Blecher M S, McIntyre D
Department of Community Health, University of Cape Town.
S Afr Med J. 1995 May;85(5):365-70.
To determine expenditure on health research in South Africa in 1991/1992.
Data from the financial statements of large statutory councils conducting research in South Africa, as well as other relevant reports, particularly the Department of National Education's (NATED) survey of research institutions, were analysed.
A total of R198.7 million was spent on health research in 1991/1992, 56.1% by the tertiary education sector and 20.7% by the Medical Research Council. Only 1.1% of expenditure on health was spent on research. Less than 9% of health research expenditure by tertiary educational institutions is classified within the category of 'comprehensive medicine' (which includes community health, epidemiology and nutrition), whereas 82% of expenditure by autonomous government institutions is so classified.
Given that expenditure on health research in South Africa is relatively low by international standards, an increase in expenditure by both the public and private sectors should be considered. Given the scarcity of research resources, there should be adequate planning, co-ordination, and particularly prioritisation of resource allocations, so that research can be directed towards addressing the country's health needs.
确定1991/1992年南非卫生研究的支出情况。
对南非进行研究的大型法定委员会财务报表中的数据以及其他相关报告,特别是国家教育部(NATED)对研究机构的调查进行了分析。
1991/1992年卫生研究总支出为1.987亿兰特,高等教育部门占56.1%,医学研究理事会占20.7%。卫生支出中仅1.1%用于研究。高等教育机构的卫生研究支出中不到9%归类为“综合医学”(包括社区卫生、流行病学和营养)类别,而自治政府机构的这一比例为82%。
鉴于按国际标准南非卫生研究支出相对较低,应考虑公共和私营部门增加支出。鉴于研究资源稀缺,应进行充分的规划、协调,特别是资源分配的优先排序,以便研究能够针对该国的卫生需求。