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德国全科医生参与研究网络的意愿。

General practitioners' willingness to participate in research networks in Germany.

机构信息

Institute of Medical Psychology, Hannover Medical School, Hannover, Germany.

Department of General Practice, Medical Faculty, University of Leipzig, Leipzig, Germany.

出版信息

Scand J Prim Health Care. 2022 Jun;40(2):237-245. doi: 10.1080/02813432.2022.2074052. Epub 2022 Jun 30.

Abstract

OBJECTIVES

To investigate general practitioners' (GPs') willingness to participate in long-term medical research and in research networks (RNs).

DESIGN AND SETTING

Cross-sectional survey among German GPs around Halle-Wittenberg and Leipzig in 2020.

SUBJECTS

Random sample of 905 GPs.

MAIN OUTCOME MEASURES AND RESULTS

Response rate 37%, 69% female. Overall, 57% were interested in participating in medical research, 34% in an active role in a RN. Interest in RN participation was positively associated with male sex, younger age, previous experiences in medical research, being involved in teaching undergraduates, and having qualification in a further specialty. Main motivators were improving patient care, giving a more realistic picture of GP care, and carrying out research on topics within their own interest areas and a reliable contact person at the leading institution. Most GPs were not afraid of reduced earnings; however, time investment was the main barrier for participation. GPs were willing to dedicate twice as much time to research when remuneration was offered. High rated topics were polypharmacy, chronic diseases, drug safety and adverse drug reactions.

CONCLUSION

GPs are interested to participate in practice-based research. The study results providing useful and generalizable insights in barriers and motivators should be considered when building and running GP-RNs.KEY POINTSThere is a difference between general practitioners' (GPs') overall interest in clinical research and their job and socio-demographic related readiness to participate in research networks (RNs).GPs are interested in RNs when it is a resource of and leading to enhanced patient-oriented care.GPs are willing to dedicate twice as much time to research when remunerated.GPs need a reliable counterpart within the leading institution.

摘要

目的

调查全科医生(GP)参与长期医学研究和研究网络(RN)的意愿。

设计和设置

2020 年在德国哈勒-维滕贝格和莱比锡地区对全科医生进行的横断面调查。

受试者

随机抽取的 905 名全科医生。

主要观察指标和结果

应答率为 37%,69%为女性。总体而言,57%的人有兴趣参与医学研究,34%的人有兴趣在 RN 中发挥积极作用。参与 RN 的兴趣与男性、年轻、有医学研究经验、参与本科生教学以及有进一步专业资格有关。主要动机是改善患者护理,更真实地描绘全科医生的护理情况,以及对自己感兴趣的领域内的主题进行研究,并在牵头机构有可靠的联系人。大多数全科医生并不担心收入减少;然而,时间投入是参与的主要障碍。当提供报酬时,全科医生愿意将研究时间增加一倍。高评级的主题包括多药治疗、慢性病、药物安全和药物不良反应。

结论

全科医生有兴趣参与基于实践的研究。研究结果提供了有价值的、可推广的关于障碍和动机的见解,在建立和运行 GP-RN 时应加以考虑。

关键点

全科医生对临床研究的总体兴趣与其参与研究网络的工作和社会人口相关准备之间存在差异。

当 RN 是增强以患者为中心的护理的资源并导致这种护理时,全科医生对 RN 感兴趣。

当得到报酬时,全科医生愿意将研究时间增加一倍。

全科医生需要在牵头机构有一个可靠的对应方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc7e/9397419/bb230ec1abac/IPRI_A_2074052_F0001_B.jpg

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