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

International Journal of Technology Assessment in Health Care
J RafteryM Buxton

Abstract

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

References

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Citations

Nov 6, 2009·Internal and Emergency Medicine·Rita BanziAndrea A Conti
Jun 10, 2009·International Journal of Technology Assessment in Health Care·Bryan Luce, Rebecca Singer Cohen
Dec 25, 2009·International Journal of Technology Assessment in Health Care·Claire RostenUNKNOWN European network for Health Technology Assessment (EUnetHTA)
Dec 25, 2009·International Journal of Technology Assessment in Health Care·Camilla Palmhøj NielsenUNKNOWN European network for Health Technology Assessment Work Package 6 Partners
Dec 25, 2009·International Journal of Technology Assessment in Health Care·Susanna Allgurin NeikterHelena Dahlgren
Sep 20, 2012·International Journal of Technology Assessment in Health Care·Margreet FrankenMarc Koopmanschap
Jun 14, 2013·International Journal of Technology Assessment in Health Care·Mirjana HuićClaudia Wild
Jun 28, 2011·Health Research Policy and Systems·Rita BanziAlessandro Liberati
Jul 1, 2012·Journal of Comparative Effectiveness Research·Meera ViswanathanTimothy Carey
Sep 24, 2014·Health Research Policy and Systems·Sheila TurnerVictoria Cawdeary
Dec 15, 2015·Health Research Policy and Systems·Hannah DorlingMatt Westmore
Feb 24, 2018·Health Research Policy and Systems·Bahareh YazdizadehAshraf Velayati
Mar 10, 2016·International Journal of Technology Assessment in Health Care·Anna NachtnebelClaudia Wild
Dec 12, 2012·International Journal of Technology Assessment in Health Care·Ines Schumacher, Ingrid Zechmeister
Dec 27, 2019·Journal of Clinical Nursing·Mary CurtinPatricia Leahy-Warren
May 14, 2020·International Journal of Technology Assessment in Health Care·Brian O'RourkeUNKNOWN International Joint Task Group
Jul 28, 2016·Health Research Policy and Systems·Bahareh YazdizadehManoochehr Karami
Mar 2, 2019·Health Research Policy and Systems·Daniela Gomes, Charitini Stavropoulou
Nov 20, 2018·Evaluation and Program Planning·Marion HeyeresHua Jiang

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