Research funding for palliative medicine.
Research funding for palliative medicine.
复制标题
姑息医学的研究经费。
DOI：
10.1089/jpm.2006.0231
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发表时间：
2008
影响因子：
2.8
通讯作者：
Morrison,RSean
中科院分区：
文献类型：
--
作者：
Gelfman,LauraP;Morrison,RSean
目的：了解2003-2005年发表的姑息医学研究的资金来源和2001-2005年美国国立卫生研究院(NIH)对姑息医学研究的资助情况。方法：我们试图找出美国2003-2005年有关成人姑息医学研究的出版物及其资金来源。我们查阅了主要姑息医学期刊上发表的所有文章，此外，我们还回顾了发表在主要医学期刊和相关次级专业期刊上的所有文章，这些文章都在Pub-Med中找到，关键词为“姑息治疗”、“临终关怀”、“临终关怀”和“临终关怀”。从所有确定的文章中，我们详细地抽象了所有资金来源。然后，我们使用上述文章综述中发表的第一和最后一位作者、姑息医学期刊的编辑委员会和其他组织，编制了2001-2005年间美国姑息医学研究人员的名单。为了检查NIH的资助，我们将这份研究人员名单与NIH 2001-2005年间资助的所有资金进行交叉匹配。结果：我们确定了388篇姑息医学研究文章和2197名研究人员。72%的论文获得了外部资助：31%来自美国国立卫生研究院，51%来自基金会，16%来自其他来源。只有109名研究人员获得了NIH的资助，国家癌症研究所(NCI)、国家护理研究所(NINR)和国家老龄研究所(NIA)提供了85%的NIH资助。结论：用于姑息医学研究的研究资金，特别是联邦资金，不足以支持改善对最严重疾病患者及其家属的护理。
Background: Medical care for seriously ill patients has been acknowledged to be inadequate and multiple reports have called for increased investment in palliative medicine research.Objective: To identify funding sources of palliative medicine research published form 2003–2005 and to examine National Institutes of Health (NIH) funding of palliative medicine research from 2001–2005.Methods: We sought to identify United States publications related to adult palliative medicine research from 2003–2005 and their funding sources. We reviewed all articles published in the major palliative medicine journals and additionally, we reviewed all articles published in major medicine journals and relevant sub-specialty journals which were identified in Pub-Med using the key words “palliative care,” “end-of-life care,” “hospice” and “end-of-life.” From all identified articles, we abstracted all sources of funding detailed. We then compiled a list of U.S. palliative medicine researchers from 2001–2005 using the published first and last authors in the above article review, the editorial boards of palliative medicine journals, and other organizations. To examine NIH funding, we cross-matched this list of researchers against all NIH grants funded from 2001–2005.Results: We identified 388 palliative medicine research articles and 2,197 investigators. Seventy-two percent of papers identified received extramural funding: 31% from the NIH, 51% from foundations, and 16% from other sources. Only 109 investigators received NIH funding and the National Cancer Institute (NCI), National Institute of Nursing Research (NINR), and National Institute on Aging (NIA) funded 85% of all NIH awards.Conclusions: Research funding, particularly federal funding, for palliative medicine research is inadequate to support improvements in care for the most seriously ill patients and their families.