摘要
目的对国内公立医院临床研究评价体系建设现状进行总结回顾,提出评价体系现存问题,并提出发展策略建议。方法对近五年(2018—2022年)相关文献、政策进行检索,阅读标题进行人工筛选后,查看入选论文共52篇全文及其参考文献,并进行总结归纳。结果“五唯”指标长期以来一直是公立医院临床研究评价的重要指标,但在当今科研环境和政策环境下,“五唯”评价体系已显露其功利性的弊端,逐渐演变为科研工作的羁绊。亟需突破“五唯”导向,建立“以成果转化应用”为导向的临床研究评价体系。结论临床研究评价体系应打破以往科研评价以数量为导向的“五唯”评价模式,可借鉴英国REF卓越框架模型,在研究成果、影响力、环境三个一级指标框架下,结合美国转化潜力近似值指标(APT)体系和中国医院科技量值(STEM)的指标维度,探索多成果形式评价,融入发展性指标,并在实践中不断完善指标体系及应用方法,促进公立医院临床研究的发展。
Objective The purpose of this article is to summarize and review the current status of the construction of clinical research evaluation systems in domestic public hospitals,identify existing problems in the evaluation system,and propose development strategies and suggestions.Methods Retrieved relevant articles,dissertations and policies from the past five years(2018-2022),screened the titles,viewed the full texts of 52 selected papers and their references,and summarized them.Results The“five-only”indicators have long been an important indicator for evaluating clinical research in public hospitals,but in today's scientific research environment and policy environment,the“five-only”evaluation system has revealed its utilitarian drawbacks and gradually evolved into a hindrance to scientific research.It is urgent to break through the“five-only”orientation and establish a clinical research evaluation system oriented towards“transforming and applying transformation of scientific research achievements”.Conclusion The evaluation system for clinical research should break the previous“five-only”evaluation model based on quantity-oriented scientific research evaluation.We can draw on the framework of the research output,influence,and environment indicators in the UK's REF Excellence Framework model,combine the American APT system and the Chinese STEM indicator dimensions,explore multi-outcome evaluation,integrate developmental indicators,and continuously improve the indicator system and application methods in practice to promote the development of clinical research in public hospitals.
作者
陈霄雯
朱永凯
郑颖彦
林雨慧
施鹏
韩立远
贾品
董瑞
CHEN Xiaowen;ZHU Yongkai;ZHENG Yingyan;LIN Yuhui;SHI Peng;HAN Liyuan;JIA Pin;DONG Rui(Children's Hospital of Fudan University,Shanghai 201102,China)
出处
《现代医院》
2024年第3期465-468,492,共5页
Modern Hospitals
基金
上海市卫健委卫生行业临床研究专项(20224Y0003)。
关键词
破五唯
公立医院
临床研究评价体系
策略建议
Breaking the five-only
Governmental hospitals
Clinical research evaluation system
Strategy recommendations
作者简介
通信作者:董瑞,dongrui_1982@126.com。
