Chinese General Practice ›› 2024, Vol. 27 ›› Issue (22): 0-D.DOI: 10.12114/j.issn.1007-9572.2024.A0017

• Editorial •     Next Articles

Attitude and Practice of General Practitioners toward Research Activity: Enablers and Barriers

  

  • Published:2024-08-05 Online:2024-05-28

各国全科医生对科研的看法和作为:全科医学研究的动力何在?阻力何在?

  

  1. 澳大利亚Monash大学
  • 作者简介:

Abstract:

Background

General practice research should be in the hands of general practitioners (GPs) . GPs' participation in research is an important condition of development of the discipline. Compared with other clinical medicines, the research activities of GPs need to be enhanced.

Objective

Based on the perspectives and actions of GPs worldwide towards research, this study aims to investigate the driving forces and obstacles underlying the development of family medicine.

Methods

Rapid literature review, using PubMed data to understand opinions of international general practice colleagues.

Results

Over 90% GPs thought research was very important, 60% of GPs were interested in research, 30% expressed willingness to participate, 10% were actually involving research, and less than 1% of GPs published research results. In terms of attitude and ability, GPs believe that the lack of relevance between research and actual clinical practice weakens the usefulness of research; some GPs believe that research work is not part of their own duties and out of their abilities; less than half of doctors believe research training should provide to registrars. The barriers for research included heavy clinical workloads, too much paperwork, increasing clinical management requirements, doctors' goals of making more money, and lack of research practice, support and research funds. Facilitating factors for research included access to good research mentors, having the opportunity to join well-known and well-designed general practice research projects, or having access to more information resources through research activities. GPs' factors include experience, diligence and hard work, frequent participation in research training, frequent reading of academic literatures, and running or managing their own general practice.

Conclusion

Research activity in general practice is low and high-quality research results are few. Research methodology training is one of the strategies to promote general medical research. Same important, we should also pay more attention to the intrinsic motivation and intensity of doctors' participation in research, provide doctors with research time and funding resources, and encourage the establishment and maintenance of a core team and network for general practice research, as well to develop the research ideas and culture of critical thinking in general practice area.

Key words: General practice, General practitioner, Research, Attitude, Involvement, Strategy

摘要:

背景

全科医学的科研应该掌握在全科医生手中,全科医生参加科研工作是全科医学学科发展的重要条件,与其他临床医学学科相比,全科医生的研究活动仍是小众范围。

目的

基于各国全科医生对科研的看法和作为,探索全科研究的动力和阻力何在。

方法

快速文献学习,通过PubMed了解国际全科医学同行参与研究活动的观点和看法。

结果

全科医生中,九成人认为科研非常重要、六成人对研究感兴趣,三成人表示愿意参加科研、一成人实际在做科研活动,不到百分之一的人能发表研究结果。在认知和能力上,全科医生认为研究的说教与实际服务的差距,削弱了研究的实用性;有些全科医生认为研究工作并非自己本职和能力的一部分;不到一半的医生认为在职业培训阶段应该促进学员的研究能力和兴趣。在障碍因素上,临床工作繁重、文牍工作过多,临床管理要求不断增多、医生要挣更多的钱的执业目的,缺乏研究实践、支持和科研基金。全科医学研究的促成因素包括能遇到好的研究指导者,能有机会加入知名并设计出色的全科研究项目中,或者通过研究活动能获得更多信息资源。全科医生自身因素包括经验、勤奋和努力、经常参加研究培训、经常阅读学术文献、自己经营或管理全科诊所。

结论

全科医学领域内的研究活跃度较低,高质量的研究结果较少。研究方法学培训是促进全科研究的策略之一,同时也应该关注医生参与研究的内在动力源及其强度,给医生相应的研究时间和经费资源,鼓励建立和维护全科医学研究的核心团队和网络建设,更好地培育全科医学的研究思想和文化。

关键词: 全科医学, 全科医生, 研究, 态度, 参与, 策略