改进基本医疗(初级保健)研究报告内容的CRISP共识声明

Improving the Reporting of Primary Care Research:Consensus Reporting Items for Studies in Primary Care-the CRISP Statement

基本医疗(初级保健)是一门独特的临床专业和研究学科,具有其自身的视角和方法。该领域的研究使用多种研究方法和研究设计来调查各种主题。基本医疗(初级保健)的多样性对其研究内容的报告提出了挑战,尽管已有大量报告指南问世,但没有一项指南专门针对基本医疗(初级保健)学科的需求而设。基本医疗(初级保健)研究报告内容的条目共识(CRISP)清单,旨在指导基本医疗(初级保健)研究的报告,包括提供基本医疗(初级保健)相关人群(从业者、患者和社区)所需的信息。CRISP清单完善了现有指南,有利于基本医疗(初级保健)研究结果的报告、传播和应用。先前的CRISP研究,探索了在该领域改善研究内容报告的可能性。工作组通过对国际化、跨学科和跨专业的基本医疗(初级保健)社区的调查,确定了基本医疗(初级保健)研究报告中需要包含的基本条目。工作组开展了一项包含两轮德尔菲的研究,对必要的条目达成了共识,并汇总成清单。CRISP清单包含24个条目,涵盖了基本医疗(初级保健)研究报告中的研究团队、患者、研究参与者、健康状况、临床接触、护理团队、干预、研究测量、照护环境,以及研究结果的实施等方面。并非全部条目都适用于每种研究设计或主题。CRISP指南为设计和报告以下三类研究提供了参考信息:(1)基本医疗(初级保健)研究人员开展的研究,(2)其他研究人员在基本医疗(初级保健)人群和环境中开展的研究,(3)旨在应用于基本医疗(初级保健)实践中的研究,从而改进对临床服务和研究过程背景的报告。这对于解释研究结果并将其应用于基本医疗(初级保健)的不同人群和环境至关重要。

Primary care(PC)is a unique clinical specialty and research discipline with its own perspectives and methods.Research in this field uses varied research methods and study designs to investigate myriad topics.The diversity of PC presents challenges for reporting,and despite the proliferation of reporting guidelines,none focuses specifically on the needs of PC.The Consensus Reporting Items for Studies in Primary Care(CRISP)Checklist guides reporting of PC research to include the information needed by the diverse PC community,including practitioners,patients,and communities.CRISP complements current guidelines to enhance the reporting,dissemination,and application of PC research findings and results.Prior CRISP studies documented opportunities to improve research reporting in this field.Our surveys of the international,interdisciplinary,and interprofessional PC community identified essential items to include in PC research reports.A 2-round Delphi study identified a consensus list of items considered necessary.The CRISP Checklist contains 24 items that describe the research team,patients,study participants,health conditions,clinical encounters,care teams,interventions,study measures,settings of care,and implementation of findings/results in PC.Not every item applies to every study design or topic.The CRISP guidelines inform the design and reporting of(1)studies done by PC researchers,(2)studies done by other investigators in PC populations and settings,and(3)studies intended for application in PC practice.Improved reporting of the context of the clinical services and the process of research is critical to interpreting study findings/results and applying them to diverse populations and varied settings in PC.