三级医疗机构科研诚信管理现状

Current situation of research integrity management in tertiary hospitals

目的参照《医学科研诚信和相关行为规范》,调研三级医疗机构科研诚信管理现状,了解各机构诚信管理的工作机制、制度规范、教育引导和监督惩戒等方面的科研诚信建设现状及可能存在的问题。方法采用电子调查问卷,覆盖46家三级医疗机构,对72名科研管理人员开展调研,调研内容包含单位基本信息、单位科研诚信管理机制建设情况和科研诚信管理现状。结果调研医疗机构均建有科研诚信制度,定期宣传科研诚信政策,开展自查工作,传达通报警示案例。84.29%的单位建有"学术规范/科研诚信的相关课程",82.86%的单位在"学生入学"、94.29%的单位在"职工入职"、84.29%的单位在"项目申报"等环节设有培训。科研不端发生频率依次为不当署名、重复申报、拆分发表、未获得伦理批准和一稿多投等。影响因素来源于职称晋升压力的有72.86%,科研诚信知识欠缺的有71.43%,利益驱动的有70%等。分析显示"便捷、公开的科研不端行为投诉举报渠道"与"科研不端行为"的发生有相关性。结论三级医疗机构科研诚信管理建制完备,已将科研诚信作为常态化管理,并运用多样化的宣传教育培训方式,推广学术规范及科研诚信知识。

Objective Referring to the Code of Medical Research Integrity and Related Conduct,to investigate the current status of scientific research integrity management of tertiary medical institutions,and to understand the current status and possible problems of scientific research integrity construction in working mechanism,institutional specifications,education guidance,supervision and punishment of various institutions.Methods An electronic questionnaire was distributed to 72 researchers covering 46 tertiary medical institutions.The research content included basic information about the institution,the construction of the management mechanism,and the current status of research integrity management.Results All of the surveyed medical institutions established scientific research integrity systems,publicized the policy of scientific research integrity regularly,carried out self-inspection,and conveyed the cases of notifications and alerts.84.29%of units had″related courses for academic norms/scientific research integrity″,training were set up in″student enrollment″for 82.86%of the units,in″employee recruitment″for 94.29%of the units,in"project application"for 84.29%of the units,etc.The incidence of research misconduct in medical institutions,in descending order,is improper authorship,duplicate application,split publication,failure to obtain ethical approval,and multiple submissions.The contributing factors came from the pressure of title promotion(72.86%),the lack of scientific research integrity knowledge(71.43%),and interest motivation(70%).The analysis showed that there was a correlation between the″convenient and open channels for research misconduct complaints and reports″and the occurrence of″scientific research misconduct″.Conclusions The tertiary medical institutions have well-established scientific research integrity management systems,have taken scientific research integrity as a regular management feature,and have used diversified publicity,education,and training methods to promote academic norms and knowledge of research integrity.