Nursing and Midwifery, University of the Highlands and Islands, Inverness, UK
Nursing and Midwifery, University of the Highlands and Islands, Inverness, UK.
BMJ Open. 2022 May 3;12(5):e056817. doi: 10.1136/bmjopen-2021-056817.
To identify research priorities for primary care in Scotland following the COVID-19 pandemic.
Modified James Lind Alliance methodology; respondents completed an online survey to make research suggestions and rank research themes in order of priority.
Scotland primary care.
Healthcare professionals in primary care in Scotland and members of primary care patient and public involvement groups. 512 respondents provided research suggestions; 8% (n=40) did not work in health or social care; of those who did work, 68.8% worked in primary care, 16.3% community care, 11.7% secondary care, 4.5% third sector, 4.2% university (respondents could select multiple options). Of those respondents who identified as healthcare professionals, 33% were in nursing and midwifery professions, 25% were in allied health professions (of whom 45% were occupational therapists and 35% were physiotherapists), 20% were in the medical profession and 10% were in the pharmacy profession.
Suggestions for research for primary care made by respondents were categorised into themes and subthemes by researchers and ranked in order of priority by respondents.
There were 1274 research suggestions which were categorised under 12 themes and 30 subthemes. The following five themes received the most suggestions for research: disease and illness (n=461 suggestions), access (n=202), workforce (n=164), multidisciplinary team (MDT; n=143) and integration (n=108). One hundred and three (20%) respondents to the survey participated in ranking the list of 12 themes in order of research priority. The five most highly ranked research priorities were disease and illness, health inequalities, access, workforce and MDTs. The disease and illness theme had the greatest number of suggestions for research and was scored the most highly in the ranking exercise. The subtheme ranked as the most important research priority in the disease and illness theme was 'mental health'.
The themes and subthemes identified in this study should inform research funders so that the direction of primary healthcare is informed by evidence.
确定苏格兰大流行后初级保健的研究重点。
修改后的詹姆斯林德联盟方法；受访者通过在线调查提出研究建议，并按优先顺序对研究主题进行排名。
苏格兰初级保健。
苏格兰初级保健的医疗保健专业人员和初级保健患者和公众参与团体的成员。512 名受访者提供了研究建议；8%（n=40）不在卫生或社会保健部门工作；其中，68.8%在初级保健工作，16.3%在社区保健工作，11.7%在二级保健工作，4.5%在第三部门工作，4.2%在大学工作（受访者可以选择多个选项）。在那些自认为是医疗保健专业人员的受访者中，33%是护理和助产专业人员，25%是联合健康专业人员（其中 45%是职业治疗师，35%是物理治疗师），20%是医学专业人员，10%是药学专业人员。
受访者提出的初级保健研究建议由研究人员分类为主题和子主题，并由受访者按优先顺序进行排名。
共有 1274 项研究建议被归类为 12 个主题和 30 个子主题。以下五个主题获得了最多的研究建议：疾病（n=461 项建议）、就诊（n=202 项）、劳动力（n=164 项）、多学科团队（MDT；n=143 项）和整合（n=108 项）。参与调查排名的 12 个主题的研究优先级的受访者有 103 人（20%）。排名前五的研究重点是疾病、健康不平等、就诊、劳动力和 MDT。疾病主题的研究建议最多，在排名中得分最高。疾病主题中排名最高的研究重点是“心理健康”。
本研究确定的主题和子主题应告知研究资助者，以便初级医疗保健的方向由证据决定。
