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印度医疗环境下医生开展研究的动机与障碍:一项来自印度卡纳塔克邦的横断面研究

Motivators and barriers to research among doctors in the Indian medical scenario: A cross-sectional study from Karnataka, India.

作者信息

Shanmukhappa Sanjana Chetana, Abraham Rahul R, Venkatesh Vinyas Shraffi, Abraham Rithika R

机构信息

Visiting Research Scholar, AFPI National Center for Primary Care Research and Policy, Bengaluru, Karnataka, India.

Medical Student, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.

出版信息

J Family Med Prim Care. 2020 Aug 25;9(8):4053-4061. doi: 10.4103/jfmpc.jfmpc_369_20. eCollection 2020 Aug.

Abstract

BACKGROUND

The fundamental principles of healthcare practices and policies are derived from good quality research. Doctors collectively are a source of vast sums of invaluable information. This information if effectively utilized can improve and strengthen the healthcare system. Our study provides a comprehensive overview of the ecosystem of an Indian medical researcher.

OBJECTIVES

To understand (1) the obstacles faced by medical professionals (2) the challenges encountered at various steps (3) the gaps in research knowledge and (4) the means to rectify them.

METHOD

Doctors from medical schools, hospitals, and in private practices were approached. Data were collected through online and physical questionnaire. Data were analyzed and studied.

RESULTS

The total number of participants in this study is 212. Case reports (51.9%) and case-control studies (51.14%) are the most frequently conducted types of research. Lack of access to research journals (43.9%) and absence of proper guidance or mentorship (37.39%) are the commonly faced challenges among individuals who have pursued research, whereas busy schedule is the top-cited reason for not pursuing research (34.24%) and discontinuing research (57.4%). Coordinating time schedule with mentees is a challenge for mentors (49.2%). Doctors also face the greatest difficulty (48.12%) and delay (47.4%) in the publication process. On the other hand, personal interest (60.15%) and job requirement (46.61%) are the top facilitators for research. A small percentage has or knows someone that has plagiarized (21.32%) or falsified data (33.49%). Most of the doctors agree that research experience should be a mandatory part of undergrad training (81.6%).

CONCLUSION

We believe interest, impact and importance of research can be the best developed and emphasized in the training years. Institutional support, adequate mentorship and an uplifting research environment can go a long way in motivating the doctors and tackling the challenges they face.

摘要

背景

医疗保健实践和政策的基本原则源自高质量的研究。医生群体是大量宝贵信息的来源。这些信息若能得到有效利用,可改善和强化医疗保健系统。我们的研究全面概述了印度医学研究人员的生态系统。

目的

了解(1)医学专业人员面临的障碍;(2)各个步骤中遇到的挑战;(3)研究知识方面的差距;(4)纠正这些差距的方法。

方法

我们联系了医学院、医院以及私人诊所的医生。通过在线问卷和纸质问卷收集数据。对数据进行分析和研究。

结果

本研究的参与者总数为212人。病例报告(51.9%)和病例对照研究(51.14%)是最常开展的研究类型。在从事研究的个人中,常见的挑战包括无法获取研究期刊(43.9%)以及缺乏适当的指导或导师(37.39%),而日程安排繁忙是不从事研究(34.24%)和停止研究(57.4%)的最常提及原因。对导师而言,与 mentees 协调时间安排是一项挑战(49.2%)。医生在发表过程中也面临最大困难(48.12%)和延迟(47.4%)。另一方面,个人兴趣(60.15%)和工作要求(46.61%)是研究的首要促进因素。一小部分人有过或知晓有人抄袭(21.32%)或伪造数据(33.49%)。大多数医生认为研究经验应成为本科培训的必修部分(81.6%)。

结论

我们认为,研究的兴趣、影响力和重要性在培训阶段能够得到最佳培养和强调。机构支持、充分的指导以及振奋人心的研究环境,对于激励医生并应对他们所面临的挑战大有帮助。

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