Radiology Department, University of Witwatersrand, York Rd Parktown, Johannesburg, Gauteng, 2193, South Africa.
Pediatr Radiol. 2011 Jul;41(7):826-31. doi: 10.1007/s00247-011-2080-9. Epub 2011 May 7.
Radiologists in developing countries cite numerous reasons for poor research output including heavier workloads, poor remuneration (resulting in "brain drain"), poor infrastructure, language barriers, lack of modern imaging equipment, and a disease spectrum that may be of little interest to journals and readers in the developed world. On the other hand, large populations of patients suffering from distinctive diseases, cost-effective healthcare systems, and a set-up with highly centralised tertiary referral hospitals, may be seen as advantages to those willing to tap into this as a data source for research. The lack of resources may even stimulate cost-effective innovations relevant to the needs of poor communities. This paper challenges preconceived ideas and identifies advantages for radiologists in developing countries to producing good research and publications. It also cautions against "annexation of sites" by stakeholders from developed countries, and suggests simple solutions to maximise research output without a significant financial cost.
发展中国家的放射科医生列举了许多导致研究产出不佳的原因,包括工作量大、薪酬低(导致“人才流失”)、基础设施差、语言障碍、缺乏现代成像设备,以及疾病谱可能对发达国家的期刊和读者没有什么兴趣。另一方面,大量患有独特疾病的患者、具有成本效益的医疗保健系统,以及高度集中的三级转诊医院设置,对于那些愿意将其作为研究数据来源的人来说,可能被视为优势。缺乏资源甚至可能刺激针对贫困社区需求的具有成本效益的创新。本文挑战了先入为主的观念,并确定了发展中国家的放射科医生在进行高质量研究和发表方面的优势。它还警告说要防止发达国家的利益相关者“吞并”站点,并提出了一些简单的解决方案,可以在不增加大量财务成本的情况下最大限度地提高研究成果。