A survey of attitudes toward clinical research among physicians at Kyoto University Hospital

Sumi, Eriko; Murayama, Toshinori; Yokode, Masayuki

doi:10.1186/1472-6920-9-75

Cited by 42 publications

(60 citation statements)

References 8 publications

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“…The barriers that physicians usually encounter in conducting clinical research are highlighted in many studies 13,16,21,22. Fayter et al13,18 identified these barriers as system-, organization-, research-, and physician-related.…”

Section: Barriers To Participation In Clinical Researchmentioning

confidence: 99%

Physician participation in clinical research and trials: issues and approaches

Rahman¹,

Majumder²,

Shaban³

et al. 2011

AMEP

127

148

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The rapid development of new drugs, therapies, and devices has created a dramatic increase in the number of clinical research studies that highlights the need for greater participation in research by physicians as well as patients. Furthermore, the potential of clinical research is unlikely to be reached without greater participation of physicians in research. Physicians face a variety of barriers with regard to participation in clinical research. These barriers are system-or organization-related as well as research-and physician-related. To encourage physician participation, appropriate organizational and operational infrastructures are needed in health care institutes to support research planning and management. All physicians should receive education and training in the fundamentals of research design and methodology, which need to be incorporated into undergraduate medical education and postgraduate training curricula and then reinforced through continuing medical education. Medical schools need to analyze current practices of teaching–learning and research, and reflect upon possible changes needed to develop a ‘student-focused teaching–learning and research culture’. This article examines the barriers to and benefits of physician participation in clinical research as well as interventions needed to increase their participation, including the specific role of undergraduate medical education. The main challenge is the unwillingness of many physicians and patients to participate in clinical trials. Barriers to participation include lack of time, lack of resources, trial-specific issues, communication difficulties, conflicts between the role of clinician and scientist, inadequate research experience and training for physicians, lack of rewards and recognition for physicians, and sometimes a scientifically uninteresting research question, among others. Strategies to encourage physician participation in clinical research include financial and nonfinancial incentives, adequate training, research questions that are in line with physician interests and have clear potential to improve patient care, and regular feedback. Finally, encouraging research culture and fostering the development of inquiry and research-based learning among medical students is now a high priority in order to develop more and better clinician-researchers.

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Section: Barriers To Participation In Clinical Researchmentioning

confidence: 99%

Physician participation in clinical research and trials: issues and approaches

Rahman¹,

Majumder²,

Shaban³

et al. 2011

AMEP

127

148

View full text Add to dashboard Cite

show abstract

“…This problem has been identified in studies 4,22–24 concerning clinical trials in human medicine as well. For example, a study 13 involving pediatricians revealed that spending more time in the initial interview or discussion with potential clinical trial participants led to lower refusal rates, which is a strategy that is not always feasible in busy general practices.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of small animal practitioners toward participation in veterinary clinical trials

Gruen¹,

Griffith²,

Caney³

et al. 2017

javma

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OBJECTIVE To determine attitudes of small animal practitioners toward veterinary clinical trials and variables influencing their likelihood of participating in such trials. DESIGN Cross-sectional survey. SAMPLE Small animal practitioners with membership in 1 of 2 online veterinary communities (n = 163 and 652). PROCEDURES An online survey was developed for each of 2 veterinary communities, and invitations to participate were sent via email. Each survey included questions designed to collect information on the respondents’ willingness to enroll their patients in clinical trials and to recommend participation to clients for their pets. RESULTS More than 80% of respondents to each survey indicated that they spend no time in clinical research. A high proportion of respondents were likely or extremely likely to recommend clinical trial participation to clients for their pets when those trials involved treatments licensed in other countries, novel treatments, respected investigators, or sponsoring by academic institutions, among other reasons. Reasons for not recommending participation included distance, time restrictions, and lack of awareness of ongoing clinical trials; 28% of respondents indicated that they did not usually learn about such clinical trials. Most respondents (79% to 92%) rated their recommendation of a trial as important to their client’s willingness to participate. CONCLUSIONS AND CLINICAL RELEVANCE Participation in veterinary clinical trials by small animal practitioners and their clients and patients appeared low. Efforts should be increased to raise practitioner awareness of clinical trials for which patients might qualify. Specific elements of trial design were identified that could be modified to increase participation.

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“…Survey results from Kyoto University Hospital indicate that Japanese physicians seek greater knowledge of clinical research design and biostatistical concepts 6. In Japan, only a few institutes offer formal clinical research training including Kyoto University, University of Tokyo, Keio University, and St. Luke's International Hospital.…”

mentioning

confidence: 99%