Rational allocation of Australia's research dollars: does the distribution of NHMRC funding by National Health Priority Area reflect actual disease burden?
Rational allocation of Australia's research dollars: does the distribution of NHMRC funding by National Health Priority Area reflect actual disease burden?
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DOI：
10.5694/j.1326-5377.2009.tb03365.x
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发表时间：
2009-12-07
影响因子：
11.4
通讯作者：
Watson, Wendy L.
中科院分区：
文献类型：
--
作者：
Mitchell, Rebecca J.;McClure, Rod J.;Watson, Wendy L.
目的：探索国家卫生和医学研究理事会（NHMRC）对每个国家卫生优先领域（NHPA）的资助随着时间的推移和赠款类型，并量化赠款授予和疾病的社会负担（BoD）的一系列措施之间的关系。设计和设置：我们对2000年至2008年NHMRC为每个NHPA提供的资金进行了回顾性分析，以评估NHMRC资金水平与每一种健康状况都是身体的一部分。有关死亡率、发病率、患病率、因残疾而损失的“健康”生命年数（YLD）、因过早死亡而损失的生命年数（YLL）和残疾调整生命年数（DALYs）的信息从2003年澳大利亚BoD研究中获得。每个NHPA的卫生系统支出的信息是从澳大利亚研究所的健康和福利report.Main结果measures：观察到的赠款与预期数量;资金分配给每个NHPA的金额;每个NHPA的健康状况的相对贡献BoD.Results：6099新的和持续的NHMRC赠款与NHPAs。NHMRC的资金总额NHPA与YLL和DDEs有很强的相关性，但每个NHPA的资金数额和YLD或卫生系统支出之间没有明显的关联。基于每个NHPA的健康状况的比例贡献总NHPA相关的DALYS，高于预期的赠款数量分配给糖尿病和癌症的研究，低于预期的伤害和心理健康research.Conclusions：一些澳大利亚的NHPAs比其他更好的资助。NHMRC可以开始纠正这种不平衡，将研究和劳动力发展资金分配给欠发达的研究领域，以确保适当的资源与他们对BoD的贡献相称。MJA 2009; 191：648-652
Objectives: To explore National Health and Medical Research Council (NHMRC) funding for each National Health Priority Area (NHPA) over time and by grant type, and to quantify the relationship between grants awarded and a range of measures of societal burden of disease (BoD).Design and setting: We conducted a retrospective analysis of NHMRC funding for each NHPA from 2000 to 2008 to assess the strength of correlation between level of NHMRC funding and contribution of each health condition to BoD. Information on mortality, incidence, prevalence, "healthy" years of life lost due to disability (YLD), years of life lost due to premature mortality (YLL) and disability-adjusted life-years (DALYs) was obtained from the 2003 Australian BoD study. Information on health system expenditure for each NHPA was obtained from an Australian Institute of Health and Welfare report.Main outcome measures: Observed versus expected number of grants; amount of funding allocated to each NHPA; relative contribution of each NHPA health condition to BoD.Results: 6099 new and continuing NHMRC grants were linked to NHPAs. Total NHMRC funding by NHPA was strongly correlated with YLL and DALYs, but there was no clear association between the amount of funding per NHPA and YLD or health system expenditure. Based on the proportional contribution of each NHPA health condition to total NHPA-related DALYs, a higher than expected number of grants was allocated to diabetes and cancer research, and a lower than expected number to injury and mental health research.Conclusions: Some of Australia's NHPAs are better funded than others. The NHMRC could begin to redress this imbalance by allocating research and workforce development funding to less well developed research areas to ensure appropriate resourcing that is commensurate with their contribution to BoD. MJA 2009; 191: 648-652