nearly all types of research and expressed a similar trust in medical research when compared to nonsuper-utilizers.

摘要

背景

基于急诊科(ED)的研究主要关注医疗状况。对自愿参与研究的患者进行调查的研究有限。本研究探讨了急诊科高就诊率患者(SUs)和非高就诊率患者(NSUs)对研究的态度。

目的

本研究评估高就诊率患者参与研究的意愿。我们假设高就诊率患者群体参与医学研究的兴趣与非高就诊率患者相同。

方法

这项前瞻性观察性研究根据参与者自我报告的6个月内急诊科就诊次数,将其分为高就诊率患者组和非高就诊率患者组。调查问卷记录在一个安全的数据库中,并使用SAS 9.4进行分析。

结果

共收集到7481份完整问卷。与非高就诊率患者相比,高就诊率患者对参与各类研究更感兴趣。两组都最愿意参与调查。两组对需要用药的研究都不太感兴趣。高就诊率患者并不比非高就诊率患者更愿意参与无报酬的研究。两组对研究人员的信任程度相同。

结论

尽管高就诊率患者很少被纳入医学研究,但与非高就诊率患者相比,他们更愿意参与几乎所有类型的研究,并且对医学研究表达了相似的信任。

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