CIBERNED, Network Centre for Biomedical Research in Neurodegenerative Diseases, National Institute of Health Carlos III, Madrid, Spain.
Research Institute for Higher Education and Science (INAECU), University Carlos III of Madrid and Autonomous University of Madrid, Madrid, Spain.
Eur Psychiatry. 2021 Mar 4;64(1):e53. doi: 10.1192/j.eurpsy.2021.16.
The top biomedical research institutions have traditionally been assumed to provide better medical treatment for their patients. However, this may not necessarily be the case. Low-to-moderate negative associations between research activity and the quality-of-care provided by clinical departments have been described. We aimed to examine this relationship in the psychiatric units of the largest hospitals in Spain.
Scientific publications for 50 hospitals were retrieved from the Web of Science (2006-2015), and quality of mental healthcare data were gathered from Spanish National Health System records (2008-2014). Spearman-rank correlation analyses (adjusting for number of beds and population) were used to examine the associations between research data and quality-of-care outcomes in psychiatry. Stepwise regression models were built in order to determine the predictive value of research productivity for healthcare outcomes.
We found a positive association between research activity indicators (i.e., number of publications, number of citations, cumulative impact factor, and institutional H-index) and better quality-of-care outcomes in psychiatry (i.e., number of readmissions, transfers, and discharges from hospital). In particular, a higher research activity predicted a lower level of readmissions for individuals with psychoses (p = 0.025; R = 0.317), explaining 8.2% of the variance when other factors were accounted for.
Higher research activity is associated with better quality of mental healthcare in psychiatry. Our results can inform decision-making in clinical and research management settings in order to determine the most appropriate quality measures of the impact of research on the prognosis of individuals with psychiatric conditions.
传统上，顶尖的生物医学研究机构被认为会为其患者提供更好的治疗。然而，情况未必如此。已有研究描述了研究活动与临床科室提供的医疗质量之间存在低至中度的负相关关系。我们旨在研究西班牙最大医院的精神科病房中是否存在这种关系。
从 Web of Science（2006-2015 年）检索了 50 家医院的科学出版物，并从西班牙国家卫生系统记录（2008-2014 年）中收集了精神卫生保健质量数据。采用 Spearman 秩相关分析（调整床位数量和人口），以检验精神科研究数据与医疗质量结果之间的相关性。建立逐步回归模型以确定研究生产力对医疗保健结果的预测价值。
我们发现研究活动指标（即出版物数量、引用数量、累积影响因子和机构 H 指数）与精神科更好的医疗质量结果（即精神病患者的再入院、转院和出院人数）之间存在正相关关系。具体而言，更高的研究活动预示着精神病患者的再入院率更低（p=0.025；R=0.317），当考虑其他因素时，可解释 8.2%的差异。
更高的研究活动与精神科更好的精神卫生保健质量相关。我们的研究结果可为临床和研究管理决策提供信息，以确定研究对精神疾病患者预后影响的最合适的质量衡量标准。
