开展全科教育干预研究:从设计到发表

Conducting Educational Intervention Research in General Practice:from Design to Publication

随着中国基层医疗的发展,近10年中国将培养近40万全科医生,其中培养具有胜任力的全科医生至关重要,这需要全科教育者探索大量适合中国且基于证据的全科教育理念、方法和内容。目前,国内全科教育干预研究的质量较差,大部分全科教育师资和研究者尚缺乏教育干预研究的相关培训。本文旨在介绍全科教育干预研究,按照从设计到发表的流程将研究分为4个阶段,共13个步骤:4个阶段分别为构建研究问题(产生研究灵感、文献综述、融入理论/概念框架、精炼研究问题)、研究设计(试验设计、干预措施、结果评估)、研究执行(建立研究团队、获取研究资源、申请研究伦理、项目实施)、发表和评价阶段(文章撰写、反思与评价),以期为全科教育研究者与实践者开展教育干预研究提供研究方法和思路,产生高质量的教育研究“证据”,进一步改善全科教育培训质量,培养具有胜任力的全科医生。

With the development of primary care in China,nearly 400000 general practitioners will be trained in China in the next 10 years.The training of competent general practitioners is of vital importance,which requires general practice(GP)educators to explore a large number of evidence-based GP education concepts,methods,and contents that are applicable to China.At present in China,the quality of GP educational intervention studies is poor,and most faculty and researchers in GP lack training in educational intervention studies.The purpose of this paper was to introduce the process of educational intervention research in GP from design to publication,which consists of four stages with 13 steps:constructing research questions(generating research inspiration,literature review,incorporating a theoretical/conceptual framework,refining research questions),research design(trial design,intervention,outcome evaluation),research implementation(establishing a research team,obtaining research resources,applying for ethical approval,program execution),and publication and evaluation(article writing,reflection and evaluation).This paper provides research methods and ideas for educational researchers and practitioners in GP to conduct educational intervention studies,which will contribute to the generation of high-quality educational research"evidence",further improvement of the quality of GP education training,and the training of competent general practitioners.