Health services research (HSR) conducted in low- and middle-income countries (LMICs) is not so different than HSR conducted in any other environment. The usual concerns hold: the importance of the research question, appropriateness of research design, sampling and data quality, analytic plan and execution, evidence-based conclusions, balanced reporting, and resources to support rigorous inquiry. But differences lie in the unique cultural, geographic, and financial constraints and extensive unmet need among LMICs, which underscore the importance of advance planning, optimization of resource use, and rigorous periodic assessment.
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Morris AM, Lee CN. Common Issues in the Unique Environment of Global Surgical Health Services Research. JAMA Surg. 2018;153(11):979–980. doi:10.1001/jamasurg.2018.1981
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