Paichadze Nino, Cook Emma K, Rosen Heather E, Kurtovic Sara, Hyder Adnan A
Center on Commercial Determinants of Health and Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, United States of America.
Health Res Policy Syst. 2025 Jan 2;23(1):1. doi: 10.1186/s12961-024-01254-z.
Given the rapid growth of the field of health policy and systems research (HPSR), it is important to monitor the research environment, especially the evolution of HPSR research outputs in low- and middle-income countries (LMICs). The objective of this study was to generate quantitative metrics to assess the production of HPSR publications and the role of the Alliance for Health Policy and Systems Research (the Alliance) grant-funded projects in 11 LMICs over the past 20 years.
We conducted a systematic literature search for HPSR literature from 1999 to 2020 pertaining to 11 target LMIC countries, including grey literature. We analysed the frequency of publications over time, by country and by thematic area. We then used a database of the Alliance's previous grantees to analyse authorship by Alliance-funded investigators.
HPSR publications across all 11 target countries increased steadily over the past two decades and the rate of publication increased by an average of 34% per year. The majority of HPSR publications during the study period were in health systems (23%) and health workforce (19%) thematic areas. Nineteen per cent of HPSR publications during this time were authored by Alliance-funded investigators. There was extensive heterogeneity between countries both in number of publications and in proportion of publications authored by Alliance-funded investigators.
Growth in the HPSR research environment reflects the expanding prominence of the HPSR field and increased HPSR research capacity in the 11 target countries. Alliance-funded investigators made an important contribution to the growth in HPSR output in these countries.
鉴于卫生政策与系统研究（HPSR）领域的迅速发展，监测研究环境十分重要，尤其是低收入和中等收入国家（LMICs）中HPSR研究产出的演变。本研究的目的是生成定量指标，以评估过去20年中11个低收入和中等收入国家的HPSR出版物产出以及卫生政策与系统研究联盟（联盟）资助项目的作用。
我们对1999年至2020年期间与11个目标低收入和中等收入国家相关的HPSR文献进行了系统的文献检索，包括灰色文献。我们分析了出版物随时间、国家和主题领域的发表频率。然后，我们使用联盟以前受资助者的数据库来分析由联盟资助的研究人员的作者身份。
在过去二十年中，所有11个目标国家的HPSR出版物稳步增加，发表率平均每年增长34%。研究期间，大多数HPSR出版物集中在卫生系统（23%）和卫生人力（19%）主题领域。在此期间，19%的HPSR出版物由联盟资助的研究人员撰写。各国在出版物数量和由联盟资助的研究人员撰写的出版物比例方面存在广泛的异质性。
HPSR研究环境的增长反映了HPSR领域日益突出的地位以及11个目标国家HPSR研究能力的提高。联盟资助的研究人员对这些国家HPSR产出的增长做出了重要贡献。
