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      Challenges and Opportunities of US and Arab Collaborations in Health Services Research: A Case Study from Qatar

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          Abstract

          Economic globalization and advances in technology have made it more feasible and even necessary to develop international research collaborations in global public health. Historically, collaborations in global research described in the literature have been mostly “North-South” collaborations in which the more developed “North” country works together with a developing “South” country to conduct research in the latter. This type of collaboration has for the most part, represented unequal partnership and rarely left behind a lasting impact. Recently, the opportunity for a new kind of international research partnership has emerged in which the host country has significant financial resources, but relatively limited expertise in research methodology or techniques and research implementation. This type of collaboration features a relative equalization of power between the international partners. The purpose of this paper is to describe the process of building a successful research collaboration between a team in the United States and a team in Qatar, a rich Arabic nation in Gulf. We present a case study that provides an overview of our own project focused on the development of a culturally and linguistically adapted health care quality instrument for Qatar, discussing many of the benefits and challenges we encountered during each phase of instrument development. We present recommendations for researchers seeking sustainable and equitable partnerships with the Arab World.

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          Ethical and scientific implications of the globalization of clinical research.

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            Arab nations lagging behind other Middle Eastern countries in biomedical research: a comparative study

            Background Analysis of biomedical research and publications in a country or group of countries is used to monitor research progress and trends. This study aims to assess the performance of biomedical research in the Arab world during 2001–2005 and to compare it with other Middle Eastern non-Arab countries. Methods PubMed and Science Citation Index Expanded (SCI-expanded) were searched systematically for the original biomedical research publications and their citation frequencies of 16 Arab nations and three non-Arab Middle Eastern countries (Iran, Israel and Turkey), all of which are classified as middle or high income countries. Results The 16 Arab countries together have 5775 and 14,374 original research articles listed by PubMed and SCI-expanded, respectively, significantly less (p < 0.001) than the other three Middle Eastern countries (25,643 and 49,110). The Arab countries also scored less when the data were normalized to population, gross domestic product (GDP), and GDP/capita. The publications from the Arab countries also have a significantly lower (p < 0.001) citation frequency. Conclusion The Arab world is producing fewer biomedical publications of lower quality than other Middle Eastern countries. Studies are needed to clarify the causes and to propose strategies to improve the biomedical research status in Arab countries.
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              Being global in public health practice and research: complementary competencies are needed.

              Different sets of competencies in public health, global health and research have recently emerged, including the Core Competencies for Public Health in Canada (CCPHC). Within this context, we believe it is important to articulate competencies for globalhealth practitioners-educators and researchers that are in addition to those outlined in the CCPHC. In global health, we require knowledge and skills regarding: north-south power dynamics, linkages between local and global health problems, and the roles of international organizations. We must be able to work responsibly in low-resource settings, foster self-determination in a world rife with power differentials, and engage in dialogue with stakeholders globally. Skills in cross-cultural communication and the ability to critically self-reflect on one's own social location within the global context are essential. Those in global health must be committed to improving health equity through global systems changes and be willing to be mentored and to mentor others across borders. We call for dialogue on these competencies and for development of ways to assess both their demonstration in academic settings and their performance in global health practice and research.
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                Author and article information

                Journal
                Glob J Health Sci
                Glob J Health Sci
                Global Journal of Health Science
                Canadian Center of Science and Education (Canada )
                1916-9736
                1916-9744
                November 2012
                25 September 2012
                : 4
                : 6
                : 148-159
                Affiliations
                [1 ]Department of Obstetrics and Gynecology, University of Michigan Medical School, United States
                [2 ]The Center for Cultural Competence in Healthcare, Weill Cornell Medical College in Qatar, Qatar
                [3 ]Department of Pediatrics, Weill Cornell Medical College in Qatar, Qatar
                [4 ]School of Public Health, University of Michigan, United States
                [5 ]School of Social Work, University of Michigan, United States
                [6 ]Program on Medicine & Religion/Faculty, University of Chicago, United States
                [7 ]Department of Medical Education, Hamad Medical Corporation, Qatar
                [8 ]Department of Medical Statistics and Epidemiology, Hamad Medical Corporation, Qatar
                [9 ]Department of Family Medicine, University of Michigan Medical School, United States
                Author notes
                Correspondence: Maya M. Hammoud, Associate Professor of Obstetrics and Gynecology and Medical Education, Associate Chair and Director of Middle Eastern Women’s Health Program, University of Michigan Medical School, United States. Tel: 734-936-3110. E-mail: immaya@ 123456med.umich.edu
                Article
                GJHS-4-148
                10.5539/gjhs.v4n6p148
                4776968
                23121751
                5f832aa2-4c7a-416f-bd1e-64247f6f57be
                Copyright: © Canadian Center of Science and Education

                This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 21 August 2012
                : 09 September 2012
                Categories
                Articles

                international collaborations,global partnerships,international research,health care quality,cultural adaptations

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