[为什么医疗服务研究项目在实践中可能会失败 - - 专家的见解使用RECUR的例子,这是德国复发性尿病的注册]
Urs A Fichtner1, Erik Farin-Glattacker1, Martin Schönthaler2
1Sektion Versorgungsforschung und Rehabilitationsforschung, Institut für Medizinische Biometrie und Statistik, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Deutschland.
概括
由于医生工作量,缺乏感知效益和患者障碍,未能招募上游泌尿道重复性石头疾病 (RECUR) 登记册. 未来的研究需要解决这些挑战,以便更好地招募参与者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 上尿路重复性石头疾病注册表 (RECUR) 旨在使用数字流程将临床和患者报告的数据联系起来.
- 由于形式,法律和后勤问题,实施面临重大延迟,影响了数字基础设施的发展.
- 由于参与者招募和资金挑战不足,该注册表最终被关闭.
研究的目的:
- 评估RECUR注册表中参与者招募不足的原因.
- 确定在类似的医疗保健研究研究中改善招聘的障碍和机会.
主要方法:
- 对采访成绩单进行了定性总结内容分析.
- 与参与RECUR招聘的医疗保健专业人员进行了七次指导专家采访.
主要成果:
- 医生招聘受到增加的工作量和行政任务的阻碍,没有感知到内在的好处.
- 患者招募面临挑战,包括语言和认知障碍,技术亲和度低,信息过载等.
- 确定的优化策略包括集中责任,增加人员和实施激励系统.
结论:
- 医院的高组织和行政负担,加上有限的资源,阻碍了护理研究.
- 对于工作人员和患者来说,认知,技术和语言障碍对RECUR注册表的招聘产生了负面影响.
- 未来的研究项目必须考虑这些因素,以提高研究设计和参与者招聘策略.
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