芬兰全科医生参与临床实践指南小组的重要性,促进者和障碍:一项调查
Ilona Mikkola1,2,3, Jorma Komulainen4, Maria Hagnäs5,6
1The Finnish Medical Society Duodecim, P.O. Box 713, Helsinki, FI- 00101, Finland. ilona.mikkola@duodecim.fi.
BMC primary care
|September 30, 2025
概括
一般医生 (GPs) 在临床实践指南小组中重视他们的投入. 关键的促进者包括教育和支持,而时间和证据评估技能是GP参与的障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 临床实践指南 临床实践指南
背景情况:
- 在临床实践指南小组 (CPGP) 中,全科医生面临的招聘挑战是公认的.
- 对于GP参与指南制定的具体障碍和促进因素仍未得到充分探索.
研究的目的:
- 探讨一般医生对参与临床实践准则制定的重要性的观点.
- 确定影响全科医生参与CPGP的重要促进者和障碍.
主要方法:
- 一项电子邮件调查分发给78名在当前护理指南小组 (2017-2022) 中任职的全科医生.
- 对有关GP参与及其影响因素的开放式问题进行了定性分析.
- 数据分析包括演 (WONCA能力) 和归纳方法.
主要成果:
- 39名全科医生 (50%的响应率) 强调初级保健的理解,全科医生作为目标受众的作用以及全科医生解决问题的技能至关重要.
- 促进者包括教育,雇主支持和财政援助.
- 障碍包括缺乏时间和对研究证据的批判性评估知识不足.
结论:
- 加强GP参与CPGP需要加强支持因素.
- 解决时间限制和知识差距等障碍对于成功参与至关重要.
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