Research consultation clinic: impetus towards facilitating primary care research
Tóm tắt
In Singapore, SingHealth Polyclinics (SHP) is an accredited Family Medicine (FM) training centre which managed 1.8 million primary care patient-visits in 2012. To promote research in the institution, research consultation clinics (RCC) are being introduced in 2010 to enable free face-to-face consultation between experienced and novice researchers on specific research topics. Each RCC session allows about an hour or more for the SHP staff, medical undergraduates and general practitioners to seek advice and clarification on key research areas, ranging from research question refinement, study design and execution, data analysis, result presentation to publication. The consultants comprise of two FM researchers with postgraduate research qualification. This article aims to review the implementation of RCC from 2010 to 2012 and its impact on research activities and outcome indicators in the same period of time. The study comprised of two segments. Part I was a three-year retrospective review of the RCC administrative record. The total number of RCC sessions, hours utilised, participants’ profiles, the number of research studies initiated by them and their research presentations at local and overseas scientific meetings/conferences were computed. Part 2 was an anonymous web-based questionnaire survey fielded to RCC participants to collect their feedback on the RCC service and their self-reported initiation and completion of research study after the RCC consultation. The RCC sessions increased from 17 to 40 sessions, resulting in increment of 2 to 14 research presentations and from 2 to 6 initiations of new research studies per annum from 2010–2012. The response rate to the questionnaire survey was 70.3%, with the majority of multi-disciplinary respondents rated the RCC service to be accessible, adequate and were satisfied with its quality. Study design, data management and study execution were ranked as important areas of research for consultation. 79% of them had started a research project and 36% had completed their studies. The RCC is a feasible model to catalyse multi-disciplinary research in primary care institutions. Further study is needed to evaluate its relevance when research advances and novice researchers become experienced investigators to take on more complex projects.
Tài liệu tham khảo
Macinko J, Starfield B, Shi L: The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998. Health Serv Res 2003,38(3):831–865. 10.1111/1475-6773.00149
Starfield B, Shi L, Macinko J: Contribution of primary care to health systems and health. Milbank Q 2005, 83: 457–502. 7 10.1111/j.1468-0009.2005.00409.x
Green LA: The research domain of family medicine. Ann Fam Med 2004,2(Suppl 2):S23-S29.
De Maeseneer JM, van Driel ML, Green LA, van Weel C: The need for research in primary care. Lancet 2003,362(9392):1314–1319. 10.1016/S0140-6736(03)14576-X
Al-Abdullateef SH: A survey of the attitude and practice of research among doctors in Riyadh Military Hospital primary care centers, Saudi Arabia. J Fam Community Med 2012,19(1):38–42. 10.4103/2230-8229.94012
Jones C: Laboratories of primary care: Practice-based research networks in Canada. Canadian Fam Physician 2006,2006(52):1045–1046.
Dwan KM, Magin PJ: The desire for research in general practice. Aust Fam Physician 2008,37(10):871–873.
Pearce K, et al.: How and Why to Study the Practice Content of a Practice-Based Research Network. Ann Fam Med 2004,2(5):425–428. 10.1370/afm.133
Bakken S, Lantigua RA, Busacca LV, Bigger JT: Barriers, enablers, and incentives for research participation: a report from the Ambulatory Care Research Network (ACRN). J Am Board Fam Med 2009,22(4):436–445. 10.3122/jabfm.2009.04.090017
Curtis P, Dickinson P, Steiner J, Lanphear B, Vu K: Building capacity for research in family medicine: is the blueprint faulty? Fam Med 2003,35(2):124–130.
Giveon S, Kahan E, Kitai E: Factors associated with family physicians’ involvement in research in Israel. Acad Med 1997,72(5):388–390. 10.1097/00001888-199705000-00020
Beasley JW, Starfield B, van Weel C, Rosser WW, Haq CL: Global health and primary care research. J Am Board Fam Med 2007,20(6):518–526. 10.3122/jabfm.2007.06.070172
Hannaford P, Hunt J, Sullivan F, Wyke S: Shaping the future: a primary care research and development strategy for Scotland. Health Bull (Edinb) 1999,57(5):295–299.
Del Mar C, Askew D: Building family/general practice research capacity. Ann Fam Med 2004,2(Suppl 2):S35-S40.
van Weel C, Rosser WW: Improving health care globally. A critical review of the necessity of family medicine research and recommendations to build research capacity. Ann Fam Med 2004,2(Suppl 2):S5-S16.
Campbell SM, Roland MO, Bentley E, Dowell J, Hassal K, Pooley JE, et al.: Research capacity in UK primary care. Br J Gen Pract 1999, 49: 967–970.
Tan NC, Goh LG: Primary Care Research – A Blueprint for Action for Singapore. APJPH 2001,43(1):49–53.