北美与欧洲初级保健科研网络的发展对中国全科医学的借鉴与启示

The Enlightenment of Primary Care Research Network in North America and Europe to Chinese General Practice

欧洲全科医学研究网络(EGPRN)始建于1974年,北美初级保健医学研究网络(PBRN)则始建于1983年,二者均有30年以上的发展历史,并极大地推动了欧美全科医学科研的发展。本文在回顾二者的发展史,现状,科研产出,目前面临的主要挑战及改革策略的基础上,将二者进行了对比,并进一步对"中国全科医学从业者是否需要建设全科医学科研网络"及"可能会面临的挑战"这两个问题进行了探讨。最终提出了取得立足于中国的研究证据,并在此基础上,汇集外部证据,内部证据,以及利益相关者的经验,对这一问题进行深入研讨的重要性。

European General Practice Research Network(EGPRN)was founded in 1974.Practice-based research networks(PBRN)in North America was founded in 1983.They both have more than 30 years'history,and have greatly promote primary care scientific research in Europe and the United States.This article reviewed their development history,current situation,scientific achievement,current major challenges and reform strategies,compared their characteristics,discussed whether Chinese general practitioners needs to build general practice scientific research network and its possible challenges,and finally,pointed out the importance of obtaining evidence based on China,and further discussions based on integrating external reference,evidence with high credibility,and stakeholders'experience.