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首页> 外文期刊>Journal of Community Health >Recruitment and Retention of Physicians for Primary Care Research
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Recruitment and Retention of Physicians for Primary Care Research

机译：招募和保留医师进行基层医疗研究

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The primary objective of this report is to examine factors associated with recruitment of physicians in community-based primary care research. Reported results are based on an observational study of physician recruitment efforts undertaken in a randomized controlled trial designed to improve primary care physicians' cancer screening and counseling activities. The Partners for Prevention project was a state-wide randomized controlled trial of primary care physicians selected from the state of Colorado. Two-hundred and ten eligible internal medicine and family medicine practices in both rural and urban community settings of the state of Colorado were selected into this study and a sentinel physician was chosen to represent each practice. Only 6% (13/210) of recruited practices initially declined to participate in the study, but the total refusal rate had reached 30% (59/210) by the time the intervention was implemented five months later. Study participants (n = 136) were younger (mean age 45.7 vs. 50.0, p = 0.008) and more often located in a rural area (46% vs. 31%, p = 0.04) than decliners (n = 59), but there was no association with gender of the physician (87% for females vs. 95% for males, p = 0.13). Participants were more often family practice physicians by training rather than internists (75% vs. 56%, p = 0.008), whereas there was no difference in participation rates by practice type (solo versus group, 60% vs. 64%, p = 0.52). Differences in demographic, geographic, and training characteristics between trial participants and decliners suggest the potential for better targeting of recruitment efforts. Viable strategies for recruiting community-based primary care practices to research studies are proposed.
机译：本报告的主要目的是研究与社区初级保健研究中招募医师有关的因素。报告的结果基于一项在一项随机对照试验中对医师招募工作的观察性研究，该试验旨在改善初级保健医师的癌症筛查和咨询活动。预防伙伴计划是一项全州范围内从科罗拉多州选出的初级保健医生的随机对照试验。在科罗拉多州的农村和城市社区环境中，选择了200例合格的内科和家庭医学实践，并选择了前哨医师来代表每种实践。最初只有6％（13/210）的被招募实践者拒绝参加该研究，但是到五个月后实施干预时，总拒绝率达到了30％（59/210）。研究参与者（n = 136）比衰老者（n = 59）更年轻（平均年龄45.7 vs. 50.0，p = 0.008），更常位于农村地区（46％vs. 31％，p = 0.04），但与医师性别无关（女性为87％，男性为95％，p = 0.13）。参加培训的人更多是家庭实践医生，而不是内科医生（75％vs. 56％，p = 0.008），但是按执业类型的参与率没有差异（单独与小组，60％vs. 64％，p = 0.52）。试验参与者和拒绝者之间在人口，地理和培训特征上的差异表明，有可能更好地确定招募目标。提出了可行的策略来招募基于社区的初级保健实践以进行研究。

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