竞争的认识论:研究在一般实践中的反思性主题分析
Francine Toye1, Karen L Barker2, Sarah Drew3
1Qualitative Research Lead, Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Windmill Road, Oxford, OX3 7HE, UK. francine.toye@ouh.nhs.uk.
BMC primary care
|December 19, 2025
概括
由于复杂的推理和时间限制,全科医生面临着将研究查工具整合到初级保健中所面临的挑战. 调整研究设计以适应初级保健环境对于成功的学术活动至关重要.
科学领域:
- 一般实践研究研究 一般实践研究
- 初级保健研究研究初级保健研究
- 医疗保健研究方法 医疗保健研究方法
背景情况:
- 大多数英国国家卫生服务 (NHS) 咨询发生在初级保健中,但研究集中在中等保健和高等教育中.
- 皇家全科医师学院倡导在全科医院内加强学术活动和研究能力.
- 一般医生 (GPs) 在参与研究方面面临的挑战仍未得到充分探索.
研究的目的:
- 在研究研究中使用查工具调查全科医生 (GPs) 的经验.
- 确定在初级保健机构从事研究活动的全科医生的障碍和促进因素.
主要方法:
- 从三个初级保健实践中招募了全科医生.
- 虚拟采访是由一个独立的研究人员进行的,记录下来,字体地转录下来,并被取消识别.
- 使用反思性主题分析来确定GP采访中的关键主题.
主要成果:
- 出现了四个主题,详细说明了研究参与的障碍: (1) 临床决策的细微,非二元性质, (2) 临床工具和临床医生的判断之间的区别, (3) 时间管理和平衡临床职责的关键问题,以及 (4) 远程患者咨询的日益普及.
- 这些主题突出了全科医生在日常实践中应用标准化研究措施时遇到的复杂性.
结论:
- 定量研究设计,通常基于正观主义的认识论,可能与初级保健固有的解释性知识和复杂推理不一致.
- 竞争的认识论可能会给全科医生造成困难,使他们无法在初级保健机构内完成标准化的测量.
- 研究设计必须考虑初级保健的兼容性,认识到封闭式询问可能不适合简单答案很少的环境.
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