Yan Peijing, Lao Yongfeng, Lu Zhenxing, Hui Xu, Zhou Biao, Zhu Xinyu, Chen Xiaojie, Li Li, Wang Zixuan, Zhang Min, Yang Kehu
Institute of Clinical Research and Evidence-Based Medicine, Gansu Provincial Hospital, Lanzhou, 730000, China.
Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610044, China.
Health Res Policy Syst. 2020 Sep 17;18(1):103. doi: 10.1186/s12961-020-00616-7.
To explore the health research capacity (HRC) and factors associated with professional and technical personnel (PTP) in a first-class tertiary hospital in northwest China.
We collected the repeated measurement data from a first-class tertiary hospital in northwest China between 2013 and 2017. HRC of PTP was assessed by a comprehensive evaluation system and measured by research capacity score (RCS). The participants were divided into research group (RCS >0) and comparison group (RCS = 0); participants of the comparison group were selected by two-stage stratified random sampling. Multilevel model for repeated measures was used to investigate the potential factors associated with HRC.
A total of 924 PTP were included (308 in the research group and 616 in the comparison group). This study found consistent growth in RCS and associated 95% CIs for the hospital during 2013 and 2017. The linear multilevel model showed PTP with a doctorate degree had higher RCS than those with a master's degree (β, 1.74; P <0.001), bachelor's degree (β, 2.02; P <0.001) and others without a degree (β, 2.32; P <0.001). Furthermore, the PTP with intermediate (β, 0.13; P = 0.015), vice-high (β, 0.27; P = 0.001) and senior (β, 0.63; P <0.001) professional titles had higher RCS than those with junior positions. Compared with PTP in the administration, those in paediatrics had higher RCS (β, 0.28; P = 0.047) though similar to PTP in other departments. PTP with an administrative position had a higher RCS than those in non-administrative positions (β, 0.26; P <0.001). The RCS increased with the research fund (β, 0.15; P <0.001). However, no associations were found between RCS and sex, age, ethnic, graduate school or technical type.
HRC with associated variation of PTP for the hospital in northwest China increasingly improved and degree, professional title, administrative position, and research fund were related to HRC of PTP. Multi-central prospective studies are needed to clarify the potential relationship of related factors and HRC of PTP.
探讨中国西北某三级甲等医院专业技术人员的卫生研究能力（HRC）及其相关因素。
收集中国西北某三级甲等医院2013年至2017年的重复测量数据。采用综合评价系统评估专业技术人员的HRC，并通过研究能力得分（RCS）进行衡量。将参与者分为研究组（RCS>0）和对照组（RCS=0）；对照组参与者采用两阶段分层随机抽样选取。采用重复测量的多水平模型研究与HRC相关的潜在因素。
共纳入924名专业技术人员（研究组308名，对照组616名）。本研究发现，2013年至2017年期间，该医院的RCS及其相关的95%置信区间呈持续增长。线性多水平模型显示，拥有博士学位的专业技术人员的RCS高于拥有硕士学位者（β=1.74；P<0.001）、学士学位者（β=2.02；P<0.001）以及其他无学位者（β=2.32；P<0.001）。此外，具有中级职称（β=0.13；P=0.015）、副高级职称（β=0.27；P=0.001）和正高级职称（β=0.63；P<0.001）的专业技术人员的RCS高于初级职称者。与行政部门的专业技术人员相比，儿科专业技术人员的RCS较高（β=0.28；P=0.047），尽管与其他科室的专业技术人员相似。担任行政职务的专业技术人员的RCS高于非行政职务者（β=0.26；P<0.001）。RCS随研究经费的增加而增加（β=0.15；P<0.001）。然而，未发现RCS与性别、年龄、民族、毕业院校或技术类型之间存在关联。
中国西北该医院专业技术人员的HRC及其相关差异日益改善，学位、职称、行政职务和研究经费与专业技术人员的HRC相关。需要开展多中心前瞻性研究，以阐明相关因素与专业技术人员HRC之间的潜在关系。
