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The impact on healthcare, policy and practice from 36 multi-project research programmes: findings from two reviews

Hanney, Steve, Greenhalgh, Trisha, Blatch-Jones, Amanda, Glover, Matthew and Raftery, James (2017) The impact on healthcare, policy and practice from 36 multi-project research programmes: findings from two reviews Health Research Policy and Systems, 15, 26.

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Abstract

Background

We sought to analyse the impacts found, and the methods used, in a series of assessments of programmes and portfolios of health research consisting of multiple projects.

Methods

We analysed a sample of 36 impact studies of multi-project research programmes, selected from a wider sample of impact studies included in two narrative systematic reviews published in 2007 and 2016. We included impact studies in which the individual projects in a programme had been assessed for wider impact, especially on policy or practice, and where findings had been described in such a way that allowed them to be collated and compared.

Results

Included programmes were highly diverse in terms of location (11 different countries plus two multi-country ones), number of component projects (8 to 178), nature of the programme, research field, mode of funding, time between completion and impact assessment, methods used to assess impact, and level of impact identified.

Thirty-one studies reported on policy impact, 17 on clinician behaviour or informing clinical practice, three on a combined category such as policy and clinician impact, and 12 on wider elements of impact (health gain, patient benefit, improved care or other benefits to the healthcare system). In those multi-programme projects that assessed the respective categories, the percentage of projects that reported some impact was policy 35% (range 5–100%), practice 32% (10–69%), combined category 64% (60–67%), and health gain/health services 27% (6–48%).

Variations in levels of impact achieved partly reflected differences in the types of programme, levels of collaboration with users, and methods and timing of impact assessment. Most commonly, principal investigators were surveyed; some studies involved desk research and some interviews with investigators and/or stakeholders. Most studies used a conceptual framework such as the Payback Framework. One study attempted to assess the monetary value of a research programme’s health gain.

Conclusion

The widespread impact reported for some multi-project programmes, including needs-led and collaborative ones, could potentially be used to promote further research funding. Moves towards greater standardisation of assessment methods could address existing inconsistencies and better inform strategic decisions about research investment; however, unresolved issues about such moves remain.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Hanney, Steve
Greenhalgh, Trisha
Blatch-Jones, Amanda
Glover, Matthewmatthew.glover@surrey.ac.uk
Raftery, James
Date : 28 March 2017
Funders : National Institute for Health Research (NIHR)
DOI : 10.1186/s12961-017-0191-y
OA Location : https://health-policy-systems.biomedcentral.com/track/pdf/10.1186/s12961-017-0191-y
Grant Title : Health Technology Assessment programme
Copyright Disclaimer : Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords : Research impact; Multi-project programmes; Policy impact; Practice impact; Health gains; Monetisation; Payback Framework; Health technology assessment; World Health Report; Global Observatory
Depositing User : Clive Harris
Date Deposited : 29 Apr 2020 14:04
Last Modified : 29 Apr 2020 14:04
URI: http://epubs.surrey.ac.uk/id/eprint/855404

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