Tamblyn Robyn, McMahon Meghan, Girard Nadyne, Drake Elizabeth, Nadigel Jessica, Gaudreau Kim
Institute of Health Services and Policy Research (Tamblyn, Girard, Nadigel), Canadian Institutes of Health Research, Montréal, Que.; Institute of Health Services and Policy Research (McMahon), Canadian Institutes of Health Research, Toronto, Ont.; Institute of Health Services and Policy Research (Drake), Canadian Institutes of Health Research, Ottawa Ont.; Data and Statistics (Gaudreau), Canadian Institutes of Health Research, Ottawa, Ont.
CMAJ Open. 2016 May 5;4(2):E213-21. doi: 10.9778/cmajo.20150045. eCollection 2016 Apr-Jun.
Health services and policy research is the innovation engine of a health care system. In 2000, the Canadian Institutes of Health Research (CIHR) was formed to foster the growth of all sciences that could improve health care. We evaluated trends in health services and policy research funding, in addition to determinants of funding success.
All applications submitted to CIHR strategic and open operating grant competitions between 2001 and 2011 were included in our analysis. Age, sex, size of research team, critical mass, season, year and research discipline were retrieved from application information. A cohort of 4725 applicants successfully funded between 2001 and 2005 were followed for 5 years to evaluate predictors of continuous funding. Multivariate generalized estimating equation logistic regression was used to estimate predictors of funding success and sustained funding.
Between 2001 and 2011, 80 163 applications were submitted to open and strategic grant competitions. Over time, grant applications increased from 327 to 1137 per year, and annual funding increased from $12.6 to $48.0 million. Grant applications from young male researchers were more likely to be funded than those from female researchers (odds ratio [OR] 1.40, 95% confidence interval [CI] 1.01-1.95), as were applications from larger research teams and institutions with a large critical mass. Only 24.0% of scientists whose first funded grant was in health services and policy research had sustained 5-year funding, compared with 52.8% of biomedical scientists (OR 0.34, 95% CI 0.24-0.49).
The CIHR has successfully increased the amount of health services and policy research in Canada. To enhance conditions for success, researchers should be encouraged to work in teams, request longer duration grants, resubmit unsuccessful applications and affiliate themselves with institutions with a greater critical mass.
卫生服务与政策研究是医疗保健系统的创新引擎。2000年，加拿大卫生研究院（CIHR）成立，旨在促进所有能够改善医疗保健的科学领域的发展。我们评估了卫生服务与政策研究资金的趋势以及资金成功获得的决定因素。
我们的分析纳入了2001年至2011年间提交给CIHR战略和开放式运营资助竞赛的所有申请。从申请信息中获取年龄、性别、研究团队规模、临界规模、季节、年份和研究学科等信息。对2001年至2005年间成功获得资助的4725名申请者进行了为期5年的跟踪，以评估持续获得资助的预测因素。采用多变量广义估计方程逻辑回归来估计资助成功和持续资助的预测因素。
2001年至2011年间，向开放式和战略资助竞赛提交了80163份申请。随着时间的推移，资助申请从每年327份增加到1137份，年度资金从1260万美元增加到4800万美元。年轻男性研究人员的资助申请比女性研究人员的更有可能获得资助（优势比[OR]为1.40，95%置信区间[CI]为1.01-1.95），大型研究团队和具有较大临界规模的机构的申请也是如此。首次获得资助的研究领域为卫生服务与政策研究的科学家中，只有24.0%获得了持续5年的资助，相比之下，生物医学科学家的这一比例为52.8%（OR为0.34，95%CI为0.24-0.49）。
CIHR成功增加了加拿大卫生服务与政策研究的数量。为改善成功条件，应鼓励研究人员团队合作、申请更长时间的资助、重新提交未成功的申请，并与具有更大临界规模的机构建立联系。
