在新加坡促进通用实践研究:对障碍,促进者和解决方案的定性探索
Xin Hui Sam1, Glenys Shu Wei Quak1, Aik Chen Edwin Chng2
1Primary Care and Family Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
新加坡的全科医生面临着参与研究的障碍,包括时间和资金限制. 基于实践的研究网络 (PBRNs) 可以通过提供基础设施和支持来促进研究,提高初级保健的相关性.
科学领域:
- 初级保健研究研究初级保健研究
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健研究对于为临床实践和政策提供信息至关重要.
- 新加坡大多数初级保健是由私人全科医生 (GP) 提供,但研究主要发生在公共诊所.
- 需要增加私人通用实践的研究,以确保研究结果与这个环境相关.
研究的目的:
- 探索影响新加坡GP参与研究的障碍,促进者和动机.
- 优化新加坡初级实践研究网络 (SPARK) 提供的结构和支持.
主要方法:
- 从SPARK网络和研究人员网络中招募的全科医生.
- 进行半结构面试 (面对面或通过Zoom).
- 使用演和归纳方法对转录的采访进行了主题分析.
主要成果:
- 15名全科医生参加了会议,揭示了四个主要主题:动机,障碍,促进者和PBRN角色.
- 确定了内在的 (利他主义,个人利益) 和外在的 (更好的病人护理,工作丰富) 动机.
- 关键的促进者包括实践支持,资金,简化研究流程,协作和认可.
结论:
- 时间,财务支持和系统结构等障碍限制了新加坡的GP研究参与.
- 基于实践的研究网络 (PBRNs) 可以弥合临床经验和学术专业知识之间的差距.
- 这些发现将为SPARK未来的活动提供信息,以促进新加坡充满活力的通用实践研究环境.
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