The DOI matches its Crossref record; 25 of the 26 references it cites were found in a registry or an index.
Why do Some Countries Publish More Than Others? An International Comparison of Research Funding, English Proficiency and Publication Output in Highly Ranked General Medical Journals
Abstract
National factor(s) influencing publication output in the highest ranked medical journals are largely unknown. We sought to examine the relationship between national research funding and English proficiency on publication output. We identified all original research articles appearing in the five highest ranked general medical journals between 1997 and 2001. Using the country of the corresponding author as the source nation for each article, we determined a standardized publication rate across developed nations. We used multiple regression techniques to determine the influence of national expenditures on research and scores from the Test of English as a Foreign Language (TOEFL), a surrogate for English proficiency, on publication output. There was a significant relationship of national spending on research and TOEFL scores to publication output of developed countries (p = 0.04; p < 0.01, respectively). These two variables explained approximately 71.5% of the variation in publication rate across developed nations around the world (R = 0.85; p < 0.01). Normalized for population size, English-speaking nations and certain northern European countries such as Denmark, The Netherlands, Switzerland, and Sweden had the highest rate of publication in the five highest ranked general medical journals, while Asian countries had generally low rates of publication. Research spending and English proficiency were strongly associated with publication output in the highest ranked general medical…
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“Indeed, several studies relate scientific output to national spending on research and development, the number of universities in a country, GDP, and English proficiency (Man et al. 2004; Meo et al. 2013; Jamjoom and Jamjoom 2016; Mueller 2016).”
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Citations
Cites
Journal impact factor: a brief review.
Garfield, E. (1999) · PubMed · Cited by 744
Rennie, D. (1997) · JAMA · doi:10.1001/jama.278.7.579 · Cited by 685
US and non-US submissions: an analysis of reviewer bias.
Link, A. (1998) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.280.3.246 · Cited by 333
Clinical Research Perceptions, Reality, and Proposed Solutions
Nathan, D. G. (1998) · JAMA · doi:10.1001/jama.280.16.1427 · Cited by 221
Disclosure of Researcher Contributions: A Study of Original Research Articles in The Lancet
Yank, V. A., & Rennie, D. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-130-8-199904200-00013 · Cited by 169
Hoeffel, C. C. (1998) · Allergy · doi:10.1111/j.1398-9995.1998.tb03848.x · Cited by 151
Declining American Representation in Leading Clinical-Research Journals
Stossel, T. P., & Stossel, S. C. (1990) · New England Journal of Medicine · doi:10.1056/nejm199003153221106 · Cited by 87
Geography of biomedical publications in the European Union, 1990-98
Hefler, L., Tempfer, C. M., & Kainz, C. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01278-7 · Cited by 79
The fate of manuscripts rejected by a general medical journal
Ray, J. G., Berkwits, M., & Davidoff, F. (2000) · The American Journal of Medicine · doi:10.1016/s0002-9343(00)00450-2 · Cited by 72
Preventing the Extinction of the Clinical Research Ecosystem
Thompson, J. N. (1997) · JAMA · doi:10.1001/jama.1997.03550030081039 · Cited by 67
Research works printed but not linked: 5
- The Institute for Scientific Information Journal Citation Reports, 2000. Available at http://jcrcoeb.com. Accessed December 19, 2003.
- Quarterly labour force statistics 2000. No. 4. Paris, France: OECD, 2001.
- Organization For Economic Co-Operation and Development. OECD Science, Technology, Industry Scoreboard. Towards a Knowledge-Based Economy. Paris, France: OECD, 2001.
- TOEFL Test and score manual: 1997 Edition. Princeton, NJ: Educational Testing Services, 1997.
- TOEFL: Test and score data summary 1997-1998 Edition. Princeton, NJ: Educational Testing Services, 1998.
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Metadata
- Authors
- Man, J. P., Weinkauf, J. G., Tsang, M., & Sin, J. H. D. D.
- Affiliations
- University of British Columbia (CA)
- University of Alberta (CA)
- ORCID
- Weinkauf, Justin G.
- Venue
- European Journal of Epidemiology
- Published
- 2004-08
- Volume
- 19
- Issue
- 8
- Pages
- 811-817
- ISSN
- 0393-2990 (ISSN-L)
- 1573-7284
- OpenAlex
- W1969225797
- Cited by
- 315
- References
- 26
- Citations by year
- 2026: 15 · 2025: 16 · 2024: 33 · 2023: 17 · 2022: 20 · 2021: 20 · 2020: 11 · 2019: 18 · 2018: 14 · 2017: 13 · 2016: 14 · 2015: 24 · 2014: 10 · 2013: 15 · 2012: 17
- FWCI
- 8.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- European Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Library and Information Sciences › scientometrics and bibliometrics research
- Social Sciences › Library and Information Sciences › Academic Writing and Publishing
- Social Sciences › Library and Information Sciences › Academic Publishing and Open Access
- Keywords
- publication output, research funding, English proficiency, TOEFL scores, medical journals, cross-national comparison, research productivity
- MeSH terms
- Language, Periodicals as Topic, Publishing, Bibliometrics, Biomedical Research, Internationality
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