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    Rev Electron Biomed / Electron J Biomed 2014;1:3-5.

    Editorial:

    CLINICAL INVESTIGATION IN PUBLIC HOSPITALS

    Alberto Enrique D'Ottavio

    Honorary Professor, Faculty of Medical Sciences and Member of the Research Council,
    Rosario National University,
    Rosario. Argentina

    aedottavio @ hotmail.com


    Version en español


      Clinical investigation, undoubtedly achieved following bioethical and biosecurity rules, initially appears relevant for creating, socializing and applying valid and reliable knowledge about diagnosis and treatment of different diseases. Likewise, it improves the corresponding practice and provides consistent background to it, facilitating the adoption of appropriate decisions and contributing to the design of based politics related with the healthcare system. Consequently, it finally improves public health1.

      Such benefits increase if the improvement of healthcare quality in patients and the systematic development of specific competences (knowledge, attitudes, habits, values, and cognitive and communicational skills) as well as working satisfaction and self-esteem augmentation in researchers are taken into account2.

      However, the appraisal of its impact offers aspects to be considered starting from the own definition of impact and the available instruments for its evaluation.

      Accepting preexisting definitions about impact3, that referring to its evaluation reveals several indicators since more integral models are required considering the unfeasibility of an exclusive indicator for appraising the investigative results on quotidian professional activity and, also, the influence of endogenous (genetics, hygienic and dietetic habits) and exogenous (medical aid, environmental politics) factors4-6.

      In this context and employing a case analysis, this issue of the Electronic Journal of Biomedicine publishes an article studying the effect produced by research activity on patient satisfaction in a Spanish public hospital.



    REFERENCES

      1.- Bottasso OA. Lo importante en investigación clínica. Una introducción a las ciencias biológicas y médicas. Homo Sapiens Editores, Rosario, (Argentina), 2003.

      2.- D'Ottavio AE. Ser Médico. Reflexiones sobre la formación y la práctica médicas. Rosario: Homo Sapiens Editores, Rosario, (Argentina), 2001.

      3.- Escudero-Gómez C, Estrada-Lorenzo JM, Lázaro P. El impacto de la investigación en la práctica clínica. Med Clin (Barc) 2008; 131 (Supl. 5):25-29.

      4.- Buitrago F. Impacto de la investigación en la práctica clínica del médico de familia/médico general. Jornada sobre investigación para una mejor clínica, gestión y reforma de la atención primaria en España, Madrid (España), 2009. Disponible en: http://www.fcs.es/docs/jornadas/politica sanitaria/Texto_Francisco_Buitrago.pdf

      5.- Kurivilla S, Mays N, Pleasant A, Walt G. Describing the impact of health research: a research impact framework. BMC Health Services Research 2006; 6:134.

      6.- Buxton MJ, Hanney S. Desarrollo y aplicación del Modelo Payback para la evaluación del impacto socioeconómico de la investigación en salud. Med Clin (Barc) 2008; 131 (Supl. 5):25-29.



    CORRESPONDENCE:
    Alberto Enrique D'Ottavio
    Matheu 371
    2000 Rosario (Santa Fe)
    Argentina
    Mail: aedottavio @ hotmail.com