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Stroke Research Disparity in Southeast Asia: Socioeconomic Factors, Healthcare Delivery, and Stroke Disease Burden

机译:东南亚中风研究差异:社会经济因素,医疗保健交付和中风疾病负担

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Background: Cerebrovascular disease is the second leading cause of death world-wide and provides a heavy burden of disease in Southeast Asia (SEA). Contribution to the collective knowledge of this disease is necessary to address practice and treatment disparities. There is limited data on research productivity in the region. This study aimed to determine research productivity on stroke and other cerebral and spinal vascular diseases among the SEA countries and determine its relationship with bibliometrics, socioeconomic parameters, healthcare delivery indices, and burden of disease. Methods: A comprehensive literature search was conducted using five major healthcare databases. We included studies published until June 2020 on cerebral and spinal vascular disease with at least one author from SEA. Country-specific socioeconomic parameters, the burden of disease, healthcare delivery indices, and the number of neurologists were collected from international databases and published data. Correlational analysis was done on bibliometric indices and collected data. Results: A total of 2577 articles were included. Singapore had the most publications (n=1095, 42.5%) and citations (PlumX n=16,592, 55.2%; Scopus n=22,351, 56.7%). Gross domestic product per capita, percent gross domestic product for research and development, universal health care effective coverage index overall and for stroke treatment, and the number of neurologists had a positive correlation to bibliometric indices. Conclusions: There is a disparity in stroke research productivity among high-income and low-income countries in SEA. Priority must be given to scientific research output and its role in socioeconomic development and policy formulation.
机译:背景:脑血管疾病是全球第二大死亡原因,在东南亚(SEA)是一个沉重的疾病负担。对该疾病的集体知识的贡献对于解决实践和治疗差异是必要的。关于该地区研究生产率的数据有限。本研究旨在确定海洋国家对中风和其他脑和脊髓血管疾病的研究效率,并确定其与文献计量学、社会经济参数、医疗保健提供指数和疾病负担的关系。方法:使用五大医疗保健数据库进行综合文献检索。我们纳入了至少一位来自SEA的作者在2020年6月之前发表的关于脑和脊髓血管疾病的研究。从国际数据库和公布的数据中收集特定国家的社会经济参数、疾病负担、医疗服务提供指数和神经科医生人数。对文献计量指标和收集的数据进行相关分析。结果:共纳入2577篇文章。新加坡拥有最多的出版物(n=1095,42.5%)和引文(PlumX n=16592,55.2%;Scopus n=22351,56.7%)。人均国内生产总值、用于研发的国内生产总值百分比、整体医疗保健有效覆盖指数和中风治疗的有效覆盖指数,以及神经科医生人数与文献计量指数呈正相关。结论:东南亚高收入国家和低收入国家的中风研究效率存在差异。必须优先重视科学研究成果及其在社会经济发展和政策制定中的作用。

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