Exploring the Societal Returns of Research Conducted within Hospitals
This presentation is the property of its rightful owner.
Sponsored Links
1 / 17

Exploring the Societal Returns of Research Conducted within Hospitals PowerPoint PPT Presentation


  • 62 Views
  • Uploaded on
  • Presentation posted in: General

Exploring the Societal Returns of Research Conducted within Hospitals New Frontiers in Evaluation Conference Vienna 2006, April 24th - 25th. Antonio García Romero and Luis Royuela Morales Agencia Laín Entralgo. Consejería de Sanidad y Consumo de la Comunidad de Madrid. Presentation Outline.

Download Presentation

Exploring the Societal Returns of Research Conducted within Hospitals

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Exploring the societal returns of research conducted within hospitals

Exploring the Societal Returns of Research Conducted within Hospitals

New Frontiers in Evaluation Conference

Vienna 2006, April 24th - 25th

Antonio García Romero and Luis Royuela Morales

Agencia Laín Entralgo.

Consejería de Sanidad y Consumo de la Comunidad de Madrid.


Exploring the societal returns of research conducted within hospitals

Presentation Outline

  • Introduction

  • Framework

  • The study

  • Results

  • Conclusions


Exploring the societal returns of research conducted within hospitals

  • Introduction

  • How much to spend on medical research?

  • It could be useful to measure the societal impacts of medical research

  • Difficult but Necessary

  • Difficult: we have a limited understanding of how research induce societal effects

  • Necessary:

  • In US: $70 billion / year saved in medical care costs

  • $90 billion / year sales of products unrelated to health care resulted from NIH R&D

  • Silverstein S. 1995


Exploring the societal returns of research conducted within hospitals

2. Framework

The evaluation of scientific research based mainly bibliometrics and expert judgement (peer review).

These methods are not very useful if the objective is to measure the returns from research in terms of wealth, employment or health.

Development of new indicators and methods are needed


Exploring the societal returns of research conducted within hospitals

Health Care (hospitals)

HEALTH

Life style decisions

Environmental

Conditions

Genetics

2. Framework

Statement 1:

Improved health is a consequence of several factors and health care quality is only one of them


Exploring the societal returns of research conducted within hospitals

Research

Health Care

Drugs / Health Technologies

Training

2. Framework

Statement 2:

Health care is a result of the interaction of several factors such as research, training, health technologies and other organizational characteristics


Exploring the societal returns of research conducted within hospitals

Clinical practice improvement

Drugs innovation

Health Tech.

Innovation

Research within hospitals

Human Capital

Other

2. Framework

Statement 3:

The research conducted within hospitals generates several societal outcomes, in addition to health care


Exploring the societal returns of research conducted within hospitals

2. Framework

Statement 4:

The relationship between medical research and its societal outcomes is very complex

Lewison, G From Biomedical Research to Health Improvement, Scientometrics. 54(2): 179-92.


Exploring the societal returns of research conducted within hospitals

  • 2. Framework

  • A consequence of this complexity is the existence of a wide set of methodological approaches that can be applied to analyze this topic

  • Macro approaches

  • Useful to estimate aggregated effects on employment, wealth or population’s health

  • Meso & Micro approaches

  • Useful to estimate direct / indirect effects, policy analysis, comparative analysis


Exploring the societal returns of research conducted within hospitals

  • 2. Framework

  • A) The Region of Madrid

  • 6 mill. Habitants

  • 26.000 € GDP/percapita

  • B) The Public Health Care System of Madrid (SMS)

  • 24 + 8 hospitals

  • + 200 Primary Care Centers

  • Around 10,000 physicians

  • 2006 Budget: 6,066 mill. €

  • C) Research in SMS

  • 1,650 researchers (INE)

  • 13% of their time

  • 2,000 papers SCI / year


Exploring the societal returns of research conducted within hospitals

  • 3. The Study

  • Objective: To analyze the effect that physicians’ research has on their clinical performance

  • Two Assumptions:

    • Research within hospitals should generate both scientific and societal returns

    • research allows physicians to improve their skills and knowledge level.

  • Methodology:

    • Individual data (micro approach)

    • Motivation, Satisfaction and Group Structure as explanatory variables

    • Structural Equation Modeling


Exploring the societal returns of research conducted within hospitals

Motivation

Ph.D

Positive (+)

Negative (-)

(0: no Ph.D 1: Ph.D)

Positive (+)

SCI

Impact

Negative (-)

(0: Men 1: Women)

Positive (+)

Positive (+)

Positive (+)

Positive (+)

Gender

Group

Structure

Positive (+)

Satisfaction (*)

3. The Study

Baseline model:

Comprises two sets of hypotheses


Exploring the societal returns of research conducted within hospitals

3. The Study

Data 279 physicians-scientists working in hospitals of SMS (Madrid)


Exploring the societal returns of research conducted within hospitals

3. The Study

Variables:

3 observed variables & 4 constructs

  • We have estimated three models

  • Satisfaction with professionalcareer

  • Satisfaction with job climate

  • Satisfaction with scientific issues


Exploring the societal returns of research conducted within hospitals

4. Results


Exploring the societal returns of research conducted within hospitals

Motivation

Ph.D

0.21

0.30

-0.24

0.14

SCI

Impact

-0.17

0.20

0.64

Gender

Group

Structure

SAT_CLI

4. Results


Exploring the societal returns of research conducted within hospitals

5. Conclusions

Motivation and Job Satisfaction have a significant and positive effect on the perceived impact of research activity on clinical performance

There is a significant relationship between Research Productivity and gender, academic degree, Motivation and Group structure

These results suggest the strategic value of the human factor within R&D management


  • Login