REDUCING SYSTEMATIC BIAS IN STUDIES OF GENERAL-PRACTITIONERS - THE USE OF A MEDICAL PEER IN THE RECRUITMENT OF GENERAL-PRACTITIONERS IN RESEARCH

被引:39
作者
HEYWOOD, A
MUDGE, P
RING, I
SANSONFISHER, R
机构
[1] Epidemiology and Health Information Branch, Queensland Health, Brisbane, Q1d 4001
[2] North Queensland Clinical School, University of Queensland, Townsville, Q1d 4810
[3] Hunter Centre for Health Advancement, Wallsend, NSW 2287
关键词
D O I
10.1093/fampra/12.2.227
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Reducing systematic bias in any group of study participants should be a priority of any researcher. This can be achieved by ensuring the sampling framework is adequate and by increasing response rates. Response rates in studies of general practitioners have to date tended to be low. Generalization of results to the wider population of GPs is therefore reduced. This paper systematically examines those factors which can reduce bias, recognising accurate identification of the target population, gaining good access to respondents, and maximising response rates as crucial factors. The importance of a medical peer in recruitment is examined. Applying these factors to a study situation, three different recruitment strategies were tested. As the strategy improved, there was an incremental improvement in the response rate (44%, 67%, 78%). These results indicate that by specifically addressing strategies which facilitate access to the target population, and increase the legitimacy and credibility of the study, significant improvements in response rates can be achieved.
引用
收藏
页码:227 / 231
页数:5
相关论文
共 24 条
[11]  
Bridges-Webb C., Britt H., Miles D.A., Neary S., Charles J., Traynor V., Morbidity and treatment in general practice in Australia 1990–1991, Med J Aust, pp. SS4-S56, (1992)
[12]  
Peto V., Coulter A., Bond A., Factors affecting general practitioners’ recruitment of patients into a prospective study, Fam Pract, 10, pp. 207-211, (1992)
[13]  
Cartwright A., Lucas S., O'Brien M., Some methodological problems in studying consultations in general practice, J R Coll Gen Pract, 26, pp. 894-906, (1976)
[14]  
Kennedy B., The Characteristics of General Practitioners in Australia, June 1986, (1987)
[15]  
Saltman D.C., Mant A., General practitioner databases in Australia, Med J Aust, 156, pp. 16-20, (1992)
[16]  
Tushman M.L., Katz R., External communication and project performance: An investigation into the role of gatekeepers, Management Sci, 26, pp. 1071-1085, (1980)
[17]  
Linsky A.S., A factorial experiment in inducing responses to a mail questionnaire, Sociol Soc Res, 49, pp. 183-189, (1965)
[18]  
Borgid A., Dunn E., Lamont C., MacDonald P., Evensen M., Bass M., Spasoff R., Williams J., Recruiting family physicians as participants in research, Fam Pract, 6, pp. 168-172, (1989)
[19]  
Kosecoff J., Chassin M.R., Fink A., Obtaining dinical data on the appropriateness of medical care in community practice, JAMA, 258, pp. 2538-2542, (1987)
[20]  
Dickinson J.A., Assisting in research, Aust Fam Physician, 20, pp. 1190-1191, (1991)