Institute of Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Center for Innovation, Karolinska University Hospital, Stockholm, Sweden.
Front Public Health. 2023 Jan 12;10:1000590. doi: 10.3389/fpubh.2022.1000590. eCollection 2022.
By 2000 the European Union (EU) had recognized that its innovation capacity was underperforming in comparison to similar competitors and trading partners. Although the EU has made an effort to stimulate public research and development (R&D) through policy tools like Pre-Commercial Procurement (PCP) and Public Procurement of Innovation (PPI), starting with the 2000 Lisbon strategy and continuing through the 2021 updated Guidance on Innovation Procurement, there has remained a gap in knowledge of and use of these tools, in particular within healthcare. The past decades have seen an explosion in the number and use of digital technologies across the entire spectrum of healthcare. Demand-driven R&D has lagged here, while new digital health R&D has largely been driven by the supply side in a linear fashion, which can have disappointing results. PCP and PPI could have big impacts on the development and uptake of innovative health technology. The Platform for Innovation of Procurement and Procurement of Innovation (PiPPi) project was a Horizon 2020-funded project that ran from December 2018 to May 2022 with a consortium including seven of Europe's premier research hospitals and the Catalan Agency for Health Information. To promote PCP and PPI, PiPPi established a virtual Community of Practice (CoP) that brings together all stakeholder groups to share and innovate around unmet healthcare needs. This perspective presents a brief history of PCP and PPI in Europe with a focus on digital innovation in healthcare before introducing the PiPPi project and its value proposition.
到 2000 年，欧盟（EU）已经认识到，与类似的竞争对手和贸易伙伴相比，其创新能力表现不佳。尽管欧盟通过预商业采购（PCP）和创新公共采购（PPI）等政策工具努力刺激公共研发（R&D），从 2000 年的里斯本战略开始，并延续到 2021 年更新的创新采购指南，但这些工具的知识和使用仍然存在差距，特别是在医疗保健领域。在过去的几十年中，数字技术在整个医疗保健领域的数量和使用呈爆炸式增长。需求驱动的研发在这里落后了，而新的数字健康研发在很大程度上是由供应方以线性方式推动的，这可能会带来令人失望的结果。PCP 和 PPI 可能对创新医疗技术的开发和采用产生重大影响。采购创新平台和创新采购（PiPPi）项目是一个由 Horizon 2020 资助的项目，从 2018 年 12 月至 2022 年 5 月运行，由包括欧洲七家顶级研究医院和加泰罗尼亚健康信息机构在内的一个联盟组成。为了促进 PCP 和 PPI，PiPPi 建立了一个虚拟的实践社区（CoP），将所有利益相关者群体聚集在一起，围绕未满足的医疗保健需求分享和创新。本观点简要介绍了欧洲的 PCP 和 PPI 历史，重点介绍了医疗保健领域的数字创新，然后介绍了 PiPPi 项目及其价值主张。
