Department of Medicine, Faculdad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru.
Rev Saude Publica. 2010 Feb;44(1):185-9. doi: 10.1590/s0034-89102010000100020.
The '10/90 gap' was first highlighted by the Global Forum for Health Research. It refers to the finding that 90% of worldwide medical research expenditure is targeted at problems affecting only 10% of the world's population. Applying research results from the rich world to the problems of the poor may be a tempting, potentially easy and convenient solution for this gap. This paper had the objective of presenting arguments that such an approach runs the risk of exporting failure. Health interventions that are shown to be effective in the specific context of a Western industrialized setting will not necessarily work in the developing world.
“10/90 差距”最初是由全球卫生研究论坛提出的。它指的是发现全球 90%的医学研究支出都针对只影响世界上 10%人口的问题。将富裕国家的研究成果应用于贫困国家的问题可能是解决这一差距的一个诱人、潜在简单和方便的方法。本文的目的是提出这样一种方法有失败风险的论点。在西方工业化环境的具体背景下被证明有效的卫生干预措施在发展中国家不一定有效。