Kersten Susanne, Kuschick Doreen, Bräsigk Annett, Polanc Andreas, Salm Sandra
Universität Witten/Herdecke, Institut für Allgemeinmedizin und Ambulante Gesundheitsversorgung (iamag), Witten, Deutschland.
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Institut für Allgemeinmedizin, Berlin, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2025 Jul;196:29-37. doi: 10.1016/j.zefq.2025.03.012. Epub 2025 May 3.
Since 2020, the Federal Ministry of Education and Research has been funding the establishment of six research practice networks in primary care in Germany through the Initiative DESAM-ForNet. The aim is to create a practice-based and efficient research infrastructure. The involvement of medical assistants (MAs) in these networks is of central importance, as they are able to contribute valuable perspectives and knowledge through their daily practice work and are often involved in studies.
Three tabular instruments were developed to record MA participation. In each research practice network, the tables were used to document the involvement of MAs in the network structure, their qualifications and their role in research projects. The information from each network was discussed and summarized in terms of similarities and differences.
Reports were provided from five practice-based research networks where MAs are actively involved in various participation formats such as committees, round tables, and advisory boards. MAs are involved at different quality levels in the development of the networks and the implementation of studies. In addition, the practice-based research network offers specific qualifications to train MAs for research work. MAs receive financial incentives and/or certificates for their participation.
The results show that MAs play an important role in research practice networks, especially in a co-determining function. Overall, MA participation through research practice networks is established, but not yet as self-evident as patient participation. In order to further strengthen participation of MAs, future measures should promote their involvement in decision-making processes and enable them to obtain additional qualifications. The role of MAs in research should be further expanded at all quality levels of involvement.
The active involvement of MAs in the development and operation of research practice networks is essential to ensure the practical relevance of research projects. Greater participation could further improve the quality of research and should therefore be specifically promoted.
自2020年以来,德国联邦教育与研究部通过“DESAM-ForNet倡议”资助在德国基层医疗领域建立六个研究实践网络。目的是创建一个基于实践且高效的研究基础设施。医疗助理(MAs)参与这些网络至关重要,因为他们能够通过日常实践工作贡献宝贵的观点和知识,并且经常参与研究。
开发了三种表格工具来记录医疗助理的参与情况。在每个研究实践网络中,这些表格用于记录医疗助理在网络结构中的参与情况、他们的资质以及在研究项目中的角色。对每个网络的信息进行了讨论,并就异同点进行了总结。
来自五个基于实践的研究网络提供了报告,其中医疗助理积极参与各种参与形式,如委员会、圆桌会议和顾问委员会。医疗助理在网络发展和研究实施的不同质量水平上参与其中。此外,基于实践的研究网络提供特定资质以培训医疗助理从事研究工作。医疗助理因其参与获得经济激励和/或证书。
结果表明,医疗助理在研究实践网络中发挥着重要作用,尤其是在共同决策功能方面。总体而言,通过研究实践网络让医疗助理参与已确立,但尚未像患者参与那样不言而喻。为了进一步加强医疗助理的参与,未来措施应促进他们参与决策过程,并使他们能够获得额外资质。在所有参与质量水平上,都应进一步扩大医疗助理在研究中的作用。
医疗助理积极参与研究实践网络的发展和运营对于确保研究项目的实践相关性至关重要。更大程度的参与可以进一步提高研究质量,因此应特别加以推动。