Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Helsinki University Hospital, Helsinki, Finland.
Scand J Prim Health Care. 2021 Mar;39(1):10-16. doi: 10.1080/02813432.2021.1880072. Epub 2021 Feb 5.
The volume of research work done by general practitioners (GP) is modest compared to other specialties. In order to find out reasons for this we examined the current situation concerning research orientation and factors relating to them among Finnish GPs compared to other specialists.
Data from The Physician 2018 Study were used for our research. The study was undertaken in collaboration with all five medical faculties in Finland and the Finnish Medical Association. It compiled information on physicians` social background, work history and career and research plans as well as their views regarding undergraduate and specialist training, values, and professional identity.
The basic study population comprised all Finnish doctors under 70 years of age ( = 23,131). Questionnaires were sent to doctors born on even-numbered days ( = 11,336). Altogether 5,214 (45.8%) responded. Responses from GPs ( = 796) were compared with those of doctors in other specialties ( = 3,514).
The respondents were asked about their current intention to undertake a doctoral degree. Factors associated with this were analysed. Only 7.3% of GPs had completed a doctoral degree. The corresponding figure in other specialties was 32.3% ( < 0.001). In general practice the current intention to undertake a doctoral degree had only slightly increased over ten years. Most GPs had also decided not to undertake a doctorate. The main factors associated with the current intention to complete a doctoral degree were interest in attaining a senior position (OR 3.43, 95% CI 2.25-5.24), a position in a university hospital district (OR 2.89, 95% CI 1.69-4.94) or other sector than primary care (OR 1.87, 95% CI 1.18-2.96), one's father being a doctor (OR 2.01, 95% CI 1.09-3.72) and male gender (OR 1.63, 95% CI 1.05-2.54).
Research work in primary health care has been quite sparse. In general practice there is a need to increase teaching and guidance in research work.Key pointsResearch work in primary health care is not very common.Only 7.3% of GPs had completed their doctorate compared to 32.3% in other specialties.A main factor associated with the current intention to complete a doctoral degree was interest in attaining a senior position.
与其他专业相比，全科医生的研究工作量相对较少。为了找出原因，我们研究了芬兰全科医生与其他专科医生相比，目前的研究方向及其相关因素。
本研究使用了 2018 年医生研究的数据。该研究是与芬兰的所有五所医学院和芬兰医师协会合作进行的。它收集了医生的社会背景、工作经历和职业、研究计划以及他们对本科和专科培训、价值观和专业身份的看法等信息。
基础研究人群包括所有 70 岁以下的芬兰医生（=23131 人）。偶数日出生的医生（=11336 人）收到了问卷。共有 5214 人（45.8%）做出了回应。全科医生（=796 人）的回复与其他专科医生（=3514 人）的回复进行了比较。
被调查者被问及他们目前攻读博士学位的意向。分析了与之相关的因素。只有 7.3%的全科医生已经获得博士学位。其他专业的这一比例为 32.3%（<0.001）。在全科医学领域，过去十年中攻读博士学位的意愿仅略有增加。大多数全科医生也决定不攻读博士学位。与目前完成博士学位的意愿相关的主要因素是对获得高级职位的兴趣（OR 3.43，95%CI 2.25-5.24）、在大学医院区的职位（OR 2.89，95%CI 1.69-4.94）或初级保健以外的其他部门（OR 1.87，95%CI 1.18-2.96）、父亲是医生（OR 2.01，95%CI 1.09-3.72）和男性（OR 1.63，95%CI 1.05-2.54）。
初级卫生保健的研究工作相当匮乏。在全科医学领域，需要增加对研究工作的教学和指导。
初级卫生保健的研究工作不是很普遍。
与其他专业相比，只有 7.3%的全科医生完成了博士学位，而其他专业的这一比例为 32.3%。
目前完成博士学位的意愿与对获得高级职位的兴趣密切相关。
