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Title: Perceptions of medical research and teaching among members of a health maintenance organization
Author: Purdy, Sarah
Awarding Body: University of London
Current Institution: University College London (University of London)
Date of Award: 1998
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Recent changes in the health care system in the United States have resulted in the emergence of collaborations between academic medical centers and health maintenance organizations. The aim of this study was to provide information about perceptions of medical research and teaching among primary care patients of an health maintenance organization. The study used data from focus groups to devise survey instruments. The surveys attempted to further explore patient preferences regarding the conduct of teaching and research and establish how patients think teaching and research affect their health care. Due to the limitations of the study, in particular with response rates, the applicability of the findings in terms of the perceptions of patients in general is uncertain. The results show that although the majority of respondents supported teaching and research in principal, and some felt that participation in teaching and research could be a positive experience, benefiting their health and increasing their knowledge about their health, not all patients would necessarily be comfortable with participation in these activities. Respondents indicated that they would value an invitation to take part in medical student teaching from a known clinician, they would not wish to see medical students alone, or if an internal examination is required, and they would not wish to see a resident for certain conditions, especially if the resident is not known to them. The findings suggest that respondents would be more interested in participating in research if an invitation is received from a known clinician, written information is available, and feedback will be provided. Willingness to participate in a drug trial involving randomization would be lower than for other types of study. The low response rates influence the interpretation of the study findings. However, implications of this work for other health care providers, and for future research, are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available