Dickinson C J
University of London.
J R Coll Physicians Lond. 1994 Sep-Oct;28(5):460-3.
Most members of the British Medical Research Society who replied to a postal questionnaire survey think that clinical research in Britain is in decline. Research by NHS staff is being discouraged by hospital managers. Increasing service and managerial work by academic and research, staff is curtailing research activity. Recruitment of academic physicians is being adversely affected. Collaborative research between hospitals and research, made possible by tertiary referral, is under increasing threat. This impoverishes the clinical service for rare diseases and complex medical and surgical problems. Most respondents expect the situation to get worse. Ways must be found to protect clinical research before more research teams are irrevocably damaged or broken up. Commissioning of some 'new blood' senior lecturers would be the best way to improve things, and would greatly raise morale.
参与邮政问卷调查的英国医学研究学会的大多数成员认为,英国的临床研究正在衰退。国民保健服务体系(NHS)工作人员的研究受到医院管理人员的阻碍。学术和研究人员日益增加的服务及管理工作正在缩减研究活动。学术医生的招聘受到不利影响。由三级转诊促成的医院与研究机构之间的合作研究正面临越来越大的威胁。这使得针对罕见疾病以及复杂医疗和外科问题的临床服务质量下降。大多数受访者预计情况会变得更糟。必须找到方法来保护临床研究,以免更多的研究团队受到不可挽回的损害或解散。任用一些“新鲜血液”高级讲师将是改善现状的最佳方式,并且会极大地提升士气。