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Assessing the impact of England's National Health Service R&D Health Technology Assessment program using the “payback” approach

  • James Raftery (a1), Stephen Hanney (a2), Colin Green (a3) and Martin Buxton (a2)
Abstract

Objectives: This study assesses the impact of the English National Health Service (NHS) Health Technology Assessment (HTA) program using the “payback” framework.

Methods: A survey of lead investigators of all research projects funded by the HTA program 1993–2003 supplemented by more detailed case studies of sixteen projects.

Results: Of 204 eligible projects, replies were received from 133 or 65 percent. The mean number of peer-reviewed publications per project was 2.9. Seventy-three percent of projects claimed to have had had an impact on policy and 42 percent on behavior. Technology Assessment Reports for the National Institute for Health and Clinical Excellence (NICE) had fewer than average publications but greater impact on policy. Half of all projects went on to secure further funding. The case studies confirmed the survey findings and indicated factors associated with impact.

Conclusions: The HTA program performed relatively well in terms of “payback.” Facilitating factors included the program's emphasis on topics that matter to the NHS, rigorous methods and the existence of “policy customers” such as NICE.

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2.American Gastroenterologist Association. American Gastroenterologist Association medical position statement: Evaluation of dyspepsia. Gastroenterology. 2005;129:17531755.

3.N. Black Evidence based policy: Proceed with care. BMJ. 2001;323;275279.

6.PW Duncan , R Zorowitz , B Bates , Management of adult rehabilitation care: A clinical practice guideline. Stroke. 2005;36:e100e143.

7.B Ferguson , P Kelly , A Georgiou , Assessing payback from NHS reactive research programmes. J Manag Med. 2000;14:2536.

8.S Hanney , M Buxton , C Green , D Coulson , J Raftery . An assessment of the impact of the NHS Health Technology Assessment Programme. Health Technol Assess. 2007;11:iiiiv, ix-xi, 1-180. http://www.ncchta.org/fullmono/mon1153.pdf.

9.S Hanney , M Gonzalez-Block , M Buxton , M Kogan . The utilisation of health research in policy-making: Concepts, examples and methods of assessment. Health Res Policy Syst. 2003;1:2.

10.S Hanney , J Grant , S Wooding , MJ Buxtom . Proposed methods for reviewing the outcomes of research: The impact of funding by the UK's ‘Arthritis Research Campaign’. Health Res Policy Syst. 2004;2:4.


14.SC Johnston , JD Rootenberg , S Katrak , WS Smith , JS Elkins . Effects of a US National Institutes of Health programme of clinical trials on public health and costs. Lancet. 2006;367:13191327.

15.L Kalra , A Evans , I Perez , Alternative strategies for stroke care: A prospective randomised controlled trial. Lancet. 2000;356:894899.

16.L Kalra , A Evans , I Perez , A randomised controlled comparison of alternative strategies for stroke care. Health Technol Assess. 2005;9:iiiiv, 1–79.

19.P Kwan , J Johnston , AY Fung , A systematic evaluation of payback of publicly funded health and health services research in Hong Kong. BMC Health Serv Res. 2007;7:121.

20.S Shah , JE Ward . Outcomes from NHMRC public health research project grants awarded in 1993. Aust N Z J Public Health. 2001;25:556560.

22.E Ward , M King , M Lloyd , Randomised controlled trial of nondirective counselling, cognative-behaviour therapy and usual general practitioner care for patients with depression. I: Clinical effectiveness. BMJ. 2000;321:13831388.

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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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