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秘鲁医护体系中医生和护士科研活动的差异:全国代表性样本分析。

Disparities in scientific research activity between doctors and nurses working in the Peruvian health care system: Analysis of a nationally representative sample.

机构信息

Universidad Nacional Hemilio Valdizán, Escuela de Postgrado, Huánuco, Perúa.

Seguro Social en Salud (EsSalud), Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru.

出版信息

PLoS One. 2022 Sep 2;17(9):e0273031. doi: 10.1371/journal.pone.0273031. eCollection 2022.

Abstract

AIM

To evaluate disparities in the frequency of scientific activity between medical doctors and nurses in Peru.

METHODS

We carried out a secondary data analysis of the National Health Services Users' Satisfaction Survey (ENSUSALUD), 2016. This nationally representative survey evaluates doctors and nurses working in clinical settings. We defined scientific activity as i) having published an original article (journal indexed in Web of Science, Scopus or Medline); and ii) having authored an abstract in a national or international conference. We estimated crude and adjusted disparities prevalence ratios (aDPR) and 95% confidence intervals (95%CI).

RESULTS

We included 2025 doctors and 2877 nurses in the analysis; 71% of doctors doctor were male, and 93% of nurses were female (p<0.001). Among doctors, 13.9% had published an article, and 8.4% presented an abstract at a conference in the last two years, while these proportions were 0.6% and 2.5% for nurses, respectively. The adjusted models showed that doctors, when compared to nurses, were approximately 27 times likely to have published a paper (aDPR = 27.86; 95% CI 10.46 to 74.19) and twice as likely to have authored a conference abstract (aDPR = 2.51; 95% CI 1.39 to 4.53).

CONCLUSIONS

There are important disparities in scientific activity between doctors and nurses working in clinical settings in Peru. Disparities are more significant for article publication than for authoring in conference abstracts. We suggest public policies that promote research dissemination between health professionals, with emphasis on nurses.

摘要

目的

评估秘鲁医生和护士之间科研活动频率的差异。

方法

我们对国家卫生服务用户满意度调查(ENSUSALUD)进行了二次数据分析,该调查于 2016 年进行,评估了在临床环境中工作的医生和护士。我们将科研活动定义为 i)发表原创文章(在 Web of Science、Scopus 或 Medline 索引的期刊);ii)在国内或国际会议上撰写摘要。我们估计了粗差和调整后的差异患病率比(aDPR)和 95%置信区间(95%CI)。

结果

我们将 2025 名医生和 2877 名护士纳入分析;71%的医生为男性,93%的护士为女性(p<0.001)。在医生中,13.9%的人在过去两年内发表了文章,8.4%的人在会议上提交了摘要,而护士的这两个比例分别为 0.6%和 2.5%。调整后的模型显示,与护士相比,医生发表论文的可能性大约高 27 倍(aDPR = 27.86;95%CI 10.46 至 74.19),撰写会议摘要的可能性高 2 倍(aDPR = 2.51;95%CI 1.39 至 4.53)。

结论

在秘鲁临床环境中工作的医生和护士之间存在重要的科研活动差异。在论文发表方面的差异比在会议摘要撰写方面更为显著。我们建议采取促进卫生专业人员之间研究传播的公共政策,重点关注护士。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6d/9439198/f3713e0bb9c2/pone.0273031.g001.jpg

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