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Open Access Research article

Research activity and capacity in primary healthcare: The REACH study: A survey

Liam G Glynn1*, Ciara O'Riordan1, Anne MacFarlane1, John Newell2, Alberto A Iglesias3, David Whitford4, Peter Cantillon1 and Andrew W Murphy1

Author Affiliations

1 Department of General Practice, National University of Ireland (NUI), Galway, Ireland

2 Clinical Research Facility, NUI, Galway, Ireland

3 Department of Mathematics, NUI, Galway, Ireland

4 Department of Family Medicine, Royal College of Surgeons in Ireland – Medical University of Bahrain, PO Box 15503, Adliya, Kingdom of Bahrain

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BMC Family Practice 2009, 10:33  doi:10.1186/1471-2296-10-33

Published: 11 May 2009

Abstract

Background

Despite increased investment in primary care research and development (R&D), the level of engagement of primary healthcare professionals with research remains poor. The aim of this study is to assess the level of research activity and capacity for research among primary healthcare professionals in a health authority of over one million people in a mixed urban/rural setting in the West of Ireland.

Methods

A questionnaire, incorporating the R+D Culture Index, was sent to primary healthcare professionals in the HSE Western Region. Baseline characteristics were analysed with the use of one-way ANOVA and Chi-square test and the dependence of R&D Culture Index score on all sixteen available covariates was examined using multiple regression and regression tree modelling.

Results

There was a 54% response rate to the questionnaire. Primary healthcare professionals appeared to have an interest in and awareness of the importance of research in primary care but just 15% were found to be research active in this study. A more positive attitude towards an R&D culture was associated with having had previous research training, being currently involved in research and with not being a general practitioner (GP) (p < 0.001), but much variability in the R&D culture index score remained unexplained.

Conclusion

Despite awareness of the importance of R&D in primary care and investment therein, primary healthcare professionals remain largely unengaged with the R&D process. This study highlights the issues that need to be addressed in order to encourage a shift towards a culture of R&D in primary care: lack of research training particularly in basic research skills and increased opportunities for research involvement. The use of the R&D Culture Index may enable groups to be identified that may be more research interested and can therefore be targeted in any future R&D strategy.