医療サービスの質に関する研究における世界的な不平等を強調する:体系的なレビューと定量的な証拠 (2014-2023)
Mihail-Vasile Pruteanu1, Alina Moroșanu2, Georgeta Zegan1,3
1Doctoral School, "Grigore T. Popa" University of Medicine and Pharmacy Iasi, 16 Universității Street, Code 700115, Iasi, Romania.
Health research policy and systems
|August 26, 2025
まとめ
世界的な医療サービスの質の研究は成長を示しているが,大きな格差は残っている. 高所得国が優勢で,英語の出版物はより高い知名度を持ち,研究普及の不平等を強調しています.
科学分野:
- 医療サービス研究
- 図書館情報
- 医療システム科学
背景:
- 医療サービスの質は,世界的に有効で公平な医療システムにとって不可欠です.
- 既存の研究は 科学的生産,知名度,共同研究における不均衡を呈する可能性があります.
- この研究は,過去10年間にわたる医療サービスの質の研究における世界的な傾向と格差を分析しています.
研究 の 目的:
- 医療サービス品質の進化と影響を分析する
- 主なトレンド,テーマ,地域分布,影響力のある団体 (雑誌,著者,関連団体) を特定する.
- 引用効果に影響を与える要因を評価し,将来の方向性のための研究ギャップを特定する.
主な方法:
- PRISMA 2020のガイドラインに沿った体系的なレビュー.
- 図鑑分析 (同単語のネットワーク,引用数,キーワードの傾向) とエコノメトリックモデリングの統合
- 2014年から2023年の研究における引用効果の予測要因を調査するパネル回帰分析
主要な成果:
- 全世界の出版量は増加し,2021年にピークに達し,患者体験,サービス提供,健康成果が主題となった.
- 高所得国 (北米,ヨーロッパ) の機関が,出力と引用でトップでした.
- 英語の記事はより高い可視性を示し,国際協力と参照数は引用の効果に好意的に影響しました.
結論:
- 研究成果が増加したにも関わらず,医療サービスの質に関する研究における知見と影響の格差は依然として大きい.
- 言語的,制度的,地理的要因は,不均等な拡散と認識に貢献しています.
- 包摂的な出版を促進し,地域間の協力を促進することは,不平等を軽減し,グローバルな関連性を高めるために不可欠です.
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