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东南亚的中风研究差距:社会经济因素、医疗保健服务提供和中风疾病负担。

Stroke Research Disparity in Southeast Asia: Socioeconomic Factors, Healthcare Delivery, and Stroke Disease Burden.

机构信息

Division of Adult Neurology, Department of Neurosciences, College of Medicine - Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.

Division of Adult Neurology, Department of Neurosciences, College of Medicine - Philippine General Hospital, University of the Philippines Manila, Manila, Philippines; Department of Clinical Epidemiology, College of Medicine - Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.

出版信息

J Stroke Cerebrovasc Dis. 2021 Feb;30(2):105481. doi: 10.1016/j.jstrokecerebrovasdis.2020.105481. Epub 2020 Nov 27.

DOI:10.1016/j.jstrokecerebrovasdis.2020.105481
PMID:33249338
Abstract

BACKGROUND

Cerebrovascular disease is the second leading cause of death worldwide and provides a heavy burden of disease in Southeast Asia (SEA). Contribution to the collective knowledge of this disease is necessary to address practice and treatment disparities. There is limited data on research productivity in the region. This study aimed to determine research productivity on stroke and other cerebral and spinal vascular diseases among the SEA countries and determine its relationship with bibliometrics, socioeconomic parameters, healthcare delivery indices, and burden of disease.

METHODS

A comprehensive literature search was conducted using five major healthcare databases. We included studies published until June 2020 on cerebral and spinal vascular disease with at least one author from SEA. Country-specific socioeconomic parameters, the burden of disease, healthcare delivery indices, and the number of neurologists were collected from international databases and published data. Correlational analysis was done on bibliometric indices and collected data.

RESULTS

A total of 2577 articles were included. Singapore had the most publications (n=1095, 42.5%) and citations (PlumX n=16,592, 55.2%; Scopus n=22,351, 56.7%). Gross domestic product per capita, percent gross domestic product for research and development, universal health care effective coverage index overall and for stroke treatment, and the number of neurologists had a positive correlation to bibliometric indices.

CONCLUSIONS

There is a disparity in stroke research productivity among high-income and low-income countries in SEA. Priority must be given to scientific research output and its role in socioeconomic development and policy formulation.

摘要

背景

脑血管疾病是全球范围内的第二大致死原因,在东南亚(SEA)也造成了沉重的疾病负担。为了解决实践和治疗方面的差异,有必要为了解决这一疾病提供更多的知识。该地区关于研究成果的数据有限。本研究旨在确定 SEA 国家在中风和其他脑脊髓血管疾病方面的研究成果,并确定其与文献计量学、社会经济参数、医疗保健提供指数和疾病负担的关系。

方法

使用五个主要的医疗保健数据库进行了全面的文献检索。我们纳入了至少有一位来自 SEA 的作者发表的关于脑脊髓血管疾病的研究。从国际数据库和已发表的数据中收集了各国的社会经济参数、疾病负担、医疗保健提供指数和神经科医生的数量。对文献计量学指标和收集的数据进行了相关分析。

结果

共纳入了 2577 篇文章。新加坡发表的文章数量最多(n=1095,42.5%)和引用量最多(PlumX n=16592,55.2%;Scopus n=22351,56.7%)。人均国内生产总值、研发支出占国内生产总值的百分比、全民医保有效覆盖率指数以及中风治疗的覆盖率指数,以及神经科医生的数量与文献计量学指标呈正相关。

结论

在 SEA 国家中,高收入和低收入国家在中风研究成果方面存在差距。必须优先重视科研产出及其在社会经济发展和政策制定中的作用。

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