Gap between real-world data and clinical research within hospitals in China: a qualitative study

Objective To investigate the gap between real-world data and clinical research initiated by doctors in China, explore the potential reasons for this gap and collect different stakeholders’ suggestions.Design This qualitative study involved three types of hospital personnel based on three interview o...

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Autores principales:	Chen Yao, Bin Wang, Sainan Zhu, Feifei Jin, Xiaoyan Yan, Chongya Dong, Junkai Lai, Yao Tan
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2020
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/896cae2408f44bb8b6dc4814222ce016
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spelling	oai:doaj.org-article:896cae2408f44bb8b6dc4814222ce0162021-11-16T00:30:05ZGap between real-world data and clinical research within hospitals in China: a qualitative study10.1136/bmjopen-2020-0383752044-6055https://doaj.org/article/896cae2408f44bb8b6dc4814222ce0162020-12-01T00:00:00Zhttps://bmjopen.bmj.com/content/10/12/e038375.fullhttps://doaj.org/toc/2044-6055Objective To investigate the gap between real-world data and clinical research initiated by doctors in China, explore the potential reasons for this gap and collect different stakeholders’ suggestions.Design This qualitative study involved three types of hospital personnel based on three interview outlines. The data analysis was performed using the constructivist grounded theory analysis process.Setting Six tertiary hospitals (three general hospitals and three specialised hospitals) in Beijing, China, were included.Participants In total, 42 doctors from 12 departments, 5 information technology managers and 4 clinical managers were interviewed through stratified purposive sampling.Results Electronic medical record data cannot be directly downloaded into clinical research files, which is a major problem in China. The lack of data interoperability, unstructured electronic medical record data and concerns regarding data security create a gap between real-world data and research data. Updating hospital information systems, promoting data standards and establishing an independent clinical research platform may be feasible suggestions for solving the current problems.Conclusions Determining the causes of gaps and targeted solutions could contribute to the development of clinical research in China. This research suggests that updating the hospital information system, promoting data standards and establishing a clinical research platform could promote the use of real-world data in the future.Chen YaoBin WangSainan ZhuFeifei JinXiaoyan YanChongya DongJunkai LaiYao TanBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 10, Iss 12 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Chen Yao Bin Wang Sainan Zhu Feifei Jin Xiaoyan Yan Chongya Dong Junkai Lai Yao Tan Gap between real-world data and clinical research within hospitals in China: a qualitative study
description	Objective To investigate the gap between real-world data and clinical research initiated by doctors in China, explore the potential reasons for this gap and collect different stakeholders’ suggestions.Design This qualitative study involved three types of hospital personnel based on three interview outlines. The data analysis was performed using the constructivist grounded theory analysis process.Setting Six tertiary hospitals (three general hospitals and three specialised hospitals) in Beijing, China, were included.Participants In total, 42 doctors from 12 departments, 5 information technology managers and 4 clinical managers were interviewed through stratified purposive sampling.Results Electronic medical record data cannot be directly downloaded into clinical research files, which is a major problem in China. The lack of data interoperability, unstructured electronic medical record data and concerns regarding data security create a gap between real-world data and research data. Updating hospital information systems, promoting data standards and establishing an independent clinical research platform may be feasible suggestions for solving the current problems.Conclusions Determining the causes of gaps and targeted solutions could contribute to the development of clinical research in China. This research suggests that updating the hospital information system, promoting data standards and establishing a clinical research platform could promote the use of real-world data in the future.
format	article
author	Chen Yao Bin Wang Sainan Zhu Feifei Jin Xiaoyan Yan Chongya Dong Junkai Lai Yao Tan
author_facet	Chen Yao Bin Wang Sainan Zhu Feifei Jin Xiaoyan Yan Chongya Dong Junkai Lai Yao Tan
author_sort	Chen Yao
title	Gap between real-world data and clinical research within hospitals in China: a qualitative study
title_short	Gap between real-world data and clinical research within hospitals in China: a qualitative study
title_full	Gap between real-world data and clinical research within hospitals in China: a qualitative study
title_fullStr	Gap between real-world data and clinical research within hospitals in China: a qualitative study
title_full_unstemmed	Gap between real-world data and clinical research within hospitals in China: a qualitative study
title_sort	gap between real-world data and clinical research within hospitals in china: a qualitative study
publisher	BMJ Publishing Group
publishDate	2020
url	https://doaj.org/article/896cae2408f44bb8b6dc4814222ce016
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Gap between real-world data and clinical research within hospitals in China: a qualitative study

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