Mainous A G, Hueston W J
Department of Family Practice, University of Kentucky, Lexington 40536-0284.
J Fam Pract. 1995 Jan;40(1):51-6.
Participation of community-based primary care practitioners in practice-based research has been encouraged for several years. The purpose of this study was to examine characteristics related to community-based primary care physician participation in research activities.
This study is a secondary analysis of the survey "Practice Patterns of Young Physicians, 1987: United States," which was originally conducted by the American Medical Association. The respondents were full-time primary care physicians (family or general practice, pediatrics, general internal medicine) who were not employed by a medical school or a university (N = 1713).
Seven percent of practitioners not affiliated with a medical school reported spending at least some time during the previous week conducting medical research. Among community-based physicians with faculty appointments, only 20% spend any time engaged in research activities during the same time frame. Among community-based practitioners affiliated with a medical school, researchers saw significantly fewer patients per week than did nonresearchers. However, there was no difference between researchers and nonresearchers in terms of specialty, total weekly work hours, or annual income.
Based on the data used in this analysis, only a small proportion of community-based primary care physicians participate in research. Physicians affiliated with medical schools conducted research at nearly three times the rate of unaffiliated physicians. However, participation in research activities had little impact on community physicians' workload or income.
多年来一直鼓励社区基层医疗从业者参与基于实践的研究。本研究的目的是探讨与社区基层医疗医生参与研究活动相关的特征。
本研究是对美国医学协会最初开展的“1987年年轻医生的执业模式:美国”调查的二次分析。受访者为非医学院或大学聘用的全职基层医疗医生(家庭或普通科、儿科、普通内科)(N = 1713)。
未隶属于医学院的从业者中有7%报告称前一周至少花了一些时间进行医学研究。在有教职任命的社区医生中,同一时间段内只有20%的人花时间参与研究活动。在隶属于医学院的社区从业者中,研究人员每周看诊的患者明显少于非研究人员。然而,研究人员与非研究人员在专业、每周总工作时长或年收入方面没有差异。
基于本分析中使用的数据,只有一小部分社区基层医疗医生参与研究。隶属于医学院的医生开展研究的比例几乎是非隶属医生的三倍。然而,参与研究活动对社区医生的工作量或收入影响不大。