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巴勒斯坦卫生研究成果与疾病负担之间的关系:系统性审查
Loai Albarqouni1, Khamis Elessi2, Niveen Abu-Rmeileh3
1Centre for Research in Evidence Based Practice, Bond University, Robina, QLD, Australia.
Lancet (London, England)
|March 20, 2018
概括
巴勒斯坦的研究成果与疾病负担差距很大, 对于制定有效的卫生政策来说,优先考虑对高负担条件的研究至关重要.
科学领域:
- 公共卫生研究
- 卫生政策
- 图书统计学
背景情况:
- 特别是在资源稀缺的地区, 确定研究优先事项至关重要, 以应对疾病负担最大.
- 这项研究评估了研究成果与巴勒斯坦被占领土上的疾病负担之间的联系.
- 它的目的是找出研究不足或过度的健康状况.
研究的目的:
- 评估科学研究成果与巴勒斯坦疾病负担之间的关联.
- 确定研究重点与公共卫生优先事项之间的差异.
- 提供基于证据的健康政策制定信息.
主要方法:
- 通过PubMed和Scopus对2000年至2015年间发表的巴勒斯坦机构健康研究进行了系统审查.
- 使用全球疾病负担 (GBD) 分类方法对健康状况进行分类.
- 研究结果与GBD研究中的疾病负担数据 (死亡和残疾调整后寿命年[DALYs]) 进行了比较.
主要成果:
- 总共包括511篇文章在审查中.
- 研究结果显示,无论是通过DALY (ρ: -0·116; p=0·7) 或死亡 (ρ: 0·217; p=0·5) 来衡量,与疾病负担的相关性很弱.
- 心血管疾病,产妇/新生儿健康和癌症等高负担领域占死亡人数的67%,但仅在23%的研究中得到解决.
结论:
- 巴勒斯坦的疾病负担与研究成果之间存在显著的不匹配,表明研究浪费.
- 制定与当地卫生需求相一致的国家研究优先事项至关重要.
- 这种调整将支持建立独立和明智的卫生政策.
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