Personal Factors That Limit Output of Research in Family Medicine
| No defined practice population, with mobile populations |
| Limitation or absence of reliable and comprehensive address lists to recruit participant physicians |
| Overworked physicians in primary care with limited time for research |
| No protected time for research or writing |
| Limited or no access to research funds and grants, with inexperience in the grant application process |
| Limited exposure to “culture of research” |
| Lack of peer group in many countries to discuss, stimulate, or criticize work |
| Limited research expertise of individual physician, and little access to training in research methodology, epidemiology, and statistics |
| Limited support and supervision—supervisors are often at a distance because of sparse distribution of health personnel and often are insufficiently trained themselves |
| Prospect of rejection of developing world papers by international journals is inhibiting factor to a culture of research9 |
| Poor or limited writing skills |