Trends in health policy and systems research over the past decade: still too little capacity in low-income countries.
Trends in health policy and systems research over the past decade: still too little capacity in low-income countries.
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DOI：
10.1371/journal.pone.0027263
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发表时间：
2011
期刊：
影响因子：
3.7
通讯作者：
Røttingen JA
中科院分区：
文献类型：
--
作者：
Adam T;Ahmad S;Bigdeli M;Ghaffar A;Røttingen JA
在过去十年中，举办了若干高级别活动和文件，承诺加强卫生政策和系统研究领域，将其作为加强卫生系统的重要投入。具体地说，他们呼吁增加生产、承担能力和为HPSR提供资金。本文的目的是评估取得进展的程度，这是对该领域利益相关者的重要反馈。使用了两个数据来源。第一个是文献计量分析，以评估2003年至2009年间HPSR产量的增长。卫生系统的六个组成部分被用来定义这个搜索的范围。第二份报告是2010年对96家研究机构进行的一项调查，以评估开展HPSR的能力和资金可用性，并与2000年和2008年进行的同一项调查的结果进行比较。这两项分析都侧重于与低收入和中等收入国家（LMICs）相关的HPSR。总体而言，我们发现中低收入国家关于HPSR的出版物呈增加趋势，尽管只有4%的作者来自低收入国家（lic）。这与机构调查的结果一致，尽管研究机构的基础设施有所改善，但低收入国家机构内研究人员的经验水平变化很小。低收入国家向撒哈拉以南非洲各机构提供的资金显著增加；尽管如此，所有区域的总体增长都不大。尽管在HPSR的生产和资金供应方面都取得了进展，但在当地进行研究的能力增长速度要慢得多，特别是在最需要这项研究的低收入国家。坚定地承诺将未来所有研究资金的一部分用于能力建设，可能是扭转局势的唯一解决办法。
The past decade has seen several high-level events and documents committing to strengthening the field of health policy and systems research (HPSR) as a critical input to strengthening health systems. Specifically, they called for increased production, capacity to undertake and funding for HPSR. The objective of this paper is to assess the extent to which progress has been achieved, an important feedback for stakeholders in this field. Two sources of data have been used. The first is a bibliometric analysis to assess growth in production of HPSR between 2003 and 2009. The six building blocks of the health system were used to define the scope of this search. The second is a survey of 96 research institutions undertaken in 2010 to assess the capacity and funding availability to undertake HPSR, compared with findings from the same survey undertaken in 2000 and 2008. Both analyses focus on HPSR relevant to low-income and middle-income countries (LMICs). Overall, we found an increasing trend of publications on HPSR in LMICs, although only 4% were led by authors from low-income countries (LICs). This is consistent with findings from the institutional survey, where despite improvements in infrastructure of research institutions, a minimal change has been seen in the level of experience of researchers within LIC institutions. Funding availability in LICs has increased notably to institutions in Sub-Saharan Africa; nonetheless, the overall increase has been modest in all regions. Although progress has been made in both the production and funding availability for HPSR, capacity to undertake the research locally has grown at a much slower pace, particularly in LICs where there is most need for this research. A firm commitment to dedicate a proportion of all future funding for research to building capacity may be the only solution to turn the tide.
影响因子：
168.9
作者：
Bennett, Sara;Adam, Taghreed;Mills, Anne
通讯作者：
Mills, Anne
DOI：
10.2471/blt.09.066290
发表时间：
2010-06-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Ranson, Michael Kent;Chopra, Mickey;Bennett, Sara
通讯作者：
Bennett, Sara
影响因子：
3
作者：
Okui, Olico;Ayebare, Elizabeth;Peters, David H.
通讯作者：
Peters, David H.