上海市专科医院临床研究人才队伍建设存在的问题及对策研究

Research on the major problems and countermeasures in the development of clinical research teams in specialized hospitals

【目的】识别制约专科医院临床研究人才队伍建设的主要问题并探寻解决的对策。【方法】在文献复习的基础上,通过专家咨询自制问卷,利用问卷星网络调查的方式对上海市10所三级专科医院从事临床研究相关人员300人进行调查。从临床研究人才规划、招聘与配置,培训和开发,考核评价及绩效管理,职业生涯管理等4个方面分析存在问题及其严重程度;并对部分医院临床研究部门的主要负责人进行个人深入访谈。【结果】调查结果显示,"临床研究人才队伍建设不完整,缺乏稳定的多学科、多层次人才团队""未建立系统化、连续化的临床研究培训体系""客观公正的考核评价指标体系尚未建立""临床研究专业人员的职业发展及职称晋升路径尚不完善"等4个问题严重程度评分相对较高,分别为(3.65±1.0)分、(3.43±1.0)分、(3.53±1.0)分、(3.44±1.0)分。【结论】为进一步提升医院临床研究能力,亟待建立健全临床研究多学科、多层次人才队伍,加强临床研究人员临床研究能力培训,建立科学考核评价指标体系和激励办法,探索符合临床研究人员特点的职业发展路径。

[Objective]The clinical research team is the key to improving clinical research ability.The purpose of this study is to identify the main problems with the development of clinical research teams in specialized hospitals,and to explore countermeasures.[Methods]On the basis of literature review and consultation with experts,a self-made questionnaire was distributed online to survey 300 relevant staff engaged in clinical research in 10 tertiary specialized hospitals in Shanghai.The severity of existing problems was analyzed from four aspects:clinical research personnel planning,recruitment and allocation;training and development;evaluation and performance management;career management.Then in-depth personal interviews were conducted with the main heads of clinical research departments in some hospitals.[Results]Four problems have relatively high severity scores,with 3.65±1.0,3.43±1.0,3.53±1.0,and 3.44±1.0 points,respectively.They are:“The development of the clinical research team is incomplete,and there is a lack of stable multidisciplinary and multi-level talent teams”,“A systematic and continuous clinical research training system has not been established”,“An objective and fair evaluation index system has not yet been established”,and“There are obstacles in the career development and promotion path of clinical research professionals”.[Conclusion]To further enhance the clinical research capabilities of hospitals,we urgently need to establish multidisciplinary and multi-level clinical research teams,strengthen the training of clinical researchers on their clinical research capabilities,establish a scientific evaluation index system and incentive methods,and explore career development that meets the characteristics of clinical researchers.