绘制可用的健康研究和开发数据的地图:有什么,缺少什么,全球观测站有什么作用?
John-Arne Røttingen1, Sadie Regmi, Mari Eide
1Department of Health Management and Health Economics, Institute for Health and Society, University of Oslo, Norway. jrotting@hsph.harvard.edu
Lancet (London, England)
|May 24, 2013
概括
全球卫生研究和发展 (R&D) 投资显示出重大差距,太少的资源针对低收入和中等收入国家普遍存在的疾病. 更好的数据和监测对于公平的研发资源分配至关重要.
科学领域:
- 全球健康 全球健康
- 卫生研究与发展 (R&D)
- 卫生经济学 卫生经济学
背景情况:
- 将健康研发投资与全球公共卫生需求相协调是一个关键的挑战.
- 现有的健康研发格局显示出显著的差异,特别是影响低收入和中等收入国家.
- 缺乏全面的监测机制阻碍了全球健康研发的有效优先设定和资源分配.
研究的目的:
- 描述可用于监测全球卫生研发的可用数据源.
- 提出评估健康研发投资,流程和产出的指标.
- 分析健康研发的全球格局,确定投资和研究缺口.
主要方法:
- 利用国际数据库收集有关健康研发投资,临床试验和出版物的数据.
- 开发了一套指标来监测研究投入 (投资),流程 (临床试验) 和输出 (出版物).
- 采样了国家级数据,以说明全球健康研发格局.
主要成果:
- 全球卫生研发投资总额在2009年达到2400亿美元.
- 高收入国家获得了绝大多数投资,2010年仅1%的投资用于被忽视的疾病.
- 影响高收入国家的疾病在临床试验中优先考虑,而不是主要影响低收入和中等收入国家的疾病.
结论:
- 全球卫生研发领域仍然存在巨大的差距,对疾病和最需要的地区投资不足.
- 改善数据和监测对于公平的优先设定和健康研发的协调至关重要.
- 建立一个全球健康研发观察中心,可以为监测和解决这些差异提供一个可持续的机制.
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