Fun Weng Hong, Sararaks Sondi, Tan Ee Hong, Tang Kar Foong, Chong Diane Woei Quan, Low Lee Lan, Sapian Roslinda Abu, Ismail S Asmaliza, Govind Suresh Kumar, Mahmud Siti Haniza, Murad Shahnaz
Institute for Health Systems Research, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia.
National Institutes of Health Secretariat, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia.
BMC Health Serv Res. 2019 Apr 24;19(1):248. doi: 10.1186/s12913-019-4072-7.
Health Research Priority Setting (HRPS) in the Ministry of Health (MOH) Malaysia was initiated more than a decade ago to drive effort toward research for informed decision and policy-making. This study assessed the impact of funded prioritised research and identified research gaps to inform future priority setting initiatives for universal access and quality healthcare in Malaysia.
Research impact of universal access and quality healthcare projects funded by the National Institutes of Health Malaysia were assessed based on the modified Payback Framework, addressing categories of informing policy, knowledge production, and benefits to health and health sector. For the HRPS process, the Child Health and Nutrition Research Initiative methodology was adapted and adopted, with the incorporation of stakeholder values using weights and monetary allocation survey. Workshop discussions and interviews with stakeholders and research groups were conducted to identify research gaps, with the use of conceptual frameworks to guide the search.
Seventeen ongoing and 50 completed projects were identified for research funding impact analysis. Overall, research fund allocation differed from stakeholders' expectation. For research impact, 48 out of 50 completed projects (96.0%) contributed to some form of policy-making efforts. Almost all completed projects resulted in outputs that contributed to knowledge production and were expected to lead to health and health sector benefits. The HRPS process led to the identification of research priority areas that stemmed from ongoing and new issues identified for universal access and quality healthcare.
The concerted efforts of evaluation of research funding impact, prioritisation, dissemination and policy-maker involvement were valuable for optimal health research resource utilisation in a resource constrained developing country. Embedding impact evaluation into a priority setting process and funding research based on national needs could facilitate health research investment to reach its potential.
马来西亚卫生部的卫生研究重点设定（HRPS）始于十多年前，旨在推动为明智决策和政策制定开展研究。本研究评估了已资助的优先研究的影响，并确定了研究差距，以为马来西亚普及和优质医疗保健的未来重点设定举措提供参考。
根据修改后的回报框架，评估了马来西亚国立卫生研究院资助的普及和优质医疗保健项目的研究影响，涉及政策信息、知识产出以及对健康和卫生部门的益处等类别。对于卫生研究重点设定过程，采用并改编了儿童健康与营养研究倡议方法，通过权重和资金分配调查纳入了利益相关者的价值观。与利益相关者和研究团队进行了研讨会讨论和访谈，以利用概念框架指导搜索来确定研究差距。
确定了17个正在进行的项目和50个已完成的项目用于研究资金影响分析。总体而言，研究资金分配与利益相关者的期望不同。对于研究影响，50个已完成项目中的48个（96.0%）为某种形式的政策制定努力做出了贡献。几乎所有已完成的项目都产生了有助于知识产出的成果，并有望带来健康和卫生部门的益处。卫生研究重点设定过程导致确定了源于普及和优质医疗保健方面正在出现的新问题的研究优先领域。
在资源有限发展中国家，对研究资金影响进行评估、确定优先事项、传播以及政策制定者参与等协同努力，对于优化卫生研究资源利用具有重要价值。将影响评估纳入重点设定过程并根据国家需求资助研究，有助于卫生研究投资发挥其潜力。
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