Why Research in Family Medicine ?
نویسنده
چکیده
The ultimate answer to the question, “Why research in family medicine?” is to provide better care for our patients. Through research we want to improve quality of primary care by improving our understanding and practice of it. This research will inevitably be specifi c for family medicine as family medicine is a specifi c discipline. In this article we fi rst explore what makes family medicine a specifi c discipline. In a second part we present a framework to grasp the various research questions that must be answered to achieve the complex and multifaceted goal of improving quality of care. Family medicine is a specifi c discipline for 3 reasons: it has a unique epidemiology, the context of care is important, and it has a strong link and responsibility to the community. Quality of care is a complex and multidimensional concept that raises diverse research questions. We propose to map these questions within a framework defi ned by the 3 dimensions of the Donabedian triangle—structure, process, and outcome—and within each of these dimensions by 5 foci—basic knowledge, diagnostic and therapeutic problem solving, practice implementation, policy context, and education. This framework may help to make the various research questions operational and to point out the gaps in our research. The questions and answers should be relevant to daily practice and comprise all domains of family medicine so that eventually most of our daily actions in practice will be underpinned with medical, contextual, and policy evidence and contribute to the improvement of the quality of care. Ann Fam Med 2004;2(Suppl 2):S17-S22. DOI: 10.1370/afm.148.
منابع مشابه
Why and How Is Compassion Necessary to Provide Good Healthcare? Comments From an Academic Physician; Comment on “Why and How Is Compassion Necessary to Provide Good Quality Healthcare?”
This is a short commentary to the editorial issued by Marianna Fotaki, entitled: “Why and how is compassion necessary to provide good quality healthcare.” It introduces the necessity of a more cognitive approach to explore further the determinants of behavior towards compassionate care. It raises questions about the importance of training towards a more patient-care and values driven healthcare...
متن کاملIs It Possible to Develop a Compassionate Organization?; Comment on “Why and How Is Compassion Necessary to Provide Good Quality Healthcare?”
This paper represents a commentary to Marianna Fotaki’s Editorial: ‘Why and how is compassion necessary to provide good quality healthcare?’ Within this commentary, I discuss some of the issues raised by Marianna Fotaki, and conclude that we should work towards an organizational culture which considers the important concept of compassion by focusing on the well-being and teamwork of all involved.
متن کاملEnhancing research quality and reporting: why the Journal of Comorbidity is now publishing study protocols
1HRB Centre for Primary Care Research, Department of General Practice, RCSI Medical School, Dublin, Ireland; 2General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; 3Primary Care Research Unit, Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia; 4Department of Family Medicine, Research School Caphri, Maastri...
متن کاملRE-AIMing research for application: ways to improve evidence for family medicine.
OBJECTIVE To outline changes in clinical research design and measurement that should enhance the relevance of research to family medicine. METHODS Review of the traditional efficacy research paradigm and discussion of why this needs to be expanded. Presentation of practical clinical and behavioral trials frameworks, and of the RE-AIM model for planning, evaluating, and reporting studies. RE...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2004