Dear editors,

The methodological introduction on family medicine and community health research1provides general practitioners (GPs) with a good guide on general research methodology,principles, procedures and examples.All of these have laid a good foundation for the development of general medical research in China. However,considering the actual situation, GPs still have some difficulties in applying these research methods.

External difficulties include the following:

1. Qualitative analysis-related research is still rarely encouraged by many mainstream journals, such as The New England Journal of Medicine,JAMA: The Journal of the American Medical Association and other journals, due to its severe bias and relative low level of medical evidence, and it could not be applied to clinical practice widely. Among all of six research methods, policy research and case studies are rarely accepted by relevant general medical journals, which affect the popularity and application of these methodologies.

2. The domestic medical funds that can support the research type in the article are relatively less, and the support from other social societies is rare because these types of research could not bring stakeholders much benefit.

3. The primary research network is still in the bud, and GPs with qualified research capacity are sorely lacking.

Internal difficulties include the following:

1. The content of those articles are not detailed enough; more relevant books or links are required to declare those methods and steps,such as the detailed methodological introduction of qualitative analysis and precautions of semistructured interviews.

2. The GP needs to learn not only research methods introduced in the article but also the epidemiology and other quantitative research methods, which matter a lot. Quantitative research is easier to apply to clinical practice and allows easier access to funding than qualitative analysis.

In short, those articles bring us new research methodology, for example,quality improvement research,which opens up a new horizon for GPs. Meanwhile, further details are required, as well as the need for introduction to quantitative research methods, policies and fund support from the government, all of which could contribute to the development of family medicine research in China.

Lingping Zhu

Department of General Practice, Longhua District Central Hospital, Shenzhen, China

Correspondence toDr Lingping Zhu;zlp597@ aliyun. com

Competing interestsNone declared.

Patient consent for publicationNot required.

Provenance and peer reviewNot commissioned;internally peer reviewed.

Open accessThis is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license,which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http:// creativecommons. org/licenses/ by- nc/ 4. 0/.

? Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

To citeZhu L. Fam Med Com Health 2019;7:e000213.

Received 30 July 2019

Accepted 31 July 2019

Published Online First 16 September 2019

?http:// dx. doi. org/ 10. 1136/ fmch- 2019- 000218

Fam Med Com Health 2019;7:e000213.

doi:10.1136/fmch-2019-000213

REFERENCE

1. Fetters MD, Guetterman TC. Discovering and doing family medicine and community health research. Fam Med Com Health 2019;7:e000084.