Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal

Health services and policy research (HSPR) represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions...

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Main Authors: Vidhi Thakkar, Terrence Sullivan
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2017-11-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/article_3348_815cdc7e861e9d5a92d65c0528feb1a2.pdf
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author Vidhi Thakkar
Terrence Sullivan
author_facet Vidhi Thakkar
Terrence Sullivan
author_sort Vidhi Thakkar
collection DOAJ
description Health services and policy research (HSPR) represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct, managerial drivers. HSPR has an evolving discourse spanning knowledge translation, linkage and exchange between research and decision-maker partners and more recently, implementation science and learning health systems. Local context is important for HSPR and is important in advancing health reform practice. The amounts and configuration of national investment in this field remain important considerations which reflect priority investment areas. The priorities set within this field or research may have greater or lesser effects and promise with respect to modernizing health services in pursuit of better value and better population outcomes. Within Canada an asset map for HSPR was published by the national HSPR research institute. Having estimated publiclyfunded research spending in Canada, we sought identify best available comparable estimates from the United States and the United Kingdom. Investments from industry and charitable organizations were not included in these numbers. This commentary explores spending by the United States, Canada, and the United Kingdom on HSPR as a fraction of total public spending on health and the importance of these respective investments in advancing health service performance. Proposals are offered on the merits of common nomenclature and accounting for areas of investigation in pursuit of some comparable way of assessing priority HSPR investments and suggestions for earmarking such investments to total investment in health services spending.
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spelling doaj.art-1fab8ea950c34a96ba94c31e52f9f60c2022-12-21T18:21:14ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392017-11-0161161762010.15171/ijhpm.2017.45Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest ProposalVidhi Thakkar0Terrence Sullivan1Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, CanadaInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, CanadaHealth services and policy research (HSPR) represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct, managerial drivers. HSPR has an evolving discourse spanning knowledge translation, linkage and exchange between research and decision-maker partners and more recently, implementation science and learning health systems. Local context is important for HSPR and is important in advancing health reform practice. The amounts and configuration of national investment in this field remain important considerations which reflect priority investment areas. The priorities set within this field or research may have greater or lesser effects and promise with respect to modernizing health services in pursuit of better value and better population outcomes. Within Canada an asset map for HSPR was published by the national HSPR research institute. Having estimated publiclyfunded research spending in Canada, we sought identify best available comparable estimates from the United States and the United Kingdom. Investments from industry and charitable organizations were not included in these numbers. This commentary explores spending by the United States, Canada, and the United Kingdom on HSPR as a fraction of total public spending on health and the importance of these respective investments in advancing health service performance. Proposals are offered on the merits of common nomenclature and accounting for areas of investigation in pursuit of some comparable way of assessing priority HSPR investments and suggestions for earmarking such investments to total investment in health services spending.http://www.ijhpm.com/article_3348_815cdc7e861e9d5a92d65c0528feb1a2.pdfHealth PolicyPublic SpendingComparative Spending Health Services and Policy Research
spellingShingle Vidhi Thakkar
Terrence Sullivan
Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
International Journal of Health Policy and Management
Health Policy
Public Spending
Comparative Spending Health Services and Policy Research
title Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
title_full Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
title_fullStr Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
title_full_unstemmed Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
title_short Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal
title_sort public spending on health service and policy research in canada the united kingdom and the united states a modest proposal
topic Health Policy
Public Spending
Comparative Spending Health Services and Policy Research
url http://www.ijhpm.com/article_3348_815cdc7e861e9d5a92d65c0528feb1a2.pdf
work_keys_str_mv AT vidhithakkar publicspendingonhealthserviceandpolicyresearchincanadatheunitedkingdomandtheunitedstatesamodestproposal
AT terrencesullivan publicspendingonhealthserviceandpolicyresearchincanadatheunitedkingdomandtheunitedstatesamodestproposal