Who Needs What from a National Health Research System: Lessons from Reforms to the English Department of Health's R&D System


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dc.contributor.author Hanney, Stephen en_US
dc.contributor.author Kuruvilla, Shyama en_US
dc.contributor.author Soper, Bryony en_US
dc.contributor.author Mays, Nicholas en_US
dc.date.accessioned 2012-01-09T15:11:45Z
dc.date.available 2012-01-09T15:11:45Z
dc.date.copyright 2010 en_US
dc.date.issued 2010-05-13 en_US
dc.identifier.citation Hanney, Stephen, Shyama Kuruvilla, Bryony Soper, Nicholas Mays. "Who Needs What from a National Health Research System: Lessons from Reforms to the English Department of Health's R&D System" Health Research Policy and Systems 8:11. (2010) en_US
dc.identifier.issn 1478-4505 en_US
dc.identifier.uri http://hdl.handle.net/2144/2814
dc.description.abstract Health research systems consist of diverse groups who have some role in health research, but the boundaries around such a system are not clear-cut. To explore what various stakeholders need we reviewed the literature including that on the history of English health R&D reforms, and we also applied some relevant conceptual frameworks. We first describe the needs and capabilities of the main groups of stakeholders in health research systems, and explain key features of policymaking systems within which these stakeholders operate in the UK. The five groups are policymakers (and health care managers), health professionals, patients and the general public, industry, and researchers. As individuals and as organisations they have a range of needs from the health research system, but should also develop specific capabilities in order to contribute effectively to the system and benefit from it. Second, we discuss key phases of reform in the development of the English health research system over four decades - especially that of the English Department of Health's R&D system - and identify how far legitimate demands of key stakeholder interests were addressed. Third, in drawing lessons we highlight points emerging from contemporary reports, but also attempt to identify issues through application of relevant conceptual frameworks. The main lessons are: the importance of comprehensively addressing the diverse needs of various interacting institutions and stakeholders; the desirability of developing facilitating mechanisms at interfaces between the health research system and its various stakeholders; and the importance of additional money in being able to expand the scope of the health research system whilst maintaining support for basic science. We conclude that the latest health R&D strategy in England builds on recent progress and tackles acknowledged weaknesses. The strategy goes a considerable way to identifying and more effectively meeting the needs of key groups such as medical academics, patients and industry, and has been remarkably successful in increasing the funding for health research. There are still areas that might benefit from further recognition and resourcing, but the lessons identified, and progress made by the reforms are relevant for the design and coordination of national health research systems beyond England. en_US
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.rights Copyright 2010 Hanney et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title Who Needs What from a National Health Research System: Lessons from Reforms to the English Department of Health's R&D System en_US
dc.type article en_US
dc.identifier.doi 10.1186/1478-4505-8-11 en_US
dc.identifier.pubmedid 20465789 en_US
dc.identifier.pmcid 2881918 en_US

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