Why do case studies on national health research systems matter? Identifying common challenges in low- and middle-income countries
Why do case studies on national health research systems matter? Identifying common challenges in low- and middle-income countries
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DOI：
10.1016/j.socscimed.2005.08.022
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发表时间：
2006-04-01
影响因子：
5.4
通讯作者：
Sadana, R
中科院分区：
文献类型：
--
作者：
D'Souza, C;Sadana, R
由于卫生研究日益被认为是促进发展的一个重要工具，因此采取了许多办法从系统的角度来理解国家卫生研究。本文回顾了28个案例研究，描述或分析了26个低收入和中等收入国家的卫生研究系统。这些个案研究由卫生研究促进发展理事会或世界卫生组织东南亚区域办事处赞助。在回顾这些案例研究中，我们确定了国家卫生研究系统面临的几个共同挑战。这些挑战包括：研究活动缺乏协调;利益攸关方对研究、政策和执行进程的参与不足;研究需求不足以及研究成果难以获得。这些障碍由于一些基本的系统制约因素而变得更加严重，例如缺乏财政资源、人力、基础设施和数据。通过从这些案例研究中确定卫生研究系统的共同挑战以及克服这些挑战的方法，本文强调了案例研究为加强卫生研究系统的政策和战略提供信息的潜力，并为未来的案例研究提出了建议，以增加这种潜力。(c)2005爱思唯尔有限公司保留所有权利。
Since health research has become increasingly acknowledged as an important tool for development, many approaches have been undertaken to understand national health research from a systems perspective. This paper reviews 28 case studies that describe or analyse health research systems in 26 low- and middle-income countries. These case studies were sponsored either by the Council on Health Research for Development or the South-East Asia Regional Office of the World Health Organization. In reviewing these case studies, we identify several common challenges facing national health research systems. These challenges include the lack of coordination in research activities; the inadequate participation of stakeholders in research, policy and implementation processes; the lack of demand for research and the low accessibility of research findings. These obstacles are compounded by some fundamental systems constraints, such as the lack of financial resources, human capacities, infrastructure and data. By identifying from these case studies the common challenges of health research systems as well as approaches to overcome these, this paper highlights the potential for case studies to inform policies and strategies for strengthening health research systems, and presents recommendations for future case studies to increase this potential. (c) 2005 Elsevier Ltd. All rights reserved.