Determinants of success for biomedical researchers: a perception-based study in a health science research environment

New institutions are coming to the fore as stakeholders in research, particularly hospitals and clinical departments involved in providing health care. As a result, new environments for research are gaining importance. This study aims to investigate how different individual characteristics, together with collective and contextual factors, affect the activity and performance of researchers in the particular setting of hospitals and research centres affiliated with the Spanish National Health System (NHS). We used a combination of quantitative science indicators and perception-based data obtained through a survey of researchers working at NHS hospitals and research centres. Inbreeding and involvement in clinical research is the combination of factors with the greatest influence on scientific productivity, because these factors are associated with increased scientific output both overall as well as in high-impact journals. Ultimately, however, satisfaction with human resources in research group combined with gender (linked in turn to leadership) is the combination of factors associated most clearly with the most relevant indicator of productivity success, i.e. the number of articles in high-impact journals as principal author. Researchers' competitiveness in obtaining research funding as principal investigator is associated with a combination of satisfaction with research autonomy and involvement in clinical research. Researchers' success is not significantly related with their age, seniority and international experience. The way health care institutions manage and combine the factors likely to influence research may be critical for the development and maintenance of research-conducive environments, and ultimately for the success of research carried out in hospitals and other settings within the national public health system.