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"textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with interest the article by González-Albo et al.,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> which was recently published in your journal. We would like to congratulate the authors for the analysis and thank <span class="elsevierStyleSmallCaps">Revista Clínica Española</span> for the opportunity to publish studies regarding the activity of healthcare research institutes (HRIs). However, after a thorough reading, we believe there are a number of issues that might strengthen the article's results.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Almost all HRIs of the Community of Madrid were created in December 2009, and therefore their scientific output began in 2010. If we also consider a margin for stabilizing the groups in the new structure and the consolidation of their scientific output as HRI, we believe that more reliable results could have been obtained if the study had been started in later years.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Moreover, it is worth noting that HRIs have recently worked to promote a “culture” of belonging among researchers towards the HRIs. During 2016 and led by the Complutense and Autonomous Universities of Madrid, a consensus document was developed in the Community of Madrid on the method for referring to the authorship of scientific publications, adapted to each HRI.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a> This document was disseminated among all professionals of the HRIs. We therefore expect that in the coming years the corporate affiliation of authors in the publications will improve, with a consequent increase in the percentage of articles correctly attributed to HRIs.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Lastly, we believe it critical to include in the analysis the activity of research groups external to the hospital, mainly those of the university sector, that might or might not reference their affiliated HRI. These groups can offer a more accurate view of the implementation of the culture of belonging to an HRI. Since they are more distant from the HRI, these groups present, <span class="elsevierStyleItalic">a priori</span>, greater integration difficulties.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Taking into account these considerations would probably offer a more realistic image of the role of HRIs as integrators of biomedical research in Spain.</p></span>"
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