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针对家庭医生参与研究的多样化情况提供指导。

Mentoring for the Diverse Range of Family Physicians' Engagement in Research.

作者信息

Muramoto Myra L, Steiner Melanie, Schmitz David F, Rianon Nahid J

机构信息

From the Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado (MLM); Department of Family Medicine, Indiana University School of Medicine, Indianapolis, IN (MS); Department of Family and Community Medicine, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND (DFS); Department of Family and Community Medicine, McGovern Medical School, University of Texas Houston, Houston, TX (NJR).

出版信息

J Am Board Fam Med. 2025 Mar 24;37(Supplement2):S69-S74. doi: 10.3122/jabfm.2024.240098R1.

Abstract

Primary care researchers are increasingly at the forefront of developing innovations and new research methods to address complex issues in health care, including multi-morbidity, social determinants of health, health equity, managing population health in clinical practice, patient satisfaction, and provider burnout. Research demonstrates that "primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes." As a primary care specialty, family medicine has evolved beyond its initial focus on clinical practice and education to realizing the imperative for the discipline to robustly engage in research and embrace the responsibility to generate the evidence that drives changes in primary care practice and policy. The primary care clinic is increasingly seen as a complement to medical school laboratories as a powerful site for developing new evidenced-based medicine, and essential for translating new clinical knowledge into practice. Practice-Based Research Networks (PBRNs) comprising primary care clinicians working in the "real world" of clinics promise to bridge "the gaps between communities, funders and policy makers" and the National Institutes of Health has shown increased interest in strengthening Clinical Translational Science Awardees' collaborations with PBRNs. Despite primary care's proven ability to deliver improved outcomes at a lower cost, not enough family physicians are currently engaging in research to improve practice and inform policy. This commentary attempts to describe the wide range of family physicians' intensity of involvement in primary care research and the prospects of mentoring for these needs.

摘要

基层医疗研究人员日益处于开发创新和新研究方法的前沿,以解决医疗保健中的复杂问题,包括多重疾病、健康的社会决定因素、健康公平、在临床实践中管理人群健康、患者满意度以及医疗服务提供者的职业倦怠。研究表明,“基层医疗是唯一一个供应增加与更好的人群健康和更公平结果相关的医疗保健组成部分。”作为一门基层医疗专业,家庭医学已从最初专注于临床实践和教育发展到认识到该学科大力参与研究并承担起生成推动基层医疗实践和政策变革的证据的责任的必要性。基层医疗诊所越来越被视为医学院实验室的补充,是开发新的循证医学的有力场所,也是将新的临床知识转化为实践的关键。由在诊所“现实世界”中工作的基层医疗临床医生组成的基于实践的研究网络(PBRN)有望弥合“社区、资助者和政策制定者之间的差距”,美国国立卫生研究院已表现出对加强临床转化科学奖获得者与PBRN合作的更大兴趣。尽管基层医疗已被证明有能力以较低成本提供更好的结果,但目前从事研究以改善实践和为政策提供信息的家庭医生还不够多。本评论试图描述家庭医生参与基层医疗研究的广泛程度以及针对这些需求进行指导的前景。

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