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首页> 美国卫生研究院文献>International Journal of Health Policy and Management >Public Spending on Health Services and Policy Research in Canada: A Reflection on Thakkar and Sullivan
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Public Spending on Health Services and Policy Research in Canada: A Reflection on Thakkar and Sullivan

机译：加拿大卫生服务和政策研究的公共支出：对Thakkar和Sullivan的反思

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Vidhi Thakkar and Terrence Sullivan have done a careful and thought-provoking job in trying to establish comparable estimates of public spending on health services and policy research (HSPR) in Canada, the United Kingdom and the United States. Their main recommendation is a call for an international collaboration to develop common terms and categories of HSPR. This paper raises two additional questions that have an international comparative dimension: There is little doubt that public spending on HSPR represents more than the "tip of the iceberg," but how much more? And how do the countries fare on the uptake of HSPR by decision-makers? I have long speculated that probably as much or more is spent by provincial/territorial governments, regional health authorities, hospitals and other agencies on HSPR activities carried out by consultants in Canada than by the federal, provincial/territorial granting agencies. Support for this contention is provided in a paper by Penno and Gauld on spending on external consultancies by New Zealand’s District Health Boards (DHBs). Their estimate of the amount spent on consultancies in 2014/15 represents 80% of the amount spent on research by the Health Research Council of New Zealand in 2015. In terms of the uptake of research Jonathan Lomas pioneered the concept of linking researchers with decisionmakers when he became the founding Chief Executive Officer (CEO) of the Canadian Health Services Research Foundation (CHSRF) in 1997. An early assessment was promising, and it would be interesting to know if other countries have tried this. Most assessments of research uptake and impact are short-term in nature. It might be insightful to assess HSPR developments over the long term, such as prospective reimbursement through diagnosis related groups (DRGs) that has been evolving internationally for more 40+ years. In the short term the prospects for a major infusion of funding in HSPR in Canada are not promising, although there have been welcome investments in the Canadian Foundation for Healthcare Improvement (formerly CHSRF).
机译：Vidhi Thakkar和Terrence Sullivan在建立加拿大，英国和美国在卫生服务和政策研究（HSPR）方面的公共支出的可比较估算方面，进行了认真而发人深省的工作。他们的主要建议是呼吁开展国际合作，以制定HSPR的通用术语和类别。本文提出了两个具有国际比较性的问题：毫无疑问，公共部门对HSPR的支出不只是“冰山一角”，而且还有更多？这些国家如何看待决策者对HSPR的采用？我长期以来一直推测，省/地区政府，地区卫生当局，医院和其他机构花费在加拿大顾问进行的HSPR活动上的费用可能比联邦，省/地区授予机构所花费的费用多或多。 Penno和Gauld在一篇有关新西兰地区卫生委员会（DHBs）在外部咨询方面的支出的论文中提供了对这种争论的支持。他们对2014/15年度顾问支出的估计，占新西兰卫生研究委员会2015年研究支出的80％。就研究的接受而言，乔纳森·洛马斯（Jonathan Lomas）率先提出了将研究人员与决策者联系起来的概念他于1997年成为加拿大卫生服务研究基金会（CHSRF）的创始首席执行官（CEO）。早期评估是有希望的，知道其他国家是否尝试过此方法将很有趣。大多数研究采用和影响的评估都是短期的。长期评估HSPR的发展可能是有见地的，例如通过诊断相关组（DRG）进行的前瞻性报销，该组已经在国际上发展了40多年。在短期内，尽管在加拿大医疗保健改善基金会（以前称为CHSRF）上有受欢迎的投资，但在加拿大HSPR大量注资的前景并不乐观。

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