Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514 |
Resumo: | Introduction: There are several barriers discouraging clinicians from undertaking research, including insufficient funding, lack of time, organizational issues and lack of support. The strengthening of research capacity is perceived from three levels: characteristics of the researcher, the environment, and organizational issues. To date, Portugal is lacking studies on this subject. The aim of this study was to identify the best practices to promote research in Portuguese Primary Health Care.Methods: We conducted a qualitative study using semi-structured interviews with family doctors with broadly recognized research work and other stakeholders. We selected a sample by convenience and snowball sampling. From a total of 14 doctors invited by email, 12 responded positively, and we subsequently included two other stakeholders. We conducted the interviews in digital or face-to-face formats. Two team members handled the coding of interviews independently. We kept all recordings and transcripts confidential, only accessible to researchers.Results: We identified 16 strategies: 1) increasing institutional support; 2) creating support structures; 3) redefining the residency program; 4) investing in research training; 5) redefining curriculum evaluation; 6) establishing dedicated time for research; 7) increasing funding; 8) improving access to research data; 9) being a research driver; 10) establishing a research culture; 11) working in collaboration; 12) creating formally organized research groups; 13) creating autonomous research centers; 14) improving the definition of the research subjects and study designs; 15) reviewing procedures for ethics’ committees; and 16) reviewing the current selection of articles for publication.Conclusion: Overall, a greater proportion of interviewees identified the following as the most relevant strategies for research promotion: institutional support, including technical and scientific support from public institutions, private entities and academic centers; the reorganization of working hours with protected time for research; increased funding directed towards research and breaking isolation in research, promoting teamwork with clinicians within the same area or from different professional backgrounds. |
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Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative StudyEstratégias para a Promoção da Investigação nos Cuidados de Saúde Primários em Portugal: Um Estudo QualitativoHealth Services ResearchPortugalPrimary Health CareProgram EvaluationResearchAvaliação de ProgramasCuidados de Saúde PrimáriosInvestigaçãoInvestigação em Serviços de SaúdePortugalIntroduction: There are several barriers discouraging clinicians from undertaking research, including insufficient funding, lack of time, organizational issues and lack of support. The strengthening of research capacity is perceived from three levels: characteristics of the researcher, the environment, and organizational issues. To date, Portugal is lacking studies on this subject. The aim of this study was to identify the best practices to promote research in Portuguese Primary Health Care.Methods: We conducted a qualitative study using semi-structured interviews with family doctors with broadly recognized research work and other stakeholders. We selected a sample by convenience and snowball sampling. From a total of 14 doctors invited by email, 12 responded positively, and we subsequently included two other stakeholders. We conducted the interviews in digital or face-to-face formats. Two team members handled the coding of interviews independently. We kept all recordings and transcripts confidential, only accessible to researchers.Results: We identified 16 strategies: 1) increasing institutional support; 2) creating support structures; 3) redefining the residency program; 4) investing in research training; 5) redefining curriculum evaluation; 6) establishing dedicated time for research; 7) increasing funding; 8) improving access to research data; 9) being a research driver; 10) establishing a research culture; 11) working in collaboration; 12) creating formally organized research groups; 13) creating autonomous research centers; 14) improving the definition of the research subjects and study designs; 15) reviewing procedures for ethics’ committees; and 16) reviewing the current selection of articles for publication.Conclusion: Overall, a greater proportion of interviewees identified the following as the most relevant strategies for research promotion: institutional support, including technical and scientific support from public institutions, private entities and academic centers; the reorganization of working hours with protected time for research; increased funding directed towards research and breaking isolation in research, promoting teamwork with clinicians within the same area or from different professional backgrounds.Introdução: Existem barreiras que desencorajam os profissionais de saúde de realizarem investigação, nomeadamente financiamento insuficiente, falta de tempo, questões organizacionais e falta de apoio técnico. A promoção da investigação organiza-se em três níveis: as características do investigador, o ambiente e o âmbito organizacional. Contudo, até à data, não existem estudos sobre esta temática em Portugal. O objetivo deste estudo foi identificar quais as melhores práticas para promoção da investigação nos Cuidados Primários em Portugal.Métodos: Conduzimos um estudo qualitativo com entrevistas semiestruturadas a médicos de família com experiência reconhecida em investigação e outros decisores. Selecionámos uma amostra por conveniência e em bola de neve. Dos 14 participantes convidados via e-mail, 12 responderam afirmativamente. Posteriormente, incluímos outros dois decisores. Conduzimos as entrevistas em formato presencial e virtual. Dois investigadores procederam à codificação das entrevistas de forma independente. Mantivemos as entrevistas e respetivas transcrições confidenciais.Resultados: Identificámos 16 estratégias: 1) reforço do apoio institucional; 2) criação de estruturas de suporte à investigação; 3) revisão do programa de internato médico; 4) mais oportunidades de treino em investigação; 5) redefinição da avaliação curricular dos profissionais; 6) tempo protegido para a investigação; 7) aumento do financiamento; 8) melhoria do acesso aos dados para investigação; 9) perfil de liderança em investigação; 10) estabelecimento de uma cultura de investigação; 11) trabalho em equipa; 12) criação de grupos de investigação formalmente organizados; 13) criação de centros de investigação autónomos; 14) melhoria das questões de investigação e desenho de estudo; 15) revisão dos procedimentos relacionados com a Comissão de Ética; e 16) revisão da seleção de artigos para publicação.Conclusão: Uma proporção considerável de entrevistados considerou como estratégias mais relevantes para a promoção da investigação: o apoio institucional, incluindo o apoio técnico-científico de instituições públicas, entidades privadas e Academia; a reorganização do horário de trabalho com tempo protegido para investigação; o aumento do financiamento dirigido à investigação e a quebra do isolamento dos investigadores, promovendo o trabalho de equipa com profissionais da mesma área ou de diferentes contextos profissionais. Ordem dos Médicos2023-06-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514Acta Médica Portuguesa; Vol. 37 No. 2 (2024): February; 110-118Acta Médica Portuguesa; Vol. 37 N.º 2 (2024): Fevereiro; 110-1181646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514/15150https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514/15149Direitos de Autor (c) 2023 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMorgado, Maria BeatrizRodrigues, VeraCarmona Ramos, RaquelRente, AnaNicola, PauloGil Conde, Margarida2024-02-04T03:00:36Zoai:ojs.www.actamedicaportuguesa.com:article/19514Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:00:46.506508Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study Estratégias para a Promoção da Investigação nos Cuidados de Saúde Primários em Portugal: Um Estudo Qualitativo |
title |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
spellingShingle |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study Morgado, Maria Beatriz Health Services Research Portugal Primary Health Care Program Evaluation Research Avaliação de Programas Cuidados de Saúde Primários Investigação Investigação em Serviços de Saúde Portugal |
title_short |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
title_full |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
title_fullStr |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
title_full_unstemmed |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
title_sort |
Strategies for the Promotion of Primary Health Care Research in Portugal: A Qualitative Study |
author |
Morgado, Maria Beatriz |
author_facet |
Morgado, Maria Beatriz Rodrigues, Vera Carmona Ramos, Raquel Rente, Ana Nicola, Paulo Gil Conde, Margarida |
author_role |
author |
author2 |
Rodrigues, Vera Carmona Ramos, Raquel Rente, Ana Nicola, Paulo Gil Conde, Margarida |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Morgado, Maria Beatriz Rodrigues, Vera Carmona Ramos, Raquel Rente, Ana Nicola, Paulo Gil Conde, Margarida |
dc.subject.por.fl_str_mv |
Health Services Research Portugal Primary Health Care Program Evaluation Research Avaliação de Programas Cuidados de Saúde Primários Investigação Investigação em Serviços de Saúde Portugal |
topic |
Health Services Research Portugal Primary Health Care Program Evaluation Research Avaliação de Programas Cuidados de Saúde Primários Investigação Investigação em Serviços de Saúde Portugal |
description |
Introduction: There are several barriers discouraging clinicians from undertaking research, including insufficient funding, lack of time, organizational issues and lack of support. The strengthening of research capacity is perceived from three levels: characteristics of the researcher, the environment, and organizational issues. To date, Portugal is lacking studies on this subject. The aim of this study was to identify the best practices to promote research in Portuguese Primary Health Care.Methods: We conducted a qualitative study using semi-structured interviews with family doctors with broadly recognized research work and other stakeholders. We selected a sample by convenience and snowball sampling. From a total of 14 doctors invited by email, 12 responded positively, and we subsequently included two other stakeholders. We conducted the interviews in digital or face-to-face formats. Two team members handled the coding of interviews independently. We kept all recordings and transcripts confidential, only accessible to researchers.Results: We identified 16 strategies: 1) increasing institutional support; 2) creating support structures; 3) redefining the residency program; 4) investing in research training; 5) redefining curriculum evaluation; 6) establishing dedicated time for research; 7) increasing funding; 8) improving access to research data; 9) being a research driver; 10) establishing a research culture; 11) working in collaboration; 12) creating formally organized research groups; 13) creating autonomous research centers; 14) improving the definition of the research subjects and study designs; 15) reviewing procedures for ethics’ committees; and 16) reviewing the current selection of articles for publication.Conclusion: Overall, a greater proportion of interviewees identified the following as the most relevant strategies for research promotion: institutional support, including technical and scientific support from public institutions, private entities and academic centers; the reorganization of working hours with protected time for research; increased funding directed towards research and breaking isolation in research, promoting teamwork with clinicians within the same area or from different professional backgrounds. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-06-14 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514/15150 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19514/15149 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 37 No. 2 (2024): February; 110-118 Acta Médica Portuguesa; Vol. 37 N.º 2 (2024): Fevereiro; 110-118 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131676720234496 |