一般医生对德国实践研究网络的期望 - - 在巴伐利亚研究实践网络 (BayFoNet) 中进行的定性研究
Linda Sanftenberg1, Julia Stofella2, Katharina Mayr3
1Institute of General Practice and Family Medicine, University Hospital, LMU Munich, Nußbaumstraße 5, 80336, Munich, Germany. linda.sanftenberg@med.uni-muenchen.de.
BMC primary care
|January 3, 2024
概括
德国的全科医生对于初级保健研究至关重要. 这项研究探讨了他们对基于实践的研究网络的准备,发现动机和专业发展是关键促进因素,而资源限制和过去的负面经验是障碍.
科学领域:
- 初级医疗保健研究 研究初级医疗保健研究
- 一般的做法一般的做法
- 实施科学 实施科学
背景情况:
- 由于时间,资金和培训的限制,德国一般实践中的临床研究是有限的.
- 现有的研究主要发生在住院环境中,研究结果往往无法转移到初级保健中.
- 基于实践的研究网络 (PBRNs) 正在开发,以加强德国初级医疗保健中的临床研究.
研究的目的:
- 探索全科医生 (GPs) 关于促进者和参与巴伐利亚研究实践网络 (BayFoNet) 的障碍的观点.
- 在临床试验在网络中开始之前,收集关于全科医生的参与准备情况的见解.
主要方法:
- 在2022年,与20名巴伐利亚GP进行了半结构化的定性访谈,并有意抽样20名巴伐利亚GP.
- 实施研究综合框架 (CFIR) 指导了采访过程.
- 使用CFIR域名作为初始演代码进行定性内容分析,应用于采访转录.
主要成果:
- 20名全科医生中有14名表示愿意参与BayFoNet.
- 参与的主要促进因素包括为证据质量做出贡献,专业发展,员工培训和网络机会.
- 发现的重大障碍是过去的临床研究负面经验和缺乏必要资源.
结论:
- 在德国推广PBRN需要整个实践团队的早期参与.
- 通过为通用诊所工作人员提供专业培训和培养强大的网络连接,可以提高参与度.
- 参与式方法,支持患者招募和数据收集,定期传播研究成果对于持续的GP参与PBRNs至关重要.
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