ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 222
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Global primary care research publications, disparities
and correlates
Dr Diego Garcia-Huidobro1,2, Joaquin Fernandez1, Paulina Rojas1, Shailey Prasad2
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Department of Family Medicine, Pontificia Universidad Catolica de Chile, 2Department of Family
Medicine and Community Health, University of Minnesota
Background
Primary care research (PCR) is fundamental for advancing primary and community medicine. As
primary care implementation differs between regions, PCR needs to be locally relevant. If not local,
might not be relevant, and therefore not applicable, and useful. Although certain PCR priorities have
been identified, there is no map describing PCR across regions to support global PCR priority setting.
Purpose
To map PCR, identify disparities between countries, and explore potential correlates.
Methods
Retrospective ecological study. Primary care publications were extracted from PubMed for each
country indexed in the World Bank list of countries. Using MeSH terms for countries and primary
care services, annual counts of publications were extracted from database creation until 31
December 2022. Health, nutrition, and population statistics data from the World Bank were used
to study correlates of primary care publications, including demographic, economic, primary care
implementation and health workforce indicators. Trends in publications were compared between
regions using multilevel mixed-effects generalised regression models with negative binomial
distribution to account for the over-dispersion of publications between countries. Incidence risk ratios
(IRRs) and 95% confidence intervals (95% CI) for each subgroup were estimated.
Results
In all, 159,880 publications were identified, most being published since 2008 (51.8%); 63.6% of
publications came from four nations: US, UK, Australia and Canada. High-income countries produced
88.8% of all publications, while middle- and low-income nations produced 10.2% and 1.0%,
respectively. In addition, large within-group differences were identified (P < 0.001). The total number of
publications for each country was independently associated with the country’s region, universal health
coverage index and the number of nurses per 1000 people.
Conclusion
Mapping PCR enabled identifying where primary care knowledge comes from, the existing disparities
between and within regions and economic groups, and correlates. This map can support global PCR
priority setting.
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