English Krista M, Pourbohloul Babak
Complexity Science Lab, School of Population & Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Institute of Resources, Environment and Sustainability, University of British Columbia, Vancouver, British Columbia, Canada.
Health Res Policy Syst. 2017 Jul 28;15(1):64. doi: 10.1186/s12961-017-0229-1.
For 20 years, substantial effort has been devoted to catalyse health policy and systems research (HPSR) to support vulnerable populations and resource-constrained regions through increased funding, institutional capacity-building and knowledge production; yet, participation from low- and middle-income countries (LMICs) is underrepresented in HPSR knowledge production.
A bibliometric analysis of HPSR literature was conducted using a high-level keyword search. Health policy and/or health systems literature with a topic relevant to LMICs and whose lead author's affiliation is in an LMIC were included for analysis. The trends in knowledge production from 1990 to 2015 were examined to understand how investment in HPSR benefits those it means to serve.
The total number of papers published in PubMed increases each year. HPSR publications represent approximately 10% of these publications, but this percentage is increasing at a greater rate than PubMed publications overall and the discipline is holding this momentum. HPSR publications with topics relevant to LMICs and an LMIC-affiliated lead authors (specifically from low-income countries) are increasing at a greater rate than any other category within the scope of this analysis.
While the absolute number of publications remains low, lead authors from an LMIC have participated exponentially in the life and biomedical sciences (PubMed) since the early 2000s. HPSR publications with a topic relevant to LMICs and an LMIC lead author continue to increase at a greater rate than the life and biomedical science topics in general. This correlation is likely due to increased capacity for research within LMICs and the support for publications surrounding large HPSR initiatives. These findings provide strong evidence that continued support is key to the longevity and enhancement of HPSR toward its mandate.
二十年来，人们付出了巨大努力来推动卫生政策与系统研究（HPSR），通过增加资金投入、加强机构能力建设和知识生产来支持弱势群体和资源受限地区；然而，低收入和中等收入国家（LMICs）在HPSR知识生产中的参与度仍未得到充分体现。
使用高级关键词搜索对HPSR文献进行文献计量分析。纳入与LMICs相关主题且第一作者所属机构位于LMICs的卫生政策和/或卫生系统文献进行分析。研究了1990年至2015年的知识生产趋势，以了解对HPSR的投资如何惠及目标服务人群。
PubMed上发表的论文总数逐年增加。HPSR出版物约占这些出版物的10%，但这一比例的增长速度高于PubMed出版物的总体增长速度，且该学科保持着这一发展势头。与LMICs相关主题且第一作者来自LMICs（特别是低收入国家）的HPSR出版物的增长速度高于本分析范围内的任何其他类别。
虽然出版物的绝对数量仍然较低，但自21世纪初以来，来自LMICs的第一作者在生命科学和生物医学领域（PubMed）的参与呈指数级增长。与LMICs相关主题且第一作者来自LMICs的HPSR出版物的增长速度继续高于生命科学和生物医学领域的总体主题。这种相关性可能是由于LMICs内部研究能力的提高以及围绕大型HPSR倡议的出版物支持。这些发现提供了有力证据，表明持续支持是HPSR实现其使命并不断发展壮大的关键。
