Objectives: To assess medical research publication output in New South Wale
s (NSW).
Design: Analysis of publication information from the Medline indexing datab
ase, 1993-1906 inclusive.
Setting: Teaching hospitals and affiliated universities and medical researc
h institutes within NSW, the major sites for NSW medical science publicatio
ns.
Major outcome measures: Cumulative number and location of Medline-identifie
d publications; journal citation indices (impact factor and immediacy index
).
Results: 8860 published articles were captured for the analysis period. Uni
versities and hospitals accounted for most of the publications (n= 7755). A
mean of 73.1% (range, 36%-100%) of all articles were published in overseas
journals, and the rest in Australian journals. This average trend applied
to most universities and teaching hospitals, whereas research institutes pu
blished almost exclusively in overseas journals. Average publication impact
factor values for most universities and teaching hospitals were around the
average value for all NSW publications (2.203). The range for teaching hos
pital publications was 1.000-2.823, but for the overseas-publishing medical
research institutes it tended to be higher (2.480-5.423). Immediacy index
data yielded similar findings.
Conclusions: The universities and teaching hospitals account for most of th
e medical publications arising from NSW, and also those appearing in Austra
lian journals. Thus, these sites provide the bulk of Australian medical pra
ctice end-user information. In contrast, the medical institutes concentrate
on publishing in overseas journals with higher and quicker citation rates
(higher impact factor and immediacy index).