Girard Ariane, Dugas Michèle, Lépine Johanie, Carnovale Valérie, Jalbert Laura, Turmel Audrey, Stéfan Théo, Poirier Andrée-Anne, Mailhot Benoit, Skidmore Becky, Couturier Yves, Miller Shandi, LeBlanc Annie
Faculté de Médecine, Université Laval, Quebec, Quebec, Canada.
VITAM Research Center on Sustainable Health, Québec, Québec, Canada.
J Eval Clin Pract. 2023 Feb;29(1):233-249. doi: 10.1111/jep.13733. Epub 2022 Jul 7.
Moving towards high quality primary health care, involving family physicians in primary care research becomes an essential prerequisite to ensures a better adoption and routinization of patient-centred, evidence-based practices.
To assess the effectiveness of strategies to engage family physicians in primary care research.
We systematically reviewed evidence for strategies used to engage family physicians in primary care research. We included any study design that reported at least one quantitative outcome. Searches were carried out on MEDLINE, Embase, PsycINFO and Web of Science. Pairs of reviewers independently screened for publications in two stages using standardized forms. We performed data analysis through a narrative synthesis approach, using the Reasoned-action approach as framework.
A total of 4859 deduped records were identified of which 41 studies met the eligibility criteria and were included for analysis. The majority of studies (n = 35) investigated family physician's participation in a research project. They aimed to influence family physicians' intention (n = 7) or their ability (n = 3) to participate in a research project. Three types of strategies (compensation/incentive, recruitment by a peer and support from a research network or an academic institution) demonstrated a significant increase in participation rate. Methodological quality of the studies evaluating these strategies was relatively low. Few studies (n = 6) targeted research capacity-building programmes with no significant impact noted.
Numerous strategies have been used to engage family physicians in primary care research, but few studies evaluated their effectiveness in a rigorous way.
The protocol of this review was registered with the SPOR Evidence Alliance and on the PROSPERO platform (registration number: CRD42020189322).
朝着高质量初级卫生保健迈进,让家庭医生参与初级保健研究成为确保更好地采用以患者为中心的循证实践并使其常规化的必要前提。
评估促使家庭医生参与初级保健研究的策略的有效性。
我们系统回顾了促使家庭医生参与初级保健研究的策略的证据。我们纳入了任何报告至少一项定量结果的研究设计。在MEDLINE、Embase、PsycINFO和Web of Science上进行了检索。由两位评审员使用标准化表格分两个阶段独立筛选出版物。我们以理性行动方法为框架,通过叙述性综合方法进行数据分析。
共识别出4859条去重记录,其中41项研究符合纳入标准并被纳入分析。大多数研究(n = 35)调查了家庭医生参与研究项目的情况。这些研究旨在影响家庭医生参与研究项目的意愿(n = 7)或能力(n = 3)。三种策略(报酬/激励、同行招募以及研究网络或学术机构的支持)显示参与率显著提高。评估这些策略的研究的方法学质量相对较低。很少有研究(n = 6)针对研究能力建设项目,未发现显著影响。
已采用多种策略促使家庭医生参与初级保健研究,但很少有研究以严格的方式评估其有效性。
本综述方案已在SPOR证据联盟和PROSPERO平台注册(注册号:CRD42020189322)。