McBride P E, Massoth K M, Underbakke G, Solberg L I, Beasley J W, Plane M B
University of Wisconsin Medical School, Department of Family Medicine, Madison, USA.
J Fam Pract. 1996 Oct;43(4):389-95.
Recruitment of community primary care practices for studies to improve health service delivery is important to many health care organizations. Prior studies have focused on individual physician recruitment or academic settings.
This descriptive study evaluated the efficiency and utility of three different recruitment methods to encourage community practice participation in a preventive services research trial. Primary care practices in four midwestern states were recruited using different sources for initial mailings (physician lists, practice lists, and a managed care organization's primary care network) and different recruiting methods. Outcome measures included response rates, participation rates, and comparative costs of each method.
Of the 86 eligible practices contacted, 52 (60%) consented to participate. Mailing to individual physicians was the most cumbersome and expensive method and had the lowest response rate. Initial contacts with practice medical directors increased the participation rate substantially, and practice recruitment meetings improved both study participation and practice-project communication.
Experience with these three methods suggests that the most efficient way to recruit practices for participation in a preventive services research trial involves targeted mailings and phone calls to medical directors, followed by on-site practice meetings.
招募社区初级保健机构参与旨在改善医疗服务提供的研究，对许多医疗保健组织而言至关重要。既往研究主要聚焦于个体医生招募或学术环境。
本描述性研究评估了三种不同招募方法在鼓励社区机构参与一项预防服务研究试验中的效率和效用。研究采用不同的初始邮件发送来源（医生名单、机构名单以及一家管理式医疗组织的初级保健网络）和不同的招募方法，从中西部四个州招募初级保健机构。结果指标包括每种方法的回复率、参与率和成本比较。
在联系的86家符合条件的机构中，52家（60%）同意参与。向个体医生发送邮件是最繁琐、成本最高的方法，且回复率最低。与机构医疗主任进行初步接触大幅提高了参与率，而机构招募会议则改善了研究参与度和机构与项目之间的沟通。
这三种方法的经验表明，招募机构参与预防服务研究试验的最有效方式是有针对性地向医疗主任发送邮件和致电，随后召开现场机构会议。
