印度的医学研究:让我们填补漏洞!

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Maninder Ahuja, Yashodhara Pradeep
{"title":"印度的医学研究:让我们填补漏洞!","authors":"Maninder Ahuja, Yashodhara Pradeep","doi":"10.4103/jmh.jmh_158_23","DOIUrl":null,"url":null,"abstract":"The health-care system across India has witnessed a phenomenal change during the past few decades. Besides these improvements, it is time to lay more importance on applied research for increasing the technological advancements in our field. Discussion about clinical research in India brings out a picture of octopus with many tentacles, with a plethora of challenges and roadblocks. Unfortunately, our research topics greatly lack innovations in technological advancements when compared to the West. Paradoxically, Indian scientists are doing great work outside the country! To understand the scope of research, let us first ponder on why do we need research, how to do meaningful research, and how to implement them in the practical scenario. India represents 17.5% of the world’s population but conducts only 1.4% of global clinical research (calculated for the period of August 7, 2011, to August 6, 2012).[1] In contrast to the West, clinical research is a relatively recent enterprise for the Indian society. The picture is more dismal because of the fact that India is a land that witnessed one of the most ancient and flourishing civilizations in the world. It has a rich cultural as well as scientific heritage. A multitude of medical systems developed in India, including Naturopathy, Siddha, and Unani, although Ayurveda dominated the Indian medical system for eras. Ayurveda is a part of the Atharva-Veda and means “Science of Life.”[2,3] After being suppressed by the tyrannical British empire for over two centuries, we lost our system of traditional medicine. The British rule brought in Allopathic system of modern medicine in the country. Medical research has evolved, from individual expert-described opinions and techniques, to scientifically designed methodology-based studies. Evidence-based medicine was established to re-evaluate medical facts and remove various myths in clinical practice. Research methodology is now protocol based with predefined steps.[4,5] We are evidencing increases in life expectancy and that goes hand in hand with revolutionizing research and its impacts on health-care system. Our aim is to reduce morbidity and increase health-adjusted life years (HALYs) and reduce years of life lost to disability. For a healthy health-care system to develop, we need clinical research which can be applied for decision-making by policy planners for implementation of strategies. The health-care structure throughout the world has observed a major revolution with technological progresses. The augmented longevity of the humankind today has been the consequence of decades of global medical research, ensuing in developments in diagnosis and management. Globally, life expectancy has increased by more than 6 years between 2000 and 2019 – from 66.8 years in 2000 to 73.4 years in 2019.[6] Healthy life expectancy (HALE) has also increased from 58.3 years in 2000 to 63.7 years in 2019, and this was due to declining mortality rather than reduced years lived with disability. In other words, the increase in HALE (5.4 years) has not kept pace with the increase in life expectancy (6.6 years) 1.2 years are lived with disability.[6] This further insists that we need clinical research to convert longevity to HALYs. LET US LOOK INTO THE HIERARCHY OF RESEARCH AND WHAT ARE THE CHALLENGES TO RESEARCH IN INDIA A critical analytical thinking is of foremost importance which would always thirst for inquiry and research. This instinct is killed by our educational and hierarchical system where we just believe in didactic learning through expert opinions of our guides and professors. We do not need guides who would feed us the results they had obtained but it is high time to search for mentors who would ignite and support innovative thought processes.[7,8] The prevailing strong hierarchical and authoritative setup in medical institutions is detrimental to the zeal of young and proficient faculty who desire to go beyond the conventional health care. A healthy academic and productive environment stipulates equal contribution, incentives, and prospects for research. BUT WHERE WE STAND IN RELATION TO AVAILABLE RESEARCH FUNDS? There is a need to strengthen research capacity in developing countries to redress the “10/90” gap – that only 10% of all global health research funding is being allocated to 90% of the world’s burden of preventable mortality.[7] Despite the enormous disease burden in developing countries, research is often viewed as an expenditure rather than an investment. Our two premier institutions – All India Institute of Medical Sciences (AIIMS) and University College of Medical Sciences (UCMS), New Delhi – are plagued by the same issues, and in an article by Alamdari et al., the authors have expounded on our challenges and obstacles and explored the barriers to research among faculty at AIIMS, New Delhi, and compared them with UCMS, New Delhi.[4] Shortage of time, busy clinical, laboratory, and service schedules, shortage of necessary equipment, lack of familiarity with statistical methodology, limited training, and experience in data analysis are a few problems ailing these premier institutions. To top that all are added hurdles of poor internal and external financial support, limited access to workshops on writing grant applications, inequitable release time from teaching responsibilities, and difficulty in maintaining equipment were recognized as important barriers to research at both institutions. They suggested that preparing adequate financial support, utilizing available financial resources, reducing nonessential clinical, laboratory, and service obligations, and providing good and relevant statistical courses and workshops would go a long way to support research. Further, they can be given a supporting milieu by consulting processes, training programs, and appropriate staff at institutions to implement grants which can help to develop productive faculty members and enhance research capability at medical institutions in India.[7] A bibliometric analysis by an Elsevier publication found that India’s major contribution to the scientific world has been in the field of chemistry (38%) while input from health sciences (3.5%) and medical specialties (4.3%) was relatively low. The poor performance of medical research, however, has more serious repercussions since it directly affects the health of people and therefore of the nation. Obviously, we need to ensure quality medical research on a much larger scale. More than rules and regulations, what we really need to achieve these goals include: Commitment and passion, rather than compulsion, for research and innovation combined with necessary mentoring, Bidirectional interactive and integrative environment that promotes and sustains collaboration between clinical and basic scientists on the one hand and the technologists on the other, who can convert innovative findings into usable technology for affordable health care, Good training of medical students in clinical research, especially for those who are inquisitive and research oriented Adequate independence of doing research to take their discovery to masses.[2] The American Government established the National Institutes of Health (NIH) to promote research after the Second World War, and today, the budget of NIH is more than the national budget of many countries. The hegemony in research made America a true superpower in a short span. India should have its own priorities of research which are very relevant to our problems, such as anemia, metabolic syndrome, cervical and head-and-neck cancers, and obesity. It is high time for India to gear up and push all our researchers to the maximum of their ability. The quality and quantity of methodical and pertinent research need to be scaled up. The education in research should start at the undergraduate level. The Government should ensure enough resources for training and conduction of research. Hand-holding by mentoring is a key to shape future researchers. We may try innovative approaches like RRCs and amending the rules by NMC that restrict the optimal use of resources. Future beckons to us with new hope as Government of India is focused on integrating Ayush system in National Health ecosystem and that got a boost in the Budget 2023-24 presented by Finance Minister Nirmala Sitharaman. The total allocation of budget to Ayush Ministry has increased by 20% to Rs. 3647 crores. LET US PLUG THE HOLES Research should start from the undergraduate level and be part of postgraduate and postdoctoral courses, proper training, and upgradation of mentors and time distribution for clinical practice should be allocated according to the commitment required, funding from national and international agencies, and proper remuneration for research and researchers. Good quality research is imperative to produce indigenous and original data to address public health problems within the country. Digitization has a great role to play. Encouraging electronic medical records with data entry operators, involving data analysts is the way forward to capture data and aid research. Priority topics of research required for health should be decided by central agencies like ICMR and same topics to be given to many institutions for research, teaching as well as private sector. This would result in large number of data collection which would be statistically relevant to implement and formulate new policies and improve on old guidelines for health care services. All the editors of reputed journals can give their inputs, and all professional organizations can also collaborate and make research a priority. CONCLUSION To help in research in this issue of JMH, we have maximum number of original articles and original research in India on various topics. Subjects of manuscripts vary from new drugs to genetics of cancers, metabolic and psychological problems, rehabilitation, prevention, endocrinology, alternative therapies, sexuality, role of alternative therapies, and role of new technology lasers and energy sources in menopause. Welcome to learn and contribute. We are proud to be PubMed and SCOPUS indexed and have an impact factor of more than 1 now and have citation of many articles more than 100. We need larger national database studies.","PeriodicalId":37717,"journal":{"name":"Journal of Mid-life Health","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Medical Research in India: Let Us Plug the Holes!\",\"authors\":\"Maninder Ahuja, Yashodhara Pradeep\",\"doi\":\"10.4103/jmh.jmh_158_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The health-care system across India has witnessed a phenomenal change during the past few decades. Besides these improvements, it is time to lay more importance on applied research for increasing the technological advancements in our field. Discussion about clinical research in India brings out a picture of octopus with many tentacles, with a plethora of challenges and roadblocks. Unfortunately, our research topics greatly lack innovations in technological advancements when compared to the West. Paradoxically, Indian scientists are doing great work outside the country! To understand the scope of research, let us first ponder on why do we need research, how to do meaningful research, and how to implement them in the practical scenario. India represents 17.5% of the world’s population but conducts only 1.4% of global clinical research (calculated for the period of August 7, 2011, to August 6, 2012).[1] In contrast to the West, clinical research is a relatively recent enterprise for the Indian society. The picture is more dismal because of the fact that India is a land that witnessed one of the most ancient and flourishing civilizations in the world. It has a rich cultural as well as scientific heritage. A multitude of medical systems developed in India, including Naturopathy, Siddha, and Unani, although Ayurveda dominated the Indian medical system for eras. Ayurveda is a part of the Atharva-Veda and means “Science of Life.”[2,3] After being suppressed by the tyrannical British empire for over two centuries, we lost our system of traditional medicine. The British rule brought in Allopathic system of modern medicine in the country. Medical research has evolved, from individual expert-described opinions and techniques, to scientifically designed methodology-based studies. Evidence-based medicine was established to re-evaluate medical facts and remove various myths in clinical practice. Research methodology is now protocol based with predefined steps.[4,5] We are evidencing increases in life expectancy and that goes hand in hand with revolutionizing research and its impacts on health-care system. Our aim is to reduce morbidity and increase health-adjusted life years (HALYs) and reduce years of life lost to disability. For a healthy health-care system to develop, we need clinical research which can be applied for decision-making by policy planners for implementation of strategies. The health-care structure throughout the world has observed a major revolution with technological progresses. The augmented longevity of the humankind today has been the consequence of decades of global medical research, ensuing in developments in diagnosis and management. Globally, life expectancy has increased by more than 6 years between 2000 and 2019 – from 66.8 years in 2000 to 73.4 years in 2019.[6] Healthy life expectancy (HALE) has also increased from 58.3 years in 2000 to 63.7 years in 2019, and this was due to declining mortality rather than reduced years lived with disability. In other words, the increase in HALE (5.4 years) has not kept pace with the increase in life expectancy (6.6 years) 1.2 years are lived with disability.[6] This further insists that we need clinical research to convert longevity to HALYs. LET US LOOK INTO THE HIERARCHY OF RESEARCH AND WHAT ARE THE CHALLENGES TO RESEARCH IN INDIA A critical analytical thinking is of foremost importance which would always thirst for inquiry and research. This instinct is killed by our educational and hierarchical system where we just believe in didactic learning through expert opinions of our guides and professors. We do not need guides who would feed us the results they had obtained but it is high time to search for mentors who would ignite and support innovative thought processes.[7,8] The prevailing strong hierarchical and authoritative setup in medical institutions is detrimental to the zeal of young and proficient faculty who desire to go beyond the conventional health care. A healthy academic and productive environment stipulates equal contribution, incentives, and prospects for research. BUT WHERE WE STAND IN RELATION TO AVAILABLE RESEARCH FUNDS? There is a need to strengthen research capacity in developing countries to redress the “10/90” gap – that only 10% of all global health research funding is being allocated to 90% of the world’s burden of preventable mortality.[7] Despite the enormous disease burden in developing countries, research is often viewed as an expenditure rather than an investment. Our two premier institutions – All India Institute of Medical Sciences (AIIMS) and University College of Medical Sciences (UCMS), New Delhi – are plagued by the same issues, and in an article by Alamdari et al., the authors have expounded on our challenges and obstacles and explored the barriers to research among faculty at AIIMS, New Delhi, and compared them with UCMS, New Delhi.[4] Shortage of time, busy clinical, laboratory, and service schedules, shortage of necessary equipment, lack of familiarity with statistical methodology, limited training, and experience in data analysis are a few problems ailing these premier institutions. To top that all are added hurdles of poor internal and external financial support, limited access to workshops on writing grant applications, inequitable release time from teaching responsibilities, and difficulty in maintaining equipment were recognized as important barriers to research at both institutions. They suggested that preparing adequate financial support, utilizing available financial resources, reducing nonessential clinical, laboratory, and service obligations, and providing good and relevant statistical courses and workshops would go a long way to support research. Further, they can be given a supporting milieu by consulting processes, training programs, and appropriate staff at institutions to implement grants which can help to develop productive faculty members and enhance research capability at medical institutions in India.[7] A bibliometric analysis by an Elsevier publication found that India’s major contribution to the scientific world has been in the field of chemistry (38%) while input from health sciences (3.5%) and medical specialties (4.3%) was relatively low. The poor performance of medical research, however, has more serious repercussions since it directly affects the health of people and therefore of the nation. Obviously, we need to ensure quality medical research on a much larger scale. More than rules and regulations, what we really need to achieve these goals include: Commitment and passion, rather than compulsion, for research and innovation combined with necessary mentoring, Bidirectional interactive and integrative environment that promotes and sustains collaboration between clinical and basic scientists on the one hand and the technologists on the other, who can convert innovative findings into usable technology for affordable health care, Good training of medical students in clinical research, especially for those who are inquisitive and research oriented Adequate independence of doing research to take their discovery to masses.[2] The American Government established the National Institutes of Health (NIH) to promote research after the Second World War, and today, the budget of NIH is more than the national budget of many countries. The hegemony in research made America a true superpower in a short span. India should have its own priorities of research which are very relevant to our problems, such as anemia, metabolic syndrome, cervical and head-and-neck cancers, and obesity. It is high time for India to gear up and push all our researchers to the maximum of their ability. The quality and quantity of methodical and pertinent research need to be scaled up. The education in research should start at the undergraduate level. The Government should ensure enough resources for training and conduction of research. Hand-holding by mentoring is a key to shape future researchers. We may try innovative approaches like RRCs and amending the rules by NMC that restrict the optimal use of resources. Future beckons to us with new hope as Government of India is focused on integrating Ayush system in National Health ecosystem and that got a boost in the Budget 2023-24 presented by Finance Minister Nirmala Sitharaman. The total allocation of budget to Ayush Ministry has increased by 20% to Rs. 3647 crores. LET US PLUG THE HOLES Research should start from the undergraduate level and be part of postgraduate and postdoctoral courses, proper training, and upgradation of mentors and time distribution for clinical practice should be allocated according to the commitment required, funding from national and international agencies, and proper remuneration for research and researchers. Good quality research is imperative to produce indigenous and original data to address public health problems within the country. Digitization has a great role to play. Encouraging electronic medical records with data entry operators, involving data analysts is the way forward to capture data and aid research. Priority topics of research required for health should be decided by central agencies like ICMR and same topics to be given to many institutions for research, teaching as well as private sector. This would result in large number of data collection which would be statistically relevant to implement and formulate new policies and improve on old guidelines for health care services. All the editors of reputed journals can give their inputs, and all professional organizations can also collaborate and make research a priority. CONCLUSION To help in research in this issue of JMH, we have maximum number of original articles and original research in India on various topics. Subjects of manuscripts vary from new drugs to genetics of cancers, metabolic and psychological problems, rehabilitation, prevention, endocrinology, alternative therapies, sexuality, role of alternative therapies, and role of new technology lasers and energy sources in menopause. Welcome to learn and contribute. We are proud to be PubMed and SCOPUS indexed and have an impact factor of more than 1 now and have citation of many articles more than 100. We need larger national database studies.\",\"PeriodicalId\":37717,\"journal\":{\"name\":\"Journal of Mid-life Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Mid-life Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jmh.jmh_158_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Mid-life Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jmh.jmh_158_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

[4]时间短缺,临床、实验室和服务安排繁忙,缺乏必要的设备,不熟悉统计方法,培训有限,缺乏数据分析经验是困扰这些主要机构的几个问题。最重要的是,内部和外部的财政支持不足、参与撰写拨款申请的研讨会的机会有限、教学职责的空闲时间不公平、设备维护困难等障碍都被认为是这两个机构进行研究的重要障碍。他们建议,准备充足的财政支持,利用现有的财政资源,减少非必要的临床、实验室和服务义务,以及提供良好和相关的统计课程和讲习班,将大大有助于支持研究。此外,他们可以通过咨询流程、培训计划和适当的机构工作人员来获得一个支持性的环境,以实施赠款,这可以帮助培养富有成效的教师,提高印度医疗机构的研究能力。[7]爱思唯尔一份出版物的文献计量学分析发现,印度对科学界的主要贡献一直在化学领域(38%),而健康科学(3.5%)和医学专业(4.3%)的投入相对较低。然而,医学研究的不良表现有更严重的影响,因为它直接影响到人们的健康,从而影响到国家。显然,我们需要确保更大规模的高质量医学研究。除了规章制度,我们真正需要实现这些目标的包括:对研究和创新的承诺和热情,而不是强迫,加上必要的指导;促进和维持临床和基础科学家与技术人员之间合作的双向互动和综合环境,技术人员可以将创新发现转化为可负担得起的医疗保健的可用技术;在临床研究方面对医学生进行良好的培训;特别是对那些有好奇心和以研究为导向的人来说,有足够的独立性去做研究,把他们的发现带给大众。[2]美国政府在第二次世界大战后建立了国家卫生研究院(NIH),以促进研究,今天,NIH的预算超过了许多国家的国家预算。研究领域的霸权使美国在短时间内成为真正的超级大国。印度应该有自己的研究重点,这与我们的问题非常相关,例如贫血、代谢综合征、宫颈癌和头颈癌以及肥胖。印度是时候做好准备,让我们所有的研究人员发挥出最大的能力了。需要提高系统和相关研究的质量和数量。科研教育应从本科阶段开始。政府应确保有足够的资源进行培训和研究。导师的手把手是塑造未来研究人员的关键。我们可以尝试创新的方法,如rrc和NMC修改规则,限制资源的最佳利用。随着印度政府专注于将Ayush系统整合到国家卫生生态系统中,未来向我们招手,带来了新的希望,这在财政部长Nirmala Sitharaman提出的2023-24年预算中得到了推动。阿尤什省的预算拨款总额增加了20%,达到364.7亿卢比。研究应该从本科阶段开始,成为研究生和博士后课程的一部分,适当的培训和导师的升级,临床实践的时间分配应该根据所需的承诺、国家和国际机构的资助、以及对研究和研究人员的适当报酬来分配。高质量的研究是产生本地和原始数据以解决国内公共卫生问题的必要条件。数字化将发挥巨大的作用。鼓励有数据录入操作员的电子病历,让数据分析人员参与进来,是获取数据和帮助研究的前进方向。卫生所需研究的优先主题应由ICMR等中央机构决定,并应向许多研究机构、教学机构和私营部门提供相同的主题。这将导致大量数据的收集,这些数据将在统计上与执行和制定新的政策以及改进旧的保健服务准则有关。所有知名期刊的编辑都可以提供他们的意见,所有专业组织也可以合作并优先考虑研究。为了帮助这期《JMH》的研究,我们在印度有最多的关于各种主题的原创文章和原创研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Research in India: Let Us Plug the Holes!
The health-care system across India has witnessed a phenomenal change during the past few decades. Besides these improvements, it is time to lay more importance on applied research for increasing the technological advancements in our field. Discussion about clinical research in India brings out a picture of octopus with many tentacles, with a plethora of challenges and roadblocks. Unfortunately, our research topics greatly lack innovations in technological advancements when compared to the West. Paradoxically, Indian scientists are doing great work outside the country! To understand the scope of research, let us first ponder on why do we need research, how to do meaningful research, and how to implement them in the practical scenario. India represents 17.5% of the world’s population but conducts only 1.4% of global clinical research (calculated for the period of August 7, 2011, to August 6, 2012).[1] In contrast to the West, clinical research is a relatively recent enterprise for the Indian society. The picture is more dismal because of the fact that India is a land that witnessed one of the most ancient and flourishing civilizations in the world. It has a rich cultural as well as scientific heritage. A multitude of medical systems developed in India, including Naturopathy, Siddha, and Unani, although Ayurveda dominated the Indian medical system for eras. Ayurveda is a part of the Atharva-Veda and means “Science of Life.”[2,3] After being suppressed by the tyrannical British empire for over two centuries, we lost our system of traditional medicine. The British rule brought in Allopathic system of modern medicine in the country. Medical research has evolved, from individual expert-described opinions and techniques, to scientifically designed methodology-based studies. Evidence-based medicine was established to re-evaluate medical facts and remove various myths in clinical practice. Research methodology is now protocol based with predefined steps.[4,5] We are evidencing increases in life expectancy and that goes hand in hand with revolutionizing research and its impacts on health-care system. Our aim is to reduce morbidity and increase health-adjusted life years (HALYs) and reduce years of life lost to disability. For a healthy health-care system to develop, we need clinical research which can be applied for decision-making by policy planners for implementation of strategies. The health-care structure throughout the world has observed a major revolution with technological progresses. The augmented longevity of the humankind today has been the consequence of decades of global medical research, ensuing in developments in diagnosis and management. Globally, life expectancy has increased by more than 6 years between 2000 and 2019 – from 66.8 years in 2000 to 73.4 years in 2019.[6] Healthy life expectancy (HALE) has also increased from 58.3 years in 2000 to 63.7 years in 2019, and this was due to declining mortality rather than reduced years lived with disability. In other words, the increase in HALE (5.4 years) has not kept pace with the increase in life expectancy (6.6 years) 1.2 years are lived with disability.[6] This further insists that we need clinical research to convert longevity to HALYs. LET US LOOK INTO THE HIERARCHY OF RESEARCH AND WHAT ARE THE CHALLENGES TO RESEARCH IN INDIA A critical analytical thinking is of foremost importance which would always thirst for inquiry and research. This instinct is killed by our educational and hierarchical system where we just believe in didactic learning through expert opinions of our guides and professors. We do not need guides who would feed us the results they had obtained but it is high time to search for mentors who would ignite and support innovative thought processes.[7,8] The prevailing strong hierarchical and authoritative setup in medical institutions is detrimental to the zeal of young and proficient faculty who desire to go beyond the conventional health care. A healthy academic and productive environment stipulates equal contribution, incentives, and prospects for research. BUT WHERE WE STAND IN RELATION TO AVAILABLE RESEARCH FUNDS? There is a need to strengthen research capacity in developing countries to redress the “10/90” gap – that only 10% of all global health research funding is being allocated to 90% of the world’s burden of preventable mortality.[7] Despite the enormous disease burden in developing countries, research is often viewed as an expenditure rather than an investment. Our two premier institutions – All India Institute of Medical Sciences (AIIMS) and University College of Medical Sciences (UCMS), New Delhi – are plagued by the same issues, and in an article by Alamdari et al., the authors have expounded on our challenges and obstacles and explored the barriers to research among faculty at AIIMS, New Delhi, and compared them with UCMS, New Delhi.[4] Shortage of time, busy clinical, laboratory, and service schedules, shortage of necessary equipment, lack of familiarity with statistical methodology, limited training, and experience in data analysis are a few problems ailing these premier institutions. To top that all are added hurdles of poor internal and external financial support, limited access to workshops on writing grant applications, inequitable release time from teaching responsibilities, and difficulty in maintaining equipment were recognized as important barriers to research at both institutions. They suggested that preparing adequate financial support, utilizing available financial resources, reducing nonessential clinical, laboratory, and service obligations, and providing good and relevant statistical courses and workshops would go a long way to support research. Further, they can be given a supporting milieu by consulting processes, training programs, and appropriate staff at institutions to implement grants which can help to develop productive faculty members and enhance research capability at medical institutions in India.[7] A bibliometric analysis by an Elsevier publication found that India’s major contribution to the scientific world has been in the field of chemistry (38%) while input from health sciences (3.5%) and medical specialties (4.3%) was relatively low. The poor performance of medical research, however, has more serious repercussions since it directly affects the health of people and therefore of the nation. Obviously, we need to ensure quality medical research on a much larger scale. More than rules and regulations, what we really need to achieve these goals include: Commitment and passion, rather than compulsion, for research and innovation combined with necessary mentoring, Bidirectional interactive and integrative environment that promotes and sustains collaboration between clinical and basic scientists on the one hand and the technologists on the other, who can convert innovative findings into usable technology for affordable health care, Good training of medical students in clinical research, especially for those who are inquisitive and research oriented Adequate independence of doing research to take their discovery to masses.[2] The American Government established the National Institutes of Health (NIH) to promote research after the Second World War, and today, the budget of NIH is more than the national budget of many countries. The hegemony in research made America a true superpower in a short span. India should have its own priorities of research which are very relevant to our problems, such as anemia, metabolic syndrome, cervical and head-and-neck cancers, and obesity. It is high time for India to gear up and push all our researchers to the maximum of their ability. The quality and quantity of methodical and pertinent research need to be scaled up. The education in research should start at the undergraduate level. The Government should ensure enough resources for training and conduction of research. Hand-holding by mentoring is a key to shape future researchers. We may try innovative approaches like RRCs and amending the rules by NMC that restrict the optimal use of resources. Future beckons to us with new hope as Government of India is focused on integrating Ayush system in National Health ecosystem and that got a boost in the Budget 2023-24 presented by Finance Minister Nirmala Sitharaman. The total allocation of budget to Ayush Ministry has increased by 20% to Rs. 3647 crores. LET US PLUG THE HOLES Research should start from the undergraduate level and be part of postgraduate and postdoctoral courses, proper training, and upgradation of mentors and time distribution for clinical practice should be allocated according to the commitment required, funding from national and international agencies, and proper remuneration for research and researchers. Good quality research is imperative to produce indigenous and original data to address public health problems within the country. Digitization has a great role to play. Encouraging electronic medical records with data entry operators, involving data analysts is the way forward to capture data and aid research. Priority topics of research required for health should be decided by central agencies like ICMR and same topics to be given to many institutions for research, teaching as well as private sector. This would result in large number of data collection which would be statistically relevant to implement and formulate new policies and improve on old guidelines for health care services. All the editors of reputed journals can give their inputs, and all professional organizations can also collaborate and make research a priority. CONCLUSION To help in research in this issue of JMH, we have maximum number of original articles and original research in India on various topics. Subjects of manuscripts vary from new drugs to genetics of cancers, metabolic and psychological problems, rehabilitation, prevention, endocrinology, alternative therapies, sexuality, role of alternative therapies, and role of new technology lasers and energy sources in menopause. Welcome to learn and contribute. We are proud to be PubMed and SCOPUS indexed and have an impact factor of more than 1 now and have citation of many articles more than 100. We need larger national database studies.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信