Current priorities in health research funding and lack of impact on the number of child deaths per year

Current priorities in health research funding and lack of impact on the number of child deaths per year
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DOI:
10.2105/ajph.2005.083287
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发表时间:
2007-02-01
影响因子:
12.7
通讯作者:
Bertozzi, Stefano M.
Bertozzi, Stefano M.
中科院分区:
医学2区
文献类型:
--
作者:
Leroy, Jef L.;Habicht, Jean-Pierre;Bertozzi, Stefano M.

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我们确定了针对改进医疗技术(即通过改进旧技术或创造新技术)的儿童死亡率研究与针对技术交付和利用的研究的比例。我们还估计了主要侧重于开发技术的研究资助战略与同样侧重于交付和利用的研究资助战略相比降低的死亡率。97%的赠款用于开发新技术,这将使儿童死亡率降低22%。这一减少是充分利用现有技术所能达到的目标的三分之一。目前的研究与拯救儿童生命所需的研究之间存在着严重的差异。除了加强对治疗效果的研究外,更需要加强对技术的提供和使用的研究。
We determined the proportion of research on childhood mortality directed toward better medical technology (i.e., by improving old technology or creating new technology) compared with research on technology delivery and utilization. We also estimated mortality reductions from a research-funding strategy focusing primarily on developing technology compared with one that also focused on delivery and utilization. Ninety-seven percent of grants were for developing new technologies, which could reduce child mortality by 22%. This reduction is one third of what could be achieved if existing technologies were fully utilized. There is a serious discrepancy between current research and the research needed to save children's lives. In addition to increased research on the efficacy of treatment, there is an even greater need for increased research on delivery and use of technology.