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首页> 外文期刊>Revista Espa?ola de Salud Pública >Relationship between research funding in the Spanish National Health System and the burden of disease
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Relationship between research funding in the Spanish National Health System and the burden of disease

机译：西班牙国家卫生系统的研究经费与疾病负担之间的关系

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Background: The Carlos III Health Institute ( Instituto de Salud Carlos III - Spain) allocates funding to health research support in the Spanish National Health System (NHS). This study aimed to analyse the correlation of health research fund allocations in the NHS and the burden of disease in Spanish population. Methods: Cross-sectional study. Burden of disease measures were calculated: disability-adjusted life-years (DALYs), years of life lost (YLLs) and mortality by cause. A correlation analysis (Spearman磗 Rho) was applied to test the association between these measures and 2006/2007 health research funding. Results: Using disease categories (n=21), the correlation between funding and disease-burden measures is: DALY (r=0.72; p <0.001), mortality (r=0.60; p=0.004) and YLL (r=0.56; p=0.008). By disease-specific subcategories (n=52): DALY (r=0.55; p<0.001), mortality (r=0.54; p <0.001) and YLL (r=0.55; p <0.001). Malignant neoplasms, neuropsychiatric conditions, cardiovascular diseases and infectious and parasitic diseases receive the greater health research funding support. However, the higher funds allocated per DALY lost ratios were for blood and endocrine disorders, infectious and parasitic diseases and congenital anomalies. Conclusion: Our analysis suggests that NHS research funding is positive moderately high-associated with the burden of disease in Spain, although there exists certain disease’s categories that are over or under-funded in relation to their burden generated. In health planning, burden of disease studies contributes with useful information for setting health research priorities.
机译：背景：卡洛斯三世健康研究所（西班牙萨洛德卡洛斯三世研究所）为西班牙国家卫生系统（NHS）中的健康研究支持拨款。本研究旨在分析NHS中卫生研究经费分配与西班牙人口疾病负担之间的相关性。方法：横断面研究。计算了疾病负担：残疾调整生命年（DALYs），生命损失年限（YLLs）和死因死亡率。相关分析（Spearman磗Rho）用于检验这些措施与2006/2007年卫生研究经费之间的关联。结果：使用疾病类别（n = 21），资金与疾病负担措施之间的相关性为：DALY（r = 0.72; p <0.001），死亡率（r = 0.60; p = 0.004）和YLL（r = 0.56）; p = 0.008）。按疾病特定的子类别（n = 52）：DALY（r = 0.55; p <0.001），死亡率（r = 0.54; p <0.001）和YLL（r = 0.55; p <0.001）。恶性肿瘤，神经精神疾病，心血管疾病以及传染性和寄生虫性疾病获得了更大的卫生研究资金支持。但是，按DALY损失率分配的较高资金用于血液和内分泌失调，传染病和寄生虫病以及先天性异常。结论：我们的分析表明，尽管某些疾病类别相对于其负担产生的资金过高或不足，但NHS研究经费与西班牙的疾病负担呈正相关。在健康计划中，疾病研究负担有助于确定健康研究重点的有用信息。

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