Yasuda Manaho, Saito Ayaka, Goto Tadahiro, Yamamoto Ryohei, Liu Keibun, Kuriyama Akira, Kondo Yutaka, Kasugai Daisuke
Faculty of Medicine Osaka Metropolitan University Osaka Japan.
TXP Medical Co. Ltd. Tokyo Japan.
Acute Med Surg. 2023 Nov 23;10(1):e906. doi: 10.1002/ams2.906. eCollection 2023 Jan-Dec.
Multicenter collaborative research accelerates patient recruitment and strengthens evidence. Nevertheless, the factors influencing emergency and critical care physicians' involvement in such research in Japan remain unclear.
A nationwide web-based survey conducted in early 2023 targeted emergency physicians working a minimum of 3 days per week in Japan. The survey descriptively assessed their backgrounds, work and research environments, experiences, and perceived impediments and motivators for multicenter research.
Of the 387 respondents, 348 were included in the study, yielding a 5.1% response rate. Women comprised 11% of the participants; 33% worked in university hospitals, 65% served in both emergency departments and intensive care units, and 54% did shift work. Only 12% had designated research time during working hours, with a median of 1 hour per week (interquartile range 0-5 h), including time outside of work. While 73% had participated in multicenter research, 58% noted barriers to participation. The key obstacles were excessive data entry (72%), meeting time constraints (59%), ethical review at each facility (50%), and unique sample collection, such as bronchoalveolar lavage specimens or pathological tissues (51%). The major incentives were networking (70%), data sets reuse (65%), feedback on research results (63%), and recognition from academic societies (63%). Financial rewards were not highly prioritized (38%).
While valuing clinical research, emergency physicians face barriers, especially data entry burden and limited research time. Networking and sharing research findings motivate them. These insights can guide strategies to enhance collaborative research in emergency and critical care in Japan.
多中心合作研究可加速患者招募并强化证据。然而，在日本，影响急诊和重症医学医生参与此类研究的因素仍不明确。
2023年初在全国范围内开展了一项基于网络的调查，目标对象是在日本每周至少工作3天的急诊医生。该调查以描述性方式评估了他们的背景、工作和研究环境、经历，以及对多中心研究的感知障碍和动机。
在387名受访者中，348名被纳入研究，回复率为5.1%。参与者中女性占11%；33%在大学医院工作，65%在急诊科和重症监护病房工作，54%从事轮班工作。只有12%的人在工作时间有指定的研究时间，中位数为每周1小时（四分位间距为0 - 5小时），包括工作以外的时间。虽然73%的人参与过多中心研究，但58%的人指出参与存在障碍。主要障碍是数据录入过多（72%）、会议时间限制（59%）、各机构的伦理审查（50%）以及独特样本采集，如支气管肺泡灌洗标本或病理组织（51%）。主要激励因素是建立人际关系网络（70%）、数据集复用（65%）、研究结果反馈（63%）以及来自学术团体的认可（63%）。经济奖励并非高度优先考虑因素（38%）。
虽然重视临床研究，但急诊医生面临障碍，尤其是数据录入负担和研究时间有限。建立人际关系网络和分享研究结果能激励他们。这些见解可为加强日本急诊和重症医学领域合作研究的策略提供指导。
