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成人医院医学的研究重点:对美国医院医学领导者的一项调查。

Research priorities for adult hospital medicine: A survey of US hospital medicine leaders.

作者信息

Press Valerie G, Harrison James D, Dugani Sagar B, Golden Blair P, Caravelli Nicolas, Jackson-Sagredo Andrea, Vaughn Valerie M, McWilliams Andrew, Pavon Juliessa M, Jenkins Ashley M, Sumarsono Andrew, Martinez Maylyn, Prochaska Micah, Mueller Stephanie K

机构信息

Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.

Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.

出版信息

J Hosp Med. 2025 Apr 20. doi: 10.1002/jhm.70053.

DOI:10.1002/jhm.70053
PMID:40254902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12353494/
Abstract

Hospital medicine (HM), a well-established clinical specialty, requires clarity of research priorities to identify target areas for investment in HM research infrastructure and activities. The Society of Hospital Medicine's Research Committee developed a 20-item survey and used purposeful sampling of US hospitalist leaders to prioritize primary research topic domains and subdomains. Respondents were asked to rank their HM research priorities using a scale (1 [highest] to 8 [lowest]). Of 239 surveys distributed, 81 (34%) responded. Respondents were predominantly White (53%) and from academic institutions (57%). "Overall, 46% of respondents were male and 33% were female." Top-ranked research domains were innovation in care delivery (median 2, IQR 1,3), value-based care (median 3.5, IQR 2,6), and health disparities (median 4, IQR 2,5). This survey identified top HM research priorities including systems-based topics and health disparities, aligning with HM's identity as a specialty focused on improving systems of care and inequities in care.

摘要

医院医学(HM)是一个成熟的临床专业,需要明确研究重点,以确定在医院医学研究基础设施和活动方面的投资目标领域。医院医学协会的研究委员会开展了一项包含20个项目的调查,并对美国医院医师领导者进行了有目的抽样,以确定主要研究主题领域和子领域的优先顺序。要求受访者使用1(最高)至8(最低)的量表对他们的医院医学研究重点进行排序。在分发的239份调查问卷中,81份(34%)得到回复。受访者主要为白人(53%),且来自学术机构(57%)。“总体而言,46%的受访者为男性,33%为女性。”排名靠前的研究领域是护理提供创新(中位数2,四分位距1,3)、基于价值的护理(中位数3.5,四分位距2,6)和健康差异(中位数4,四分位距2,5)。这项调查确定了医院医学的首要研究重点,包括基于系统的主题和健康差异,这与医院医学作为一个专注于改善护理系统和护理不平等的专业的定位相一致。

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本文引用的文献

1
Prioritization of Randomized Clinical Trial Questions for Children Hospitalized With Common Conditions: A Consensus Statement.常见疾病住院儿童随机临床试验问题的优先排序:共识声明。
JAMA Netw Open. 2024 May 1;7(5):e2411259. doi: 10.1001/jamanetworkopen.2024.11259.
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Mapping Geographic Proximity to Cardiologists Across the United States.绘制美国各地心脏病专家的地理邻近度地图。
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State of research in adult Hospital Medicine: Updated results of a national survey and longitudinal analysis of national data.成人医院医学研究现状:全国调查的最新结果和全国数据的纵向分析。
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Characteristics of adult hospital medicine fellowships in the United States: A cross-sectional survey study.美国成人医院医学奖学金项目的特点:一项横断面调查研究。
J Hosp Med. 2023 Apr;18(4):287-293. doi: 10.1002/jhm.13052. Epub 2023 Feb 13.
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Growth trends of the adult hospitalist workforce between 2012 and 2019.2012 年至 2019 年成人医院医师劳动力的增长趋势。
J Hosp Med. 2022 Nov;17(11):888-892. doi: 10.1002/jhm.12954. Epub 2022 Aug 30.
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HEROIC Trials to Answer Pragmatic Questions for Hospitalized Children.为住院儿童回答实用问题的 HEROIC 试验。
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Dearth of Hospitalist Investigators in Academic Medicine: A Call to Action.学术医学领域住院医师研究者短缺:行动呼吁。
J Hosp Med. 2021 Mar;16(3):189-191. doi: 10.12788/jhm.3536.
8
Developing a Patient- and Family-Centered Research Agenda for Hospital Medicine: The Improving Hospital Outcomes through Patient Engagement (i-HOPE) Study.制定以患者和家庭为中心的医院医学研究议程:通过患者参与提高医院效果(i-HOPE)研究。
J Hosp Med. 2020 Jun;15(6):331-337. doi: 10.12788/jhm.3386.
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State of Research in Adult Hospital Medicine: Results of a National Survey.成人医院医学研究现状:一项全国性调查结果
J Hosp Med. 2019 Apr;14(4):207-211. doi: 10.12788/jhm.3136.
10
The Growth of Hospitalists and the Future of the Society of General Internal Medicine: Results from the 2014 Membership Survey.《医院医师的成长与普通内科医师学会的未来:来自 2014 年会员调查的结果》。
J Gen Intern Med. 2017 Nov;32(11):1179-1185. doi: 10.1007/s11606-017-4126-7. Epub 2017 Jul 25.