传染病临床试验的资金和地理分布
Hadrien Moffroid1, Esmita Charani2, Christina Blagojevic3
1Department of Infectious Diseases, University of Melbourne, The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
概括
传染病随机临床试验 (RCT) 的资金集中在高收入国家,而有限的资源只能到达中低收入国家. 这种不平衡可能会阻碍传染病研究的全球健康公平.
科学领域:
- 全球卫生研究全球卫生研究
- 传染病流行病学 传染病流行病学
- 临床试验资金的资助
背景情况:
- 随机临床试验 (RCT) 对于推进传染病研究至关重要.
- 了解资金流动和地理分布对于公平的研究至关重要.
- 之前的分析还没有全面地映射出高影响力期刊中的试验地点的资金来源.
研究的目的:
- 在传染病RCT中绘制资金流.
- 研究资金来源和试验地点之间的关系.
- 分析这些关系在高影响力的通用医学和传染病期刊.
主要方法:
- 2014-2023年间发表的1343个传染病RCT的二次分析.
- 来自十家具有影响力的英语期刊的数据.
- 根据国家收入水平 (世界银行分类) 分析资金来源和研究地点;使用热图和桑基图形可视化.
主要成果:
- 美国政府是最大的资助者 (27.6%),其次是国家卫生研究院 (19.5%).
- 超过82%的独特资助者来自高收入国家.
- 虽然研究地点分布更广,但低收入国家在专注于重症监护,细菌感染,性传播感染,肝炎,流感和COVID-19的试验中代表性不足.
结论:
- 在传染病RCT中存在显著的地理和资金差异.
- 减少国际资金可能会对中低收入国家的研究产生不成比例的影响.
- 在中低收入国家,需要可持续的融资模式和研究能力建设.
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