Research agenda

研究议程
  • 文章类型: Journal Article
    我们生活的演变迫使医疗保健系统发生变化,因此将医疗保健营销作为医疗服务的基本要素,包括初级卫生保健(PHC)。本文旨在分析其规模,结构,以及初级医疗保健营销研究的动态,以确定该领域的主要主题和研究趋势。作者根据性能分析和科学制图的方法进行了书目分析。书目分析涵盖了从Scopus数据库中选择的1981年出版物,并使用MSExcel和VOSviewer应用程序进行了分析。通过对根据书目耦合分析选出的34种出版物进行深入分析,以确定关键研究趋势和结果,这增加了对研究领域的了解。进行的研究证明,初级卫生保健中的营销问题很少被研究人员解决,这转化为非常有限的研究成果,对这一领域的决策过程影响不大。这个研究领域需要更大的投入,特别是在未来研究议程建议中指出的领域。
    The evolution of our lives has forced changes to the healthcare system and consequently established healthcare marketing as an essential element of health services, including primary health care (PHC). This article aims to analyze the size, structure, and dynamics of research on primary healthcare marketing to identify the main topics and research trends in this area. The authors conducted a bibliographic analysis based on the methods of performance analysis and scientific mapping. The bibliographical analysis covered 1981 publications selected from the Scopus database and was carried out with the use of the MS Excel and VOSviewer applications. The results were supplemented with an in-depth analysis of 34 publications selected based on bibliographic coupling analysis to determine key research trends and results, which increased the understanding of the research area. The conducted research proves that the issue of marketing in primary health care is rarely addressed by researchers, which translates into very limited research results and little impact on the decision-making process in this area. This research field requires much greater commitment, especially in the areas indicated in the future research agenda recommendations.
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    文章类型: Journal Article
    本国际淋巴学会(ISL)共识文件是1995年用于评估和管理周围淋巴水肿的文件的最新修订版(1)。它基于修改:[A]在1997年第十六届马德里国际淋巴瘤大会(ICL)之后提出并发表,西班牙(2)在金奈1999年XVIIICL上讨论,印度(3),并在Hinterzarten举行的2000年(ISL)执行委员会会议上得到确认,德国(4);[B]源于2001年第十八届热那亚ICL会议期间和之后的讨论和书面评论的整合,在2003年科尔多瓦ISL执行委员会会议上修改的意大利,阿根廷(5);[C]从评论中建议,批评,和反驳,发表在2004年12月发行的淋巴(6);[D]在2005年XX国际刑事法院在萨尔瓦多,巴西和2007XXIICL在上海,在那不勒斯举行的2008年执行委员会会议上对中国进行了修改,意大利(7,8);[E]根据悉尼2009XXIIICL的讨论和书面评论进行了修改,澳大利亚,2011年在马尔默举行的XXIIIICL,瑞典,2012年执行委员会会议(9);[F]在罗马举行的2013年第二十四届ICL会议上的讨论,意大利,以及2015年在旧金山举行的XXVICL,美国,以及执行委员会和其他ISL成员在2016年起草期间的多次书面评论和反馈(10);巴塞罗那第二十六届ICL的非正式讨论,西班牙;[G]专门讨论,在伊瓜苏举行的第二十七届ICL会议上,阿根廷(2019年),随后是执行委员会和其他机构的补充书面评论(11);雅典第二十八届ICL的[H]讨论和书面评论,希腊(2021年),和热那亚的XXIXICL,意大利(2023年)。该文件试图将世界范围内倡导的用于诊断和治疗周围淋巴水肿的广泛协议和实践合并为一项协调一致的声明,代表了国际社会基于各种证据水平的“共识”。该文件并不意味着超越复杂患者的个人临床考虑,也不妨碍临床治疗或研究进展。这并不意味着是可以使用变体来描述或定义医疗事故的法律表述。协会了解到,在一些诊所,治疗方法来自国家标准,而在另一些诊所,技术专长,供应有限;因此,建议的评估和治疗可能不切实际.适应性和包容性的代价是,成员们可以正确地批评他们认为定义模糊或不精确的东西,词语选择中的限定符(例如,使用“可能”。..也许。..不清楚\“,等。),并提到(尽管没有认可)由有限的硬数据(很少有随机对照试验)支持的治疗方案。大多数成员对NO治疗方法确实经历了令人满意的荟萃分析的现实感到沮丧(更不用说严格了,随机化,对照研究)。有了这个认识,缺乏最佳的临床试验和明确的答案,随着新兴技术、新方法和新发现的出现,某种程度的不确定性,模棱两可,和灵活性以及对当前淋巴水肿评估和管理的不满是适当的,并且是可以预期的。我们继续努力保持文件的简洁,同时平衡对深度的需要,广度,和细节。考虑到这些因素,我们相信,这个2023年的版本提出了一个包含整个ISL成员的共识,承认国家标准,但高于国家标准,标识,并激发未来研究的前景,并代表了ISL成员对如何根据现有证据接近周围淋巴水肿患者的最佳判断。因此,该文件已经并且应该继续在淋巴瘤学页中受到质疑和辩论(例如,作为给编辑的信),理想情况下,它将继续是当地进行强有力讨论的焦点,国家,以及淋巴学和相关学科的国际会议。我们进一步预计,随着经验的发展以及新思想和技术的出现,随着医学的实践和概念基础,特别是淋巴瘤学的变化和进步,这份“活文件”将经历进一步的定期修订和完善。
    This International Society of Lymphology (ISL) Consensus Document is the latest revision of the 1995 Document for the evaluation and management of peripheral lymphedema (1). It is based upon modifications: [A] suggested and published following the 1997 XVI International Congress of Lymphology (ICL) in Madrid, Spain (2), discussed at the 1999 XVII ICL in Chennai, India (3), and considered confirmed at the 2000 (ISL) Executive Committee meeting in Hinterzarten, Germany (4); [B] derived from integration of discussions and written comments obtained during and following the 2001 XVIII ICL in Genoa, Italy as modified at the 2003 ISL Executive Committee meeting in Cordoba, Argentina (5); [C] suggested from comments, criticisms, and rebuttals as published in the December 2004 issue of Lymphology (6); [D] discussed in both the 2005 XX ICL in Salvador, Brazil and the 2007 XXI ICL in Shanghai, China and modified at the 2008 Executive Committee meeting in Naples, Italy (7,8); [E] modified from discussions and written comments from the 2009 XXII ICL in Sydney, Australia, the 2011 XXIII ICL in Malmo, Sweden, the 2012 Executive Committee Meetings (9); [F] discussions at the 2013 XXIV ICL in Rome, Italy, and the 2015 XXV ICL in San Francisco, USA, as well as multiple written comments and feedback from Executive Committee and other ISL members during the 2016 drafting (10); informal discussions at the XXVI ICL in Barcelona, Spain; [G] discussions at a dedicated, focused Post-Congress session at the XXVII ICL in Iguazu, Argentina (2019) followed by additional written comments from the Executive Committee and others (11); and [H] discussions and written comments from the XXVIII ICL in Athens, Greece (2021), and the XXIX ICL in Genoa, Italy (2023). The document attempts to amalgamate the broad spectrum of protocols and practices advocated worldwide for the diagnosis and treatment of peripheral lymphedema into a coordinated proclamation representing a \"Consensus\" of the international community based on various levels of evidence. The document is not meant to override individual clinical considerations for complex patients nor to impede clinical treatment or research progress. It is not meant to be a legal formulation from which variations could be used to describe or define medical malpractice. The Society understands that in some clinics the method of treatment derives from national standards while in others access to medical equipment, technical expertise, and supplies is limited; therefore, the suggested assessments and treatments might be impractical. Adaptability and inclusiveness do come at the price that members can rightly be critical of what they see as vagueness or imprecision in definitions, qualifiers in the choice of words ( e.g., the use of \"may ... perhaps ... unclear\", etc.) and mentions (albeit without endorsement) of treatment options supported by limited hard data (few randomized control trials). Most members are frustrated by the reality that NO treatment method has really undergone a satisfactory meta-analysis (let alone rigorous, randomized, controlled study). With this understanding, the absence of optimally conducted clinical trials and definitive answers, and with emerging technologies and new approaches and discoveries on the horizon, some degree of uncertainty, ambiguity, and flexibility along with dissatisfaction with current lymphedema evaluation and management is appropriate and to be expected. We continue to struggle to keep the document concise while balancing the need for depth, breadth, and details. With these considerations in mind, we believe that this 2023 version presents a Consensus that embraces the entire ISL membership, acknowledges national standards but rises above them, identifies, and stimulates promising areas for future research, and represents the best judgment of the ISL member-ship on how to approach patients with peripheral lymphedema in the light of currently available evidence. Therefore, the document has been and should continue to be challenged and debated in the pages of Lymphology (e.g., as Letters to the Editor) and ideally will remain a continued focal point for robust discussion at local, national, and international conferences in lymphology and related disciplines. We further anticipate as experience evolves and new ideas and technologies emerge that this \"living document\" will undergo further periodic revision and refinement as the practice and conceptual foundations of medicine and specifically lymphology change and advance.
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  • 文章类型: Journal Article
    随着全球对医疗保健服务的需求持续增长,提高医疗生态系统的效率和有效性已成为一个紧迫的问题。信息系统正在改变医疗保健提供过程,将医疗服务的重点从被动疾病治疗转向主动健康预防,将医疗管理模式从以医院为中心转向以患者为中心。本研究重点回顾了IS期刊上关于电子健康的研究,致力于构建智能健康的理论模型,为今后该领域的讨论提供研究基础。此外,由于智能医疗服务的创新导致了其要素的变化(例如,利益相关者数量的增加),迫切需要对现有研究进行梳理和分析。
    As the global demand for healthcare services continues to grow, improving the efficiency and effectiveness of the healthcare ecosystem has become a pressing concern. Information systems are transforming the healthcare delivery process, shifting the focus of healthcare services from passive disease treatment to proactive health prevention and the healthcare management model from hospital-centric to patient-centric. This study focuses on reviewing research in IS journals on the topic of e-health and is dedicated to constructing a theoretical model of intelligent health to provide a research basis for future discussions in this field. In addition, as the innovation of intelligent healthcare services has led to changes in its elements (e.g., an increase in the number of stakeholders), there is an urgent need to sort out and analyze the existing research.
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  • 文章类型: Journal Article
    人们对医疗保健中的更年期歧视越来越感兴趣,工作场所和超越。然而,对女同性恋的研究很少,同性恋,双性恋,更年期的变性和酷儿(LGBTQ+)经历。本文报告了对最新文献的范围审查,该文献发现了非常有限的文章数量和广泛的知识差距。这是与LGBTQ+更广泛的健康相关的讨论,医疗保健和工作场所不平等,更年期的异型规范和顺位规范概念化。提出了研究议程。研究应该:交叉;区分LGBTQ+亚组;旨在了解更年期经历如何影响和受少数族裔性行为/性别认同的影响;并研究更年期医疗保健和工作场所支持如何包含LGBTQ+。迫切需要进行此类研究,以确保LGBTQ+人群完全参与更年期司法讨论和解决方案。
    There is growing interest in menopause discrimination in healthcare, the workplace and beyond. However, there is a dearth of research on lesbian, gay, bisexual, transgender and queer (LGBTQ+) experiences of the menopause. This article reports on a scoping review of the recent literature which identified a very limited number of articles and a wide range of knowledge gaps. This is discussed in relation to LGBTQ+ wider health, healthcare and workplace inequalities, and heteronormative and cisnormative conceptualisations of the menopause. A research agenda is proposed. Research should: be intersectional; differentiate between LGBTQ+ sub-groups; aim to understand how menopause experiences impact and are impacted by minority sexuality/gender identities; and examine how menopause healthcare and workplace support can be LGBTQ+ inclusive. Such research is urgently needed to ensure that LGBTQ+ people are fully included in menopause justice discussions and solutions.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    在大数据时代,公司将健康数据商品化,不可替代令牌(NFT)为患者赋权和控制提供了一条变革性途径。NFT是区块链上独特的数字资产,代表数字对象的所有权,包括健康数据。通过将他们的数据作为NFT,患者可以跟踪访问,将其使用货币化,建立安全的,私人卫生信息系统。然而,关于医疗保健中的NFT的研究处于起步阶段,有必要进行全面审查。
    本研究对医疗保健中的NFT进行了系统的文献回顾和主题分析,以确定用例,设计模型,和关键挑战。五个多学科研究数据库(Scopus,WebofScience,谷歌学者,IEEE探索,ElsevierScienceDirect)进行了搜索。该方法包括四个阶段:论文收集,纳入/排除标准应用,筛选,全文阅读,和质量评估。采用了分类和编码框架。主题分析遵循六个步骤:数据熟悉,初始代码生成,主题搜索,主题回顾,主题定义/命名,报告生产。
    对19篇论文的分析揭示了三个主要用例:以患者为中心的数据管理,数据来源的供应链管理,数字孪生发展。值得注意的是,大多数解决方案是原型或框架,没有真实世界的实现。出现了四个总体主题:数据治理(所有权,跟踪,隐私),数据货币化(商业化、激励,共享),数据保护,和数据存储。重点在于用户控制,私人,和安全的健康数据解决方案。此外,探索数据商品化,提出了激励数据维护和共享的机制。NFT还被建议用于跟踪供应链中的医疗产品,确保数据的完整性和来源。以太坊和类似平台主导NFT铸币,同时正在探索紧凑的NFT存储选项以实现更快的数据访问。
    NFT为安全、可追溯,分散的医疗保健数据交换系统。然而,挑战存在,包括对区块链的依赖,互操作性问题,以及相关成本。审查确定了研究差距,例如开发双重所有权模型和数据定价策略。为互操作性和采用建立开放标准至关重要。可扩展性,安全,NFT支持的医疗保健应用程序的隐私需要进一步调查。因此,这项研究提出了在医疗保健中采用NFT的研究议程,专注于治理,存储模型,和感知。
    UNASSIGNED: In the big data era, where corporations commodify health data, non-fungible tokens (NFTs) present a transformative avenue for patient empowerment and control. NFTs are unique digital assets on the blockchain, representing ownership of digital objects, including health data. By minting their data as NFTs, patients can track access, monetize its use, and build secure, private health information systems. However, research on NFTs in healthcare is in its infancy, warranting a comprehensive review.
    UNASSIGNED: This study conducted a systematic literature review and thematic analysis of NFTs in healthcare to identify use cases, design models, and key challenges. Five multidisciplinary research databases (Scopus, Web of Science, Google Scholar, IEEE Explore, Elsevier Science Direct) were searched. The approach involved four stages: paper collection, inclusion/exclusion criteria application, screening, full-text reading, and quality assessment. A classification and coding framework was employed. Thematic analysis followed six steps: data familiarization, initial code generation, theme searching, theme review, theme definition/naming, and report production.
    UNASSIGNED: Analysis of 19 selected papers revealed three primary use cases: patient-centric data management, supply chain management for data provenance, and digital twin development. Notably, most solutions were prototypes or frameworks without real-world implementations. Four overarching themes emerged: data governance (ownership, tracking, privacy), data monetization (commercialization, incentivization, sharing), data protection, and data storage. The focus lies on user-controlled, private, and secure health data solutions. Additionally, data commodification is explored, with mechanisms proposed to incentivize data maintenance and sharing. NFTs are also suggested for tracking medical products in supply chains, ensuring data integrity and provenance. Ethereum and similar platforms dominate NFT minting, while compact NFT storage options are being explored for faster data access.
    UNASSIGNED: NFTs offer significant potential for secure, traceable, decentralized healthcare data exchange systems. However, challenges exist, including dependence on blockchain, interoperability issues, and associated costs. The review identified research gaps, such as developing dual ownership models and data pricing strategies. Building an open standard for interoperability and adoption is crucial. The scalability, security, and privacy of NFT-backed healthcare applications require further investigation. Thus, this study proposes a research agenda for adopting NFTs in healthcare, focusing on governance, storage models, and perceptions.
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  • 文章类型: Journal Article
    背景:尽管在过去的25年中,关于暴力侵害妇女行为(VAW)的证据大量增加,VAW仍然存在,该领域在如何预防和应对方面的知识差距也是如此。为了确保低收入和中等收入国家(LIMC)的VAW研究正在解决最重大的知识差距,并优先考虑证据需求,以减少VAW并更好地支持受害者/幸存者,性暴力研究倡议(SVRI)和平等研究所(EQI)牵头制定了关于LMICVAW的全球共享研究议程(GSRA)。
    方法:GSRA是通过对儿童健康与营养研究计划(CHNRI)方法的六阶段适应而开发的,它借鉴了“人群智慧”的原则。这些步骤包括:审查有关低收入国家的VAW和领域发展的文献;咨询小组在四个领域内提出研究问题;合并研究问题;全球专家组和咨询小组根据三个标准对研究问题进行评分(适用性,有效性和公平性);与咨询小组协商和验证调查结果;广泛传播调查结果。
    结果:GSRA中排名最高的研究问题涉及干预研究领域,一些排名很高的问题也涉及以多种形式理解VAW的领域。其他两个领域的问题,改善现有干预措施,以及方法和测量方面的差距,没有被专家们高度重视。根据专家的特点,排名靠前的研究问题有很强的一致性,尽管根据专家的性别有一些重要的差异,职业和地理位置。
    结论:GSRA的研究结果表明,经过数十年的证据来了解VAW,目前VAW领域正在转向干预研究。包括患病率,暴力的驱动因素和影响。研究结果还表明,高度重视服务不足的人群,以及对VAW的形式研究不足。寻求知识非殖民化的低收入和中等收入国家未来的优先事项设定工作应确保,和参与方式,把不同的声音放在参与的中心。试用注册不适用。
    BACKGROUND: Despite a large growth in evidence on violence against women (VAW) over the last 25 years, VAW persists, as do gaps in the field\'s knowledge of how to prevent and respond to it. To ensure that research on VAW in low- and middle-income countries (LIMCs) is addressing the most significant gaps in knowledge, and to prioritise evidence needs to reduce VAW and better support victims/survivors, the Sexual Violence Research Initiative (SVRI) and Equality Institute (EQI) led a process of developing a global shared research agenda (GSRA) on VAW in LMICs.
    METHODS: The GSRA was developed through a six-stage adaptation of the Child Health and Nutrition Research Initiative (CHNRI) method, which draws on the principle of the \'wisdom of the crowd\'. These steps included: a review of the literature on VAW in LMICs and development of domains; the generation of research questions within four domains by an Advisory Group; the consolidation of research questions; scoring of research questions by a Global Expert Group and the Advisory Group according to three criteria (applicability, effectiveness and equity); consultation and validation of the findings with the Advisory Group; and wide dissemination of the findings.
    RESULTS: The highest ranked research questions in the GSRA pertain to the domain of Intervention research, with some highly ranked questions also pertaining to the domain of Understanding VAW in its multiple forms. Questions under the other two domains, Improving existing interventions, and Methodological and measurement gaps, were not prioritised as highly by experts. There was strong consistency in top ranked research questions according to experts\' characteristics, albeit with some important differences according to experts\' gender, occupation and geographical location.
    CONCLUSIONS: The GSRA findings suggest that currently the VAW field is shifting towards intervention research after several decades of building evidence on understanding VAW, including prevalence, drivers and impacts of violence. The findings also suggest a strong emphasis on under-served populations, and under-researched forms of VAW. Future priority setting exercises in LMICs that seek to decolonise knowledge should ensure that methodologies, and modalities of engagement, put diverse voices at the centre of engagement. Trial registration Not applicable.
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  • 文章类型: Journal Article
    背景:詹姆斯·林德联盟(JLA)优先设置合作伙伴关系(PSP)通过结构化,与患者或服务用户共享决策过程,护理人员和健康或护理专业人员确定对他们最重要的问题。迄今为止,在不同的健康和护理领域,超过150个PSP公布了研究重点。一些PSP具有相似的优先级,可以结合起来,通过合作研究促进和解决,以增加价值和减少研究浪费。
    目的:本研究的目的是确定JLAPSP优先事项在不同健康和护理领域的共同主题。
    方法:我们的分析包括英国JLAPSP在2016年至2020年期间制定的“十大”研究重点。优先事项由健康研究分类系统(HRCS)健康类别和研究活动演绎编码。然后,我们与患者进行了在线研讨会,服务用户和护理人员,以生成此框架尚未捕获的新代码。在每个代码中,多利益相关者归纳主题分析用于确定总体主题,定义为涵盖涵盖两个或更多健康类别的三个或更多PSP的优先级。我们使用codesign方法来生成一个交互式工具,供最终用户浏览总体主题。
    结果:我们的分析包括了来自51个PSP的五百十五个研究重点。优先事项共包括21个HRCS健康类别中的20个,最常见的是“一般健康相关性”(22%),“心理健康”(18%)和“肌肉骨骼”(14%)。我们确定了89个总体主题和次主题,我们将其组织成一个包含七个顶级主题的层次结构:生活质量,看护者和家庭,原因和预防,筛查和诊断,治疗和管理,服务和系统以及社会影响和影响。
    结论:在多个健康和护理领域的研究重点中,有许多共同的总体主题。为了促进新的研究和研究资金,我们开发了一种互动工具来帮助研究人员,资助者和患者或服务用户来探索这些优先主题。这是免费的在线下载。
    患者或服务使用者和照顾者参与了整个研究,包括决定目标,设计研究,分析优先事项以确定主题,解释和报告调查结果。
    BACKGROUND: James Lind Alliance (JLA) Priority Setting Partnerships (PSPs) produce \'Top 10\' lists of health and care research priorities through a structured, shared decision-making process with patients or service users, carers and health or care professionals who identify questions that are most important to them. To date, over 150 PSPs in different areas of health and care have published research priorities. Some PSPs share similar priorities, which could be combined, promoted and addressed through collaborative research to increase value and reduce research waste.
    OBJECTIVE: The aim of this study was to identify overarching themes common to JLA PSP priorities across different areas of health and care.
    METHODS: Our analysis included \'Top 10\' research priorities produced by UK-based JLA PSPs between 2016 and 2020. The priorities were coded deductively by the Health Research Classification System (HRCS) health category and research activity. We then carried out online workshops with patients, service users and carers to generate new codes not already captured by this framework. Within each code, multistakeholder inductive thematic analysis was used to identify overarching themes, defined as encompassing priorities from three or more PSPs covering two or more health categories. We used codesign methods to produce an interactive tool for end users to navigate the overarching themes.
    RESULTS: Five hundred and fifteen research priorities from 51 PSPs were included in our analysis. The priorities together encompassed 20 of 21 HRCS health categories, the most common being \'generic health relevance\' (22%), \'mental health\' (18%) and \'musculoskeletal\' (14%). We identified 89 overarching themes and subthemes, which we organised into a hierarchy with seven top-level themes: quality of life, caregivers and families, causes and prevention, screening and diagnosis, treatment and management, services and systems and social influences and impacts.
    CONCLUSIONS: There are many overarching themes common to research priorities across multiple areas of health and care. To facilitate new research and research funding, we have developed an interactive tool to help researchers, funders and patients or service users to explore these priority topics. This is freely available to download online.
    UNASSIGNED: Patients or service users and carers were involved throughout the study, including deciding the aims, designing the study, analysing priorities to identify themes, interpreting and reporting the findings.
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  • 文章类型: Journal Article
    ACMT认识到高质量研究在推进医学科学中的关键作用。因此,为ACMT建立正式的研究议程是沟通学院优先事项的飞跃,其成员,以及我们服务的患者群体。这个精心设计的议程将成为ACMT的战略指南针,指导我们对科学发现的追求,促进创新,并提高受中毒和暴露影响的患者和社区的预后。
    ACMT recognizes the pivotal role of high-quality research in advancing medical science. As such, the establishment of a formal research agenda for ACMT is a leap forward in communicating the priorities of the College, its members, and the patient populations we serve. This thoughtfully crafted agenda will serve as a strategic compass for ACMT, guiding our pursuit of scientific discovery, fostering innovation, and enhancing outcomes for patients and communities affected by poisonings and exposures.
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  • 文章类型: Journal Article
    背景:全科医学领域(GP-HPE)的卫生专业教育(HPE)研究对于高质量的医疗保健至关重要。GP-HPE研究人员之间的合作至关重要,但具有挑战性。制定研究议程,涉及利益相关者,促进机构间合作可以应对这些挑战,并将教育研究和实践联系起来。
    方法:我们使用Q方法来探索来自所有荷兰研究生GP培训机构的参与者对GP-HPE研究的观点。参与者根据未来GP-HPE研究与教育实践的相关性对陈述进行了单独排序。数据分析包括反向因子分析,旋转,并对所有语句的配置进行定性解释。全国教育研究会议采取了参与性方法。
    结果:我们纳入了73名参与GP-HPE研究的参与者。我们确定了五个不同的观点,每个都代表了发展和创新GP教育的研究重点领域:临床医生科学家,社会参与的全科医生,特定的GP身份,作为企业家的GP,和GP从事终身学习。
    结论:由此产生的五个观点与全科医学标志一致。Q方法和参与性方法促进了利益攸关方之间的合作。成功的机构间合作需要一个共同的目标,中立的领导,参与者承诺,定期会议,审计跟踪支持,流程透明度,和反身性。未来的研究应该解决这些观点中的证据差距。
    结论:使用Q方法对于编制GP-HPE研究的国家研究议程很有价值。研究过程有助于跨越不同机构研究人员之间的界限,从而将机构间协作优势置于中心舞台。我们的方法可以为全世界的HPE研究人员提供一个可以想象的程序。
    BACKGROUND: Health professions education (HPE) research in the General Practice domain (GP-HPE) is vital for high-quality healthcare. Collaboration among GP-HPE researchers is crucial but challenging. Formulating a research agenda, involving stakeholders, and fostering inter-institutional collaboration can address these challenges and connect educational research and practice.
    METHODS: We used Q-methodology to explore perspectives on GP-HPE research of participants from all Dutch postgraduate GP training institutes. Participants individually sorted statements based on the relevance of future GP-HPE research for educational practice. Data analysis comprised inverted factor analysis, rotation, and qualitative interpretation of configurations of all statements. The National Meeting on Educational Research took a participatory approach.
    RESULTS: We included 73 participants with diverse involvement in GP-HPE research. We identified five distinct perspectives, each representing a research focus area for developing and innovating GP education: the clinician scientist, the socially engaged GP, the specific GP identity, the GP as an entrepreneur, and the GP engaged in lifelong learning.
    CONCLUSIONS: The resulting five perspectives align with General Practice hallmarks. Q-methodology and a participatory approach facilitated collaboration among stakeholders. Successful inter-institutional collaboration requires a common goal, neutral leadership, participant commitment, regular meetings, audit trail support, process transparency, and reflexivity. Future research should address evidence gaps within these perspectives.
    CONCLUSIONS: Using Q-methodology turned out to be valuable for compiling a national research agenda for GP-HPE research. The research process helped to cross boundaries between researchers in different institutions, thus putting inter-institutional collaborative advantage center stage. Our approach could provide a conceivable procedure for HPE researchers worldwide.
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