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Analysis of the association between millennium development goals 4

Overview of attention for article published in BMC Public Health, July 2017
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Title
Analysis of the association between millennium development goals 4 & 5 and the physician workforce across international economic strata
Published in
BMC Public Health, July 2017
DOI 10.1186/s12914-017-0126-2
Pubmed ID
Authors

Christopher P. Morley, Dongliang Wang, Emily M. Mader, Kyle P. Plante, Lindsey N. Kingston, Azadeh Rabiei

Abstract

The Millennium Development Goals (MDGs) are 8 international development goals voluntarily adopted by 189 nations. The goals included health related aims to reduce the under-five child mortality rate by two-thirds (MDG4), and to reduce the maternal mortality ratio by three-quarters (MDG5). To assess the relationship between the healthcare workforce and MDGs 4-5, we examined the physician workforces of countries around the globe, in terms of the Physician Density Level (PDL, or number of physicians per 1000 population), and compared this rate across a number of years to several indicator variables specified as markers of progress towards MDG4 and MDG5. Data for each variable of interest were obtained from the World Bank's Millennium Development Goals and World Development Indicators databases for 208 countries and territories from 2004 to 2014, representing a ten-year period for which the most information is available. We analyzed the relationships between MDG outcomes and PDL, controlling for national income levels and other covariates, using linear mixed model regression. Dependent variables were logarithmically transformed to meet assumptions necessary for multivariate analysis. In unadjusted models, an increase of every one physician per 1000 population (one unit change in PDL) lowered the risk of not being vaccinated for measles-mumps-rubella (MMR) to 29.3% (p < 0.001, 95% CI: 22.2%-38.7%) and for not receiving diphtheria-tetanus-pertussis (DTaP) vaccination rate decreased to 38.5% (p < 0.001, 95% CI: 28.7% - 51.7%). Maternal mortality rate decreased to 76.6% (p < 0.001, 95% CI: 74.3% - 79.0%), neonatal mortality decreased to 58.8% (p < 0.001, 95% CI: 54.8% - 63.2%) and under-5 mortality rate decreased to 52.1% (p < 0.001, 95% CI: 48.0% - 56.4%), with every one-unit change in PDL. Adjusted models tended to reflect unadjusted risk assessments. The maintenance and improvement of the health workforce is a vital consideration when assessing how to achieve global development goals related to health outcomes.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 64 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 23%
Student > Ph. D. Student 8 13%
Student > Doctoral Student 5 8%
Researcher 4 6%
Student > Bachelor 3 5%
Other 9 14%
Unknown 20 31%
Readers by discipline Count As %
Medicine and Dentistry 17 27%
Nursing and Health Professions 9 14%
Social Sciences 7 11%
Economics, Econometrics and Finance 2 3%
Pharmacology, Toxicology and Pharmaceutical Science 2 3%
Other 7 11%
Unknown 20 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 August 2017.
All research outputs
#16,725,651
of 25,382,440 outputs
Outputs from BMC Public Health
#12,830
of 17,517 outputs
Outputs of similar age
#197,372
of 325,319 outputs
Outputs of similar age from BMC Public Health
#165
of 199 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 17,517 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.4. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 325,319 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 199 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.