Assessment of Health-care Research and Its Challenges among Medical Doctors in Nigeria.

Musliu Adetola Tolani, Muhammed Ahmed, Rufus Wale Ojewola, Abdullahi Abdulwahab-Ahmed, Abubakar Abdulkadir, Timothy Uzoma Mbaeri, John Raphael, Terkaa Atim, Akanbi Abdulwahab Ajape, Samaila Ibrahim Shuaibu, Usman Mohammed Tela, Ahmad Tijjani Lawal, Oyelowo Nasir, Hussaini Yusuf Maitama
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Abstract

Introduction: Health-care research in Nigeria has been growing over the years but is constrained by many difficulties. This study aimed to identify the challenges encountered in health-care research and suggest policies to address these problems.

Materials and methods: It was a cross-sectional study of medical doctors who have been involved in health-related researches. All participants filled a self-administered online questionnaire comprising 31 questions in five sections. The responses were analyzed using the Google forms and the Statistical Package for the Social Sciences software version 23.

Results: The mean age of the study participants was 41.0 ± 8.4 years. Three-quarters of the respondents (75.5%) worked in teaching hospitals. Nearly all (96.6%) carried out their studies using personal funds and only one in 10 had been involved in high-budget projects (≥₦1,000,000). The generation of quality researches was impeded by the restriction of literature review to free online journals (93.2%), incomplete health records (88.0%), limited access to research kits (65.7%), limited use of advanced statistical analysis (29.8%), and challenges with obtaining ethical approval (21.2%). Despite the average online visibility of these researches (52.2%), only 28.5% stated that it has been locally adopted to influence medical practice in their center.

Conclusion: There is a wide disparity in research capacity among hospital tiers. It is important to leverage on and expand existing partnerships to provide institutional access to premium literature, offer robust, and assessable financial support for the conduct of high-quality researches and provide a framework to bridge the gap in the use of these works to influence practice change in Nigeria.

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尼日利亚医生对保健研究及其挑战的评估。
导言:尼日利亚的保健研究多年来一直在增长,但受到许多困难的制约。本研究旨在确定保健研究中遇到的挑战,并提出解决这些问题的政策建议。材料和方法:本研究为横断面研究,研究对象为参与健康相关研究的医生。所有参与者都填写了一份自我管理的在线问卷,其中包括五个部分的31个问题。使用Google表格和统计软件包对社会科学软件版本23进行分析。结果:研究参与者的平均年龄为41.0±8.4岁。四分之三(75.5%)的受访者在教学医院工作。几乎所有(96.6%)的学生都使用个人资金进行研究,只有十分之一的学生参与了高预算项目(≥100万奈拉)。文献综述仅限于免费在线期刊(93.2%)、健康记录不完整(88.0%)、研究包获取受限(65.7%)、高级统计分析使用受限(29.8%)以及难以获得伦理批准(21.2%)阻碍了高质量研究的产生。尽管这些研究的平均在线可见度(52.2%),但只有28.5%的人表示,这些研究已经在当地被采用,以影响他们中心的医疗实践。结论:各级医院科研能力存在较大差距。重要的是利用和扩大现有的伙伴关系,为机构提供优质文献,为开展高质量研究提供强有力的、可评估的财政支持,并提供一个框架,弥合在利用这些成果影响尼日利亚实践变革方面的差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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