Health Research Policy and Systems | |
Four centuries on from Bacon: progress in building health research systems to improve health systems? | |
Miguel A González-Block1  Stephen R Hanney2  | |
[1] Universidad Anáhuac, Mexico City, Mexico;Health Economics Research Group, Brunel University London, Uxbridge, UK | |
关键词: World Health Report; Value of medical research; Research to policy; Research impacts; Research capacity; Research agenda setting; Payback framework; Health systems; Health research system; Collaborative approach; | |
Others : 1177321 DOI : 10.1186/1478-4505-12-56 |
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received in 2014-09-08, accepted in 2014-09-08, 发布年份 2014 | |
【 摘 要 】
In 1627, Francis Bacon’s New Atlantis described a utopian society in which an embryonic research system contributed to meeting the needs of the society. In this editorial, we use some of the aspirations described in New Atlantis to provide a context within which to consider recent progress in building health research systems to improve health systems and population health. In particular, we reflect on efforts to build research capacity, link research to policy, identify the wider impacts made by the science, and generally build fully functioning research systems to address the needs identified.
In 2014, Health Research Policy and Systems has continued to publish one-off papers and article collections covering a range of these issues in both high income countries and low- and middle-income countries. Analysis of these contributions, in the context of some earlier ones, is brought together to identify achievements, challenges and possible ways forward. We show how 2014 is likely to be a pivotal year in the development of ways to assess the impact of health research on policies, practice, health systems, population health, and economic benefits.
We demonstrate how the increasing focus on health research systems will contribute to realising the hopes expressed in the World Health Report, 2013, namely that all nations would take a systematic approach to evaluating the outputs and applications resulting from their research investment.
【 授权许可】
2014 Hanney and González-Block; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150429090624818.pdf | 212KB | download |
【 参考文献 】
- [1]Bacon F: New Atlantis. 1627. [http://www.gutenberg.org/files/2434/2434-h/2434-h.htm webcite]
- [2]Ayah R, Jessani N, Mafuta E: Institutional capacity for health systems research in East and Central African schools of public health: knowledge translation and effective communication. Health Res Policy Syst 2014, 12:20.
- [3]Jessani N, Lewy D, Ekirapa-Kiracho E, Bennett S: Institutional capacity for health systems research in East and Central African schools of public health: experiences with a capacity assessment tool. Health Res Policy Syst 2014, 12:21.
- [4]Nangami M, Rugema L, Tebeje B, Mukose A: Institutional capacity for health systems research in East and Central African schools of public health: enhancing capacity to design and implement teaching programs. Health Res Policy Syst 2014, 12:22.
- [5]Simba D, Mukose A, Bazeyo W: Institutional capacity for health systems research in East and Central African Schools of Public Health: strengthening human and financial resources. Health Res Policy Syst 2014, 12:23.
- [6]Cole DC, Boyd A, Aslanyan G, Bates I: Indicators for tracking programmes to strengthen health research capacity in lower- and middle-income countries: a qualitative synthesis. Health Res Policy Syst 2014, 12:17.
- [7]Boyd A, Cole DC, Cho D-B, Aslanyan G, Bates I: Frameworks for evaluating health research capacity strengthening: a qualitative study. Health Res Policy Syst 2013, 11:46.
- [8]Bates I, Boyd A, Smith H, Cole DC: A practical and systematic approach to organisational capacity strengthening in the health sector in Africa. Health Res Policy Syst 2014, 12:11.
- [9]Grudniewicz A, Hedden L, Kromm S, Lavergne R, Menear M, Sivananthan S, for The Canadian Association for Health Services and Policy Research (CAHSPR) Student Working Group: Capacity development in health systems and policy research: a survey of the Canadian context. Health Res Policy Syst 2014, 12:9.
- [10]Lenters LM, Cole DC, Godoy-Ruiz P: Networking among young global health researchers through an intensive training approach: a mixed methods exploratory study. Health Res Policy Syst 2014, 12:5.
- [11]Xue J, Murthy B, Tran NT, Ghaffar A: Goal setting and knowledge generation through health policy and systems research in low-and middle-income countries. Health Res Policy Syst 2014, 12:39.
- [12]Rao KD, Arora R, Ghaffar A: Health systems research in the time of health system reform in India: a review. Health Res Policy Syst 2014, 12:37.
- [13]Hanney SR, Gonzalez-Block MA, Buxton MJ, Kogan M: The utilisation of health research in policy-making: concepts, examples and methods of assessment. Health Res Policy Syst 2003, 1:2.
- [14]Kogan M, Henkel M: Government and Research. The Rothschild Experiment in a Government Department. London: Heinemann; 1983.
- [15]Lavis JN, Oxman AD, Lewin S, Fretheim A: SUPPORT Tools for evidence informed health Policymaking (STP). Health Res Policy Syst 2009, 7(Suppl 1):I1.
- [16]El-Jardali F, Lavis J, Moat K, Pantoja T, Ataya N: Capturing lessons learned from evidence-to-policy initiatives through structured reflection. Health Res Policy Syst 2014, 12:2.
- [17]Milat AJ, King L, Newson R, Wolfenden L, Rissel C, Bauman A, Redman S: Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers. Health Res Policy Syst 2014, 12:18.
- [18]Kok MO, Schuit AJ: Contribution mapping: a method for mapping the contribution of research to enhance its impact. Health Res Policy Syst 2012, 10:21.
- [19]Hegger I, Janssen SWJ, Keijsers JFEM, Schuit AJ, van Oers HAM: Analyzing the contributions of a government-commissioned research project: a case study. Health Res Policy Syst 2014, 12:8.
- [20]Oliver K, Lorenc T, Innvær S: New directions in evidence-based policy research: a critical analysis of the literature. Health Res Policy Syst 2014, 12:34.
- [21]Oliver K, Innvær S, Lorenc T, Woodman J, Thomas J: A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res 2014, 14:2.
- [22]Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy 2002, 7:239-244.
- [23]Higher Education Funding Council for England (HEFCE): Memorandum submitted by the Higher Education Funding Council for England. In The Impact of Spending Cuts on Science and Scientific Research. Sixth Report of Session 2009-10. Volume 11: Oral and Written Evidence. Volume 11. London: The Stationery Office Limited; 2010. [House of Commons Science and Technology Committee. HC 335-11]
- [24]World Health Organization: The World Health Report 2013: Research for Universal Health Coverage. Geneva: WHO; 2013.
- [25]Health Economics Research Group: Medical Research: What’s It Worth. Estimating the Economic Value of Medical Research in the UK. London: UK Evaluation Forum; 2008.
- [26]Funding First: Exceptional Returns. The Economic Value of America’s Investment in Medical Research. New York: Albert & Mary Lasker Foundation; 2000.
- [27]Access Economics: Exceptional Returns: The Value of Investing in Health R&D in Australia II. Canberra: Access Economics; 2008. [http://www.asmr.org.au/ExceptII08.pdf webcite]
- [28]Johnston SC, Rootenberg JD, Katrak S, Smith WS, Elkins JS: Effect of a US National Institutes of Health programme of clinical trials on public health and costs. Lancet 2006, 367:1319-1327.
- [29]Buxton M, Hanney S: How can payback from health services research be assessed? J Health Serv Res Policy 1996, 1:35-43.
- [30]Hanney SR, Grant J, Wooding S, Buxton MJ: Proposed methods for reviewing the outcomes of health research: the impact of funding by the UK’s Arthritis Research Campaign. Health Res Policy Syst 2004, 2:4.
- [31]Banzi R, Moja L, Pistotti V, Facchini A, Liberati A: Conceptual frameworks and empirical approaches used to assess the impact of health research: an overview of reviews. Health Res Policy Syst 2011, 9:26.
- [32]Yazdizadeh B, Majdzadeh R, Salmasian H: Systematic review of methods for evaluating healthcare research economic impact. Health Res Policy Syst 2010, 8:6.
- [33]Kalucy EC, Jackson-Bowers E, McIntyre E, Reed R: The feasibility of determining the impact of primary health care research projects using the Payback Framework. Health Res Policy Syst 2009, 7:11.
- [34]Reed RL, Kalucy EC, Jackson-Bowers E, McIntyre E: What research impacts do Australian primary health care researchers expect and achieve? Health Res Policy Syst 2011, 9:40.
- [35]Frank C, Nason E: Health research: measuring the social, health and economic benefits. CMAJ 2009, 180:528-534.
- [36]Graham KER, Chorzempa HL, Pamela A, Valentine PA, Magnan J: Evaluating health research impact: Development and implementation of the Alberta Innovates – Health Solutions impact framework. Res Eval 2012, 21:354-367.
- [37]Solans-Domènech M, Adam P, Guillamón I, Permanyer-Miralda G, Pons JMV, Escarrabill J: Impact of clinical and health services research projects on decision-making: a qualitative study. Health Res Policy Syst 2013, 11:15.
- [38]Cozzens SE: Quality of life returns from basic research. Health Res Policy Syst 2010, 8:18.
- [39]National Institutes of Health: Scientific Management Review Board Report on Approaches to Assess the Value of Biomedical Research Supported by NIH. 2014. [http://smrb.od.nih.gov/documents/reports/VOBR%20SMRB__Report_2014.pdf webcite]
- [40]Mostert SP, Ellenbroek SPH, Meijer I, van Ark G, Klasen EC: Societal output and use of research performed by health research groups. Health Res Policy Syst 2010, 8:30.
- [41]El Turabi A, Hallsworth M, Ling T, Grant J: A novel performance monitoring framework for health research systems: experiences of the National Institute for Health Research in England. Health Res Policy Syst 2011, 9:13.
- [42]Glover M, Buxton M, Guthrie S, Hanney S, Pollitt A, Grant J: Estimating the returns to UK publicly funded cancer-related research in terms of the net value of improved health outcomes. BMC Med 2014, 12:99.
- [43]Hanney SR, González-Block MA: Organising health research systems as a key to improving health: the World Health Report 2013 and how to make further progress. Health Res Policy Syst 2013, 11:47.
- [44]Becerra-Posada F, Minayo M, Quental C, de Haan S: National research for health systems in Latin America and the Caribbean: moving towards the right direction? Health Res Policy Syst 2014, 12:13.
- [45]Sombié I, Aidam J, Konaté B, Somé TD, Kambou S: The state of the research for health environment in the ministries of health of the Economic Community of the West African States (ECOWAS). Health Res Policy Syst 2013, 11:35.
- [46]Conceição C, McCarthy M: Public health research systems in the European Union. Health Res Policy Syst 2011, 9:38.
- [47]Romero LI, Quental C: The Panamanian health research system: a baseline analysis for the construction of a new phase. Health Res Policy Syst 2013, 11:33.
- [48]Kok MO, Rodrigues A, Silva AP, de Haan S: The emergence and current performance of a health research system: lessons from Guinea Bissau. Health Res Policy Syst 2012, 10:5.
- [49]Chanda-Kapata P, Campbell S, Zarowsky C: Developing a national health research system: participatory approaches to legislative, institutional and networking dimensions in Zambia. Health Res Policy Syst 2012, 10:17.
- [50]Redman-MacLaren ML, MacLaren DJ, Solomon J, Muse A, Asugeni R, Harrington H, Kekuabata E, Speare R, Clough AR: Research workshop to research work: initial steps in establishing health research systems on Malaita, Solomon Islands. Health Res Policy Syst 2010, 8:33.
- [51]Hanney S, Kuruvilla S, Soper B, Mays N: Who needs what from a national health research system: lessons from reforms to the English department of health’s R&D system. Health Res Policy Syst 2010, 8:11.
- [52]Romero LI, Quental C: Research for better health: the Panamanian priority-setting experience and the need for a new process. Health Res Policy Syst 2014, 12:38.
- [53]Viergever RF, Olifson S, Ghaffar A, Terry RF: A checklist for health research priority setting: nine common themes of good practice. Health Res Policy Syst 2010, 8:36.
- [54]Kothari A, Regan S, Gore D, Valaitis R, Garcia J, Manson H, O’Mara L: Using an integrated knowledge translation approach to build a public health research agenda. Health Res Policy Syst 2014, 12:6.
- [55]Peters DH: The application of systems thinking in health: why use systems thinking? Health Res Policy Syst 2014, 12:51.
- [56]Adam T: Advancing the application of systems thinking in health. Health Res Policy Syst 2014, 12:50.
- [57]Kuruvilla S, Schweitzer J, Bishai D, Chowdhury S, Caramani D, Frost L, Cortez R, Daelmans B, de Francisco A, Adam T, Cohen R, Alfonso YN, Franz-Vasdeki J, Saadat S, Pratt BA, Eugster B, Bandali S, Venkatachalam P, Hinton R, Murray J, Arscott-Mills S, Axelson H, Maliqi B, Sarker I, Lakshminarayanan R, Jacobs T, Jacks S, Mason E, Ghaffar A, Mays N, et al.: Success factors for reducing maternal and child mortality. Bull World Health Organ 2014, 92:533-544.