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[基层医疗调查的主题与方法分析(1988 - 1992年)]

[Thematic and methodological analysis of investigation in primary care (1988-1992)].

作者信息

Alvarez Solar M, López González M L, Cueto Espinar A

机构信息

Area de Medicina Preventiva y Salud Pública, Universidad de Oviedo.

出版信息

Aten Primaria. 1996 Oct 15;18(6):297-8, 300-3.

PMID:8983382
Abstract

OBJECTIVE

To describe Spanish scientific output in primary care with regard to subjects, design and statistical methods employed and also its appropriateness, importance and funding.

DESIGN

Descriptive, longitudinal and retrospective study.

SETTING

Spanish scientific output in primary care published in medical journals and listed in the Indice Medico Español during the five year period 1988-1992.

MATERIAL

446 original articles published in thirty-four journals.

MEASUREMENTS AND MAIN RESULTS

The greatest percentage of articles came under the heading "policy and health" (23.6%), next was "health services" (14.8%). There was a predominance of observational designs (79.9%) and within this category, descriptive studies (67.1%). The most common statistical methods used were contingency tables (35,9%). The majority of articles (94.8%) do not indicate the source of their funding. The appropriateness was around 50% and the importance around 4%.

CONCLUSIONS

According to our study, research into primary care centres on the evaluation and organization of the health services. The majority of the designs have little inferential power and simple statistical methods. There is hardly any funding available, and only a half of the articles comply with appropriateness criteria.

摘要

目的

描述西班牙在初级保健领域的科研产出,涉及研究主题、所采用的设计和统计方法,以及其适用性、重要性和资金来源。

设计

描述性、纵向和回顾性研究。

背景

1988 - 1992年五年期间发表在医学期刊上并列入《西班牙医学索引》的西班牙初级保健科研产出。

材料

发表在34种期刊上的446篇原创文章。

测量指标及主要结果

文章占比最大的类别是“政策与健康”(23.6%),其次是“卫生服务”(14.8%)。观察性设计占主导(79.9%),其中描述性研究占比最大(67.1%)。最常用的统计方法是列联表(35.9%)。大多数文章(94.8%)未表明其资金来源。适用性约为50%,重要性约为4%。

结论

根据我们的研究,初级保健研究主要集中在卫生服务的评估和组织方面。大多数设计的推理能力较弱,统计方法简单。几乎没有可用资金,只有一半的文章符合适用性标准。

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Aten Primaria. 2004 Dec;34(10):520-5. doi: 10.1016/s0212-6567(04)70856-2.
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Aten Primaria. 2002 Jul-Aug;30(3):191. doi: 10.1016/s0212-6567(02)79006-9.