家庭医学与社区卫生案例研究的基础  

Fundamentals of Case Study Research in Family Medicine and Community Health

作　　者：Sergi Fàbregues Michael D Fetters(著) 赵新月 汪洋(译) 韩建军 许岩丽 杨辉(审校) ZHAO Xinyue;WANG Yang;HAN Jianjun;XU Yanli;YANG Hui(Publishing House of Journal of Chinese General Practice,Beijing 100053,China;Monash University,Melbourne 3168,Australia)

机构地区：[1]Department of Psychology and Education,Universitat Oberta de Catalunya,Barcelona 08018,Spain [2]Department of Family Medicine,University of Michigan,Ann Arbor,Michigan 48109,USA [3]中国全科医学杂志社,北京市100053 [4]Monash University,Melbourne 3168,Australia

出　　处：《中国全科医学》2019年第26期3139-3144,3153,共7页Chinese General Practice

摘　　要：本文的目的是向家庭医学研究者介绍案例研究,是一种在社会和健康科学中常用的严谨研究方法,与临床病例报告相差较大。本文首先概述了社会和健康科学中的案例研究,包括其定义、潜在应用、历史背景和核心特征。然后通过一个教学计划的案例研究,介绍实施案例研究项目过程的10个步骤,该教学计划旨在教授国际家庭医学住院学习者敏感检查的技能。进行案例研究的步骤包括:进行文献综述、制定研究问题、确保案例研究合适、确定案例研究设计的类型、界定案例的界限并选择案例、准备数据收集、收集和组织数据、分析数据、撰写案例研究报告、评估质量。案例研究是一种高度灵活和强大的研究工具,对家庭医学研究者来说应用广泛。The aim of this article is to introduce family medicine researchers to case study research,a rigorous research methodology commonly used in the social and health sciences and only distantly related to clinical case reports.The article begins with an overview of case study in the social and health sciences,including its definition,potential applications,historical background and core features.This is followed by a 10-step description of the process of conducting a case study project illustrated using a case study conducted about a teaching programme executed to teach international family medicine resident learners sensitive examination skills.Steps for conducting a case study include,conducting a literature review,formulating the research questions,ensuring that a case study is appropriate,determining the type of case study design,defining boundaries of the case(s)and selecting the case(s),preparing for data collection,collecting and organising the data,analysing the data,writing the case study report,and appraising the quality.Case study research is a highly flexible and powerful research tool available to family medicine researchers for a variety of applications.

关 键 词：家庭医学 全科医学 案例研究 社区参与研究 卫生服务研究 研究方法 基层卫生保健 

分 类 号：R192[医药卫生—卫生事业管理]