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通过概念验证服务加强转化医学研究:临床医生的观点

Enhancing translational medical research through proof-of-concept services: clinicians' perspectives.

作者信息

Yuan Lei, Zhao Pan, Zhang Jiandong, Xu Xiaoxiong, Jin Mingliang, Fang Ziyu, Wang Chunya, Li Meina

机构信息

Department of Health Management, Faculty of Military Health Services, Naval Medical University, Shanghai, 200433, China.

The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100039, China.

出版信息

Sci Rep. 2024 Dec 28;14(1):31108. doi: 10.1038/s41598-024-82401-y.

Abstract

Although the proof-of-concept (POC) phase is critical for the success of translational medical research (TMR), its use remains limited, and clinicians are frequently uncertain about how to seek assistance from POC teams when experiencing difficulties with TMR. Therefore, this study explored clinicians' awareness of POC and the supportive reference services offered by POC teams. We distributed an internet-based questionnaire to 702 clinicians who conducted TMR between August 2022 and March 2023. Descriptive statistics, chi-square test, Wilcoxon rank sum test, Kruskal-Wallis rank sum test, and stepwise logistic regression analysis were applied. Clinicians' awareness of POC was low (69.23%). However, young clinicians (aged 21-30 years) with a higher educational level than their colleagues, good understanding of POC, reliance on the hospital's TMR policy and serviceability, and need or great need for services to identify suitable technology, literature, and intelligence services were likely to choose 'agree' over 'disagree' regarding the ability for POC services to help solve difficulties with TMR. Favourable conditions should be created to encourage clinicians to fully use POC services, and clinicians should actively acquire POC knowledge to enhance their understanding of the value of POC services in TMR. Notably, promoting the establishment of POC centres or platforms at the national level would facilitate the use of POC services by clinicians conducting TMR.

摘要

尽管概念验证(POC)阶段对于转化医学研究(TMR)的成功至关重要,但其应用仍然有限,并且临床医生在TMR遇到困难时,常常不确定如何向POC团队寻求帮助。因此,本研究探讨了临床医生对POC的认识以及POC团队提供的支持性参考服务。我们向702名在2022年8月至2023年3月期间开展TMR的临床医生发放了一份基于互联网的问卷。应用了描述性统计、卡方检验、Wilcoxon秩和检验、Kruskal-Wallis秩和检验以及逐步逻辑回归分析。临床医生对POC的认识较低(69.23%)。然而,年龄在21至30岁之间、学历高于同事、对POC有较好理解、依赖医院的TMR政策和适用性、以及需要或非常需要服务以识别合适技术、文献和情报服务的年轻临床医生,在POC服务帮助解决TMR困难的能力方面,相较于“不同意”更倾向于选择“同意”。应创造有利条件鼓励临床医生充分利用POC服务,临床医生也应积极获取POC知识,以增强对POC服务在TMR中价值的理解。值得注意的是,推动在国家层面建立POC中心或平台将有助于开展TMR的临床医生使用POC服务。

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