Recruitment of practices in primary care research: the long and the short of it
Recruitment of practices in primary care research: the long and the short of it
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DOI：
10.1093/fampra/cmp015
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发表时间：
2009-04-01
期刊：
影响因子：
2.2
通讯作者：
Grant, Cameron
中科院分区：
文献类型：
--
作者：
Goodyear-Smith, Felicity;York, Deon;Grant, Cameron
Objective.为了确定促进或阻碍招聘的一般做法到一个大型的新西兰初级保健项目，旨在确定一般做法的免疫接种覆盖率的特点的因素。该项目有一个多层次的招聘战略，要求招聘随机选择的做法，然后再随机选择全科医生，实习护士和在这些做法注册的儿童照顾者。在access数据库中记录了详细的定量和定性征聘数据。招聘后，招聘人员进行了半结构化面试。分析采用混合方法，对呼叫次数和招募时间过程进行三角描述性统计，对定性数据进行一般归纳主题分析。确定关键决策者以及个人实践流程的工作方式可以节省大量的招聘时间。被确定为协助实践招聘的因素包括使用从医生到医生的个人方法，从所有的实践工作人员获得买入，简化研究过程，以尽量减少对实践的干扰和灵活性，以适应实践。不应低估招募工作。需要从一开始就分配充足的时间和资源。在没有额外负担的情况下，如审计、大规模疫苗接种计划或流感季节，不太可能长期存在，因此在招募研究实践方面总是存在相当大的挑战。保持灵活的个人实践风格和影响，并承认参与者的承诺是重要的。
Objective. To determine factors that facilitated or hindered recruitment of general practices into a large New Zealand primary care project that aimed to determine general practice characteristics of immunization coverage.Methods. The project had a multi-level recruitment strategy requiring recruitment of randomly selected practices before randomly selecting GPs, practice nurses and caregivers of children enrolled at those practices. Detailed quantitative and qualitative recruitment data were recorded on an access database. Post-recruitment, recruiters underwent semi-structured interviews. Analysis was mixed method, with triangulation of descriptive statistics of the number of calls and time course to recruitment and general inductive thematic analysis of qualitative data.Results. Identifying key decision makers and how individual practice processes work can save significant recruitment time. Factors identified as assisting practice recruitment included using a personal approach from doctor to doctor, getting buy-in from all practice staff, streamlining the research process to minimize disruption to the practice and flexibility to accommodate practices.Conclusions. The task of recruiting should not be underestimated. Adequate time and resource need to be allocated from the onset. Long periods where practices have no added burdens such as audits, mass vaccination programmes or influenza season are unlikely, therefore there are always considerable challenges in recruiting practices for research. Remaining flexible to individual practice styles and influences and acknowledging the commitment of participants is important.