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[与基层医疗医生研究活动相关的因素]

[The factors related to the research activities of primary care physicians].

作者信息

de la Fuente J A, Mercader J, Borrell C, Martín C, Birulés M, Marcos L, Fernández de Sanmamed M J

机构信息

Societat Catalana de Medicina Familiar i Comunitaria.

出版信息

Aten Primaria. 1997 Apr 15;19(6):283-9.

PMID:9264666
Abstract

OBJECTIVE

To find the factors related with the research activities of primary care (PC) doctors in Catalonia, especially their motivation and the obstacles to research perceived by the doctors themselves.

DESIGN

An observational, crossover study.

SETTING

Primary care doctors in Catalonia.

PARTICIPANTS

The number of doctors (1,286) was divided into two: a) doctors who had published between 1989 and 1994 (n = 146), b) doctors who had not published.

INTERVENTIONS

A survey concerning personal and workplace variables was carried out by post.

RESULTS

The reply percentage was 49.5% (63.7% among those who had published and 44.85% among those who had not). The multivariant analysis showed a significant link between publishing and postgraduate residence training (MIR), the fact of working in a teaching centre and working in a centre with more than ten doctors.

CONCLUSIONS

Research is close related to postgraduate residence training (MIR), work in a teaching unit and PC centres with over ten doctors. Care load, lack of time and difficulty in getting financing were the main obstacles to research given by the doctors polled.

摘要

目的

找出与加泰罗尼亚初级保健(PC)医生研究活动相关的因素,尤其是他们的动机以及医生自身所感知到的研究障碍。

设计

一项观察性交叉研究。

地点

加泰罗尼亚的初级保健医生。

参与者

医生数量(1286名)分为两组:a)1989年至1994年间发表过文章的医生(n = 146),b)未发表过文章的医生。

干预措施

通过邮寄方式进行一项关于个人和工作场所变量的调查。

结果

回复率为49.5%(发表过文章的医生中回复率为63.7%,未发表过文章的医生中回复率为44.85%)。多变量分析显示发表文章与研究生住院医师培训(MIR)、在教学中心工作以及在有十名以上医生的中心工作之间存在显著关联。

结论

研究与研究生住院医师培训(MIR)、在教学单位工作以及有十名以上医生的初级保健中心密切相关。工作量、时间不足和获得资金困难是接受调查的医生提到的研究主要障碍。

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