研究活动与英语通用实践的表现之间的关系:横截面和纵向分析
Jonathan Gibson1, Evangelos Kontopantelis1, Matthew Sutton1
1National Institute for Health and Care Research (NIHR) School for Primary Care Research, University of Manchester, Manchester.
概括
一般实践中的研究与更好的表现有关,但因果关系的证据很弱. 高质量的实践可以在患者护理的同时进行研究.
科学领域:
- 医疗保健管理的管理
- 一般实践研究研究 一般实践研究
- 组织绩效 组织绩效
背景情况:
- 将研究转化为实践是关键,但研究活动本身可能会提高医疗保健组织的绩效.
- 现有的证据主要集中在医院环境中,对其在一般实践中的影响的理解有限.
- 研究活动与组织绩效之间的因果关系需要进一步研究,特别是在初级保健中.
研究的目的:
- 确定一般实践中的研究活动是否与组织绩效相关.
- 评估这种关系是否有因果关系.
主要方法:
- 从英语一般实践 (2008-2019) 分析国家数据.
- 使用横截面,面板和仪器变量分析.
- 研究了研究活动 (NIHR CRN,RCGP) 与实践绩效 (临床质量,患者体验,处方,住院) 之间的联系.
主要成果:
- 横截面分析显示了研究活动与实践绩效之间的积极关联,特别是临床质量和A&E出席率.
- 协会通常是温和的.
- 纵向分析没有提供强有力的因果关系证据.
结论:
- 一般实践中的研究活动与实践的表现有关,反映了医院的发现.
- 因果关系的证据有限,可能是由于许多实践中的研究活动水平较低.
- 研究活动似乎是质量的标志,可以与核心职责一起管理,没有负面影响.
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