Bureaucracy stifling studies

Dr. Oliver Herber, from the University of Witten/Herdecke, Germany, worked with a team of researchers to collate the overwhelmingly negative responses received from their potential pool of 1822 medical practices. He said, "Interdisciplinary research studies, especially those between the medical and nursing professions, require careful consideration in the development and tailoring of research designs. To reduce rates of refusal and lack of initial contact, the time, money and effort needed during the planning and recruitment phase of a study must not be underestimated".

Problems identified by Herber and his colleagues include the fact that first contact with most surgeries is through non-medical admin staff who are expert at deflecting all but essential calls. They are especially unlikely to 'put through' non-doctors and may not have a doctor's appreciation for the importance of the study to be carried out. Other factors include GPs' fear of extra work, especially if that work will not be rewarded monetarily, and fear that the results of a study will somehow be used to assess them.

Speaking about the implications of this study for people designing trials, Herber said, "A sustainable and reliable network of teaching surgeries demonstrating interest in research is vital for the successful execution of scientific studies"

More information: Recruitment rates and reasons for community physicians' non-participation in an interdisciplinary intervention study on leg ulceration; Oliver R Herber, Wilfried Schnepp and Monika A Rieger; BMC Medical Research Methodology (in press), http://www.biomedc … resmethodol/

Source: BioMed Central (news : web)