大洋彼岸的涛声:发展混合方法研究对发展中国全科医学研究的重要价值

Learning from the Outside World:the Key Value of Developing Mixed Method Research for the Development of General Practice Research in China

混合方法学源于实用主义哲学,以问题为起点,以解决问题为导向,与全科医学学科理论可以很好地契合,近年在欧美全科医学领域的影响力正日渐增加。中国全科医学的发展对科研具有迫切需求,但中国全科医学研究目前仍有待发展。全科医学从业者常面临学科研究变量复杂、缺乏本国证据、缺乏从事定性研究意愿、缺乏研究人员与资源,且资源分布不平衡等问题。混合方法学可以在研究理论上有效结合定性和定量研究,从发现新变量、提升信效度和寻找创新点等3个方面帮助中国全科医学研究者提升研究质量。本文通过对1篇近期发表的全科医学Q1区论文的拆解,探讨了在中国从事类似的混合方法研究的现实可能性,并在此基础上,提出了发展中国全科医学领域混合方法研究的3项建议。

The basement of mixed methodology is pragmatism.It regards" the problem" as the starting point,and" solving the problem" as the orientation.This methodology can be well matched with the theory of general practice and its influence in this discipline is increasing in Europe and North America in recent years.Chinese general practice was need to be developed, and the development of Chinese general practice needs the development of scientific research in this field.However,Chinese general practitioners often face difficulties in conducting scientific research,such as complex alternative outcome variables, lack of domestic evidence,lack of willingness to spend time in qualitative research,lack of researchers and resources,and unbalanced resource distribution.Mixed methodology can effectively combine qualitative and quantitative research theoretically and help Chinese general practice researchers to improve the quality of their research from three aspects:discovering new variables,improving reliability and validity,and finding innovation points.The author demonstrated the possibility of conducting mixed method research in China through the analysis of a recently published Q1 article.In addition,they also proposed three recommendations of developing mixed method research in the field of Chinese general practice.