Abstract
S PHERE is a good initiative, comparing public health research production in Europe with the rest of the world as well as between countries within Europe. The initiators and participants of the project are to be congratulated on this news-breaking approach. The project has been conducted with a fairly high level of ambition, and I am impressed with the studies in which public health research publications in Europe have been assessed by country, by gross domestic product, by population and by health needs measured using DALYs. The work acknowledges the limitations of a bibliometric analysis. Such limitations for general conclusions on public health research in Europe are discussed later. I divide my comments into three aspects of the work: methodology of the approach; conclusions drawn; and future research When considering the results of SPHERE we have to be aware of the methodological limitations embedded in the work. Generally recognizing the sound approach of the work, I have chosen to concentrate on criticism and to describe areas either where SPHERE work could be strengthened, or where further work …
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