«نامه به سردبیر»فرصت‌ها و چالش‌های پژوهش در دوران پاندمی کووید-19

سردبیر محترمبیماری کووید19 (covid19) پدیده‌ی نوظهوری است که با سرعت بسیار زیادی در سراسر جهان در حال گسترش است و نگرانی‌های زیادی برای مردم جهان به همراه داشته است(1). این همه‌گیری چالش‌هایی را برای خدمات بهداشتی نیز ایجاد کرده است(2). حاصل این همه‌گیری بزرگ، پرشدن تخت‌های بیمارستانی، خستگی مفرط تیم‌های درمانی، کمبود شدید وسایل حفاظت فردی، ابتلا کارکنان بیمارستان، کمبود نیروی انسانی و گسترش بیماری و نگرانی در کشورهای مختلف جهان بود(3). یکی از چالش‌های ایجاد شده در دوران پاندمی کووید19، کاهش مراجعه بیماران مبتلا به بیماری‌های خطرناک غیرکرونایی از جمله بیماران مبتلا به بیماری‌های قلبی، سرطان، تنفسی، کلیوی و دیگر بیماری‌ها به بیمارستان‌ها و مراکز درمانی است و مبتلایان به این بیماری‌ها از ترس ابتلا به کووید19 حاضر به مراجعه و ادامه درمان در بیمارستان‌ها نیستند. این موضوع نه تنها یکی از نگرانی‌های جدی مسئولان بهداشت و درمان در رابطه با وضعیت سلامت مردم است(4،5) بلکه از سوی دیگر سایر حوزه‌های نظام سلامت و از جمله حوزه پژوهش را نیز تحت تاثیر قرار داده است.

“Letter to Editor”Challenges and Opportunities of Research during the COVID-19 Pandemic

Dear editorCOVID19 disease is an emerging phenomenon that is spreading rapidly around the world and has caused great concern to people around the world(1). This epidemic has also created challenges for health services(2). The result of this great epidemic is the filling of hospital beds, the extreme fatigue of medical teams, the severe shortage of personal protective equipment, the infection of hospital staff, the shortage of personnel, and the spread of disease and concerns in different countries of the world(3). One of the challenges created during the Corona Pandemic is the reduction in the number of patients with dangerous noncovid diseases, including heart diseases, cancer, respiratory, kidney, and other diseases, referred to hospitals and medical centers. Patients with these diseases are not willing to refer to hospitals for treatment due to fear of getting infected with the coronavirus. This issue, on one hand, is one of the serious concerns of health officials regarding the health status of the people(4,5), and on the other hand, it has affected other areas of the health system, including research.Regarding the importance and status of research, there is no doubt that research is important and vital for society(6). Sustainable and comprehensive development in any country significantly depends on the quantitative and qualitative expansion of research activities in that country(7). According to the evidence, before the outbreak of coronavirus disease, some issues such as shortage of funds for research, failure of financial support for research projects, cumbersome administrative regulations (bureaucracy), lack of clear rules for evaluating research activities, and limited use of research results were among the research barriers in the country(68). The outbreak of Coronavirus disease has also posed research challenges. One of these challenges is the limitation of easy access to research samples.In fact, the decrease in hospitalization of patients in medical centers has made sampling difficult and limited for many studies performed in the clinical environment. Also, specialized wards of hospitals, which were the most important sampling center of most clinical trials, were changed to coronavirus wards(9) and this also prevented access to research samples other than coronavirus samples. On the other hand, the outbreak of coronavirus disease, limited travel, and closure of dormitories(10) have caused sampling challenges in the dissertations of graduate students.Although the coronavirus pandemic imposed many problems on all indicators of society, including public health, it was an opportunity that led to the flourishing of some capabilities in the country such as the pervasiveness and development of virtual education. During the coronavirus pandemic, the authorities became more and more aware of the importance of distance education and elearning, and it seems that virtual education in our country has entered a new phase(11). The opportunity created by the virtualization of activities due to the spread of the coronavirus has facilitated some activities in academic centers(12). In addition to improving services to patients diagnosed with coronavirus disease, the elearning platform can be a fertile ground for conducting research. The significant increase in the number of approved research projects and scientific research articles published by faculty members(13) indicates more attention to research during coronavirus pandemic. It is possible to perform all kinds of quantitative, qualitative, and even interventional research in virtual environments. The use of virtual questionnaires can reduce sampling problems in most studies(14). Conducting research in virtual environment is financially inexpensive, and with a little creativity, a national survey can be done at a reasonable cost and financial support(15). Different platforms such as inapp training(16) can be used for different interventions such as health staff and clients #39; virtual training. The data obtained from the virtual research do not need to be reentered into data analysis software and are entered directly from the survey platform into data analysis software such as SPSS (Statistical Package for the Social Science), AMOS (Analysis of Moment Structures), LISREL (Linear Structural Relationships), etc. In this way, online research reduces workload and provides faster and better access to resources and information. Due to the assumed anonymity in virtual environment, the probability of the respondents #39; honesty in researches(15) that examine sensitive and personal issues increases and creates a space almost free of any bias.On the other hand, with the spread of this epidemic around the world, new technologies such as ehealth can help patients and health care providers, and can also lead to the development of research. EHealth is a combination of electronic communications and health information technology. This term can include a wide range of services/systems in the field of medicine/healthcare and information technology, such as electronic health records, electronic prescriptions, telemedicine or telephone medicine, mHealth and more(17). The data from these technologies can help research development. Therefore, with the development of necessary infrastructure such as the global Internet network and an increase in its speed, the development of interactive learning software, and the use of new technologies such as ehealth, we will see the growing prosperity of virtual research in the country. This type of research should be continued alongside prevalent researches even after the termination of COVID19.In addition to the virtual background, the development of home care services can also help research development. Home care services can support health services and reduce the burden on the health system(18). Although the outbreak of COVID19 disease has created many problems and challenges for providing services in this area(19), the development of home care services during the outbreak of COVID19 makes it possible to conduct research in real environments like before the coronavirus pandemic, and researchers who face challenges in conducting virtual researches for different reasons, can use this platform.In conclusion, it seems that great steps must be taken to address the barriers and challenges of research at this time, given the continuing widespread prevalence of COVID19 disease. Therefore, it is suggested that politicians, officials, and health care planners consider the challenges and use the opportunities created by COVID19 disease, to provide the necessary ground for the development of research in the country.