Chinese General Practice ›› 2019, Vol. 22 ›› Issue (22): 2653-2659.DOI: 10.12114/j.issn.1007-9572.2019.00.396

Special Issue: 家庭医学的方法学精华特刊

• Monographic Research • Previous Articles     Next Articles

Getting Started in Primary Care Research:Choosing among Six Practical Research Approaches 

  

  1. 1.Mixed Methods Program and Department of Family Medicine,University of Michigan,Ann Arbor,Michigan 48109,USA
    2.Publishing House of Journal of Chinese General Practice,Beijing 100053,China
    3.Monash University,Melbourne 3168,Australia
    *Corresponding author:Michael D Fetters,Professor;E-mail:mfetters@umich.edu
  • Published:2019-08-05 Online:2019-08-05

基层保健研究入门:六种实用的研究方法

  

  1. 1.48109 Mixed Methods Program and Department of Family Medicine,University of Michigan,Ann Arbor,Michigan,USA 2.100053北京市,中国全科医学杂志社 3.3168 Monash University,Melbourne,Australia
    *通信作者:Michael D Fetters,教授;E-mail:mfetters@umich.edu
    注:本文首次刊登于Family Medicine and Community Health 2019年第2期

Abstract: While many primary care practitioners want to conduct research,many also struggle with getting started.This article's purpose is to assist emerging researchers in identifying a topic of interest,to try the "fit" of feasible research approaches and commit to a research approach.The article addresses six objectives:identify how important primary care research comes from clinical stories;recognise how clinical stories become the source of research topics;discern how the research process resembles the care of patients;distinguish the essential features of six research approaches feasible for primary care researchers;evaluate the fit of the six research approaches featured in this special issue;and develop a list of steps that need to be taken to implement primary care research projects.Using "HPV(human papilloma) vaccination" as a hypothetical topic,the article illustrates how an emerging researcher can complete the worksheets.Using the HPV topic,a worksheet illustration shows how to complete the worksheets,and examples from the literature illustrate how actual studies have used six feasible research approaches for primary care:survey research,semistructured qualitative interviews,curriculum development,continuous quality improvement,clinical policy analysis and case study research.The worksheet exercises support choosing a feasible research approach for emerging researchers.Emerging researchers using these exercises can identify a topic,choose a research strategy aligned with the researcher's interest,create a study title,develop a list of the next steps,and be well positioned to implement an original research project.

Key words: Family medicine, General practice, Community-based participatory research, Health services research, Research methods, Primary health care

摘要: 虽然许多基层保健研究者想进行科学研究,但其大多数难以开始研究。本文的目的是帮助新手研究者找到一个感兴趣的主题,尝试契合和投入到可行的研究途径当中。本文讨论了6个主题:确认从临床故事中诞生的基层保健研究的重要性;了解临床故事如何变成研究主题;辨别研究过程与患者护理的相似之处;区分基层保健研究者可用的6种研究方法的基本特征;评估本期专刊中6种研究方法的适用性;制定一系列实施基层保健研究项目需采取的步骤。本文使用“人乳头瘤病毒(HPV)疫苗接种”作为假设和主题,以说明新手研究者应该如何完成研究工作表。根据以“HPV疫苗接种”为主题的工作表图解,说明如何填写工作表,同时文献示例说明实际研究中如何使用6种可行的基层保健研究方法:调查研究、半结构化定性访谈、课程开发、持续质量改进、卫生政策分析和案例研究。工作表练习指导新手研究者选择某种可行的研究方法。通过这些练习,新手研究者可以确定一个研究主题,选择符合研究者兴趣的研究策略,创建研究题目,制定后续步骤清单,并为实施原创研究项目做好准备。

关键词: 家庭医学, 全科医学, 社区参与研究, 卫生服务研究, 研究方法, 基层卫生保健