Health Research Roadmap II: Capturing Innovation to Produce Better Health and Health Care for Canadians – Long descriptions
Figure i. Overview of CIHR’s three strategic directions
Roadmap II
Capturing Innovation to Produce Better Health and Health Care for Canadians
Promoting Excellence, Creativity and Breadth in Health Research and Knowledge Translation
- Supporting leading researchers for advances in health
- Building a solid foundation for the future
Mobilizing Health Research for Transformation and Impact
- Refreshing health and health system research priorities
- Reaping benefits through strategic alliances
- Embracing the data revolution
Achieving Organizational Excellence
Figure ii. CIHR’s health and health system research priorities for 2014-15 to 2018-19
Research Priority A: Enhanced patient experiences and outcomes through health innovation
This research priority focuses on accelerating the discovery, development, evaluation and integration of health innovations into practice so that patients receive the right treatments at the right time.
Research Priority B: Health and wellness for Aboriginal peoples
This research priority focuses on supporting the health and wellness goals of Aboriginal peoples through shared research leadership and the establishment of culturally sensitive policies and interventions.
Research Priority C: A healthier future through preventive action
This research priority focuses on a proactive approach to understanding and addressing the causes of ill health, and on supporting physical and mental wellness at the individual, population and system levels.
Research Priority D: Improved quality of life for persons living with chronic conditions
This research priority focuses on understanding multiple, co-existing chronic conditions, and on supporting integrated solutions that enable Canadians to continue to participate actively in society.
Figure 1. Canada’s Health Research Enterprise: Delivering the benefits of health research to Canadians. Researchers are found in all of these groups.
Delivering the Benefits of Health Research to Canadians
- Health professionals
- Patient and public groups
- Research-intensive institutions
- Industry
- Foundations and charities
- Governments
- Caregivers, families and communities
Figure 2. Key components of the College of Reviewers
College of Reviewers:
- Quality Peer Review and Peer Review System
- Breadth and Diversity of Expertise
- Structured Recruitment
- Training and Mentoring
- Quality Assurance
- Recognition Program
Figure 3. Examples of research areas and knowledge translation activities for Research Priority A: Enhanced patient experiences and outcomes through health innovation
Health innovations
Discovery and development
- New targets and technologies for improved diagnostics, therapeutics and therapies
- Improved practice guidelines
- New technologies that support providers and patients
- New models of financing, funding and delivering health care
Evaluation
- Patient experience and satisfaction research
- Patient outcomes research
- Health policy and systems research
- Economic evaluation and technology assessment
- Comparative effectiveness research
- Clinical research
Implementation and scale-up
- Commercialization and uptake of predictive, preventive and precision clinical innovations
- Integration of e-enabled health care models
- Validation of health care financing, funding and delivery models
Figure 4. Examples of research areas and knowledge translation activities for Research Priority B: Health and wellness for Aboriginal peoples
Aboriginal peoples’ health
Shared leadership
- Aboriginal people's research leadership capacity and development
- Understanding of indigenous ways of knowing and knowledge translation
Culturally sensitive policies and interventions
- Factors influencing conditions of vulnerability and health equity
- Design, implementation and evaluation of policies and interventions
- Adoption and use of intervention programs, tools and services
Sharing knowledge across jurisdictions and populations
- International linkages and comparisons
- Shared innovations
Figure 5. Examples of research areas and knowledge translation activities for Research Priority C: Promoting a healthier future through preventive action
Health promotion and prevention
Discovery and understanding
- Environmental, social, economic and cultural determinants of health
- Psychological and behavioural influences on health
- Biological action and disease mechanisms
- Interplay of biopsychosocial risk factors
Health promotion
- Healthy lifestyle strategies across the life course
- Health literacy and education strategies
- Policy and other interventions in health and other sectors
- Healthy environments, food security and safety
Disease prevention
- Surveillance and screening for early detection and prevention
- Novel vaccines and other therapeutics
- Improved containment strategies for health threats (pathogens, contaminants, toxins)
- System coordination across health and other sectors
Figure 6. Examples of research areas and knowledge translation activities for Research Priority D: Improved quality of life for persons living with chronic conditions
Management and treatment of chronic conditions
Discover and understanding
- Comorbidities, common disease pathways and interactions
- Factors influencing chronicity
- Complexities of diagnosis, treatment and care across the life course
- Promoters and barriers to self-management
Primary and acute health care
- Integrated health care delivery models, including team-based models of care
- Innovative policies, strategies and programs
- Rehabilitation therapies and medical devices
Long-term management
- Self-care and self-management strategies
- Community-based care models
- Support for caregivers and family
- Workplace accommodation
- Organizing and financing of institutional care
Figure 7. Incorporation of eHealth across the four research priority areas
Research for evidence-based development, evaluation and integration of eHealth innovations
Innovations that... | Improve... | Examples... | |
---|---|---|---|
eHealth for enhanced patient experiences and outcomes | Connect providers, patients and disparate sources of data and information | Diagnostic accuracy; treatment appropriateness; accountability of care |
|
eHealth for health and wellness in Aboriginal peoples | Include citizen-informed, culturally sensitive, population-specific design and content | Access to health care across social, geographical or cultural contexts |
|
eHealth for a healthier future through preventive action | Provide analytical and predictive modelling using data integrated across systems | Evidence-informed preventive action at the individual, system and population levels |
|
eHealth for enhanced quality of life for persons living with chronic conditions | Enable access to personal health information, support networks and care providers | Citizen empowerment in health maintenance and autonomy at home and at work |
|
Figure 8. CIHR performance measurement regime and its relationship to Roadmap II
Column 1
CIHR performance measurement regime (approximately 100 indicators)
Column 2
CAHS framework and accountability
- CIHR accountability
- Building capacity
- Advancing knowledge
- Informing decision making
- Health and health system impacts
- Broad social and economic impacts
Column 3
Reporting timeframe
- Short-term reporting (annually)
- Intermediate reporting (2-5 years)
- Long-term reporting (beyond 5 years)
Column 4
Types of reports
- facts and figures
- progress reports
- cohort reports
- audits
- evaluations
- impact studies
CIHR action plans and performance measurement framework
Roadmap II high-level performance measurement framework
Performance measurement framework for signature and other strategic initiatives
Table 1. Expected outcomes and performance indicators for Roadmap II
Expected Outcomes | Performance Indicators | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
To promote excellence, creativity and breadth in health research, and mobilize health research for transformation and impact | % of expendituresFootnote iiiiii | no. of grantsFootnote iiiiii | no. of researchers fundedFootnote iiiiii | no. of publicationsFootnote iviv | Citation of findings in scientific and non-scientific publicationsFootnote iiiiii,Footnote iviv | Field analysis of citationsFootnote iiiiii,Footnote vv | Share of top 5% cited papers acknowledging CIHR | Average relative citations (ARC)Footnote iiiiii | % of grants reporting contribution to more effective health services and productsFootnote iiiiii | % of grants reporting contribution to improved health of CanadiansFootnote iviv | % of grants reporting participation of stakeholders in the research processFootnote vivi | % of grants reporting new method, new theory or replication of findingsFootnote iiiiii | % of grants reporting application of findingsFootnote iiiiii | % of grants reporting potential commercialization outcomesFootnote iiiiii | Co-author analysis of publicationsFootnote iiiiii,Footnote vivi | % of trainees obtaining post-doctoral fellowship in the top 50 highest ranking universities | % of trainees employed in the Canadian research enterpriseFootnote viivii | no. of reviewersFootnote iiiiii | % of appropriate reviewer assignments | Ratio of CIHR to Partner investmentFootnote vivi | no. of partnership agreementsFootnote vivi | no. of stakeholders involved in CIHR governance & advisory committeesFootnote viiiviii | ||
Strategic Direction 1 | Diverse health-related projects and programs of research advance knowledge and/or improve health care, health systems, health or economic outcomes | Yes | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes | No | No | No | Yes | No | No | No | No | No | No | No | No | |
Diverse research leaders across the spectrum of health | No | No | Yes | No | Yes | Yes | No | No | No | No | No | No | No | No | Yes | No | No | No | No | No | No | No | ||
Integration of stakeholdersFootnote vivi into the research process | No | No | No | No | No | No | No | No | No | No | Yes | No | No | No | Yes | No | No | No | No | No | No | No | ||
A base of well-trained reviewers that represent diverse expertise, experiences and perspectives | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | Yes | Yes | No | No | No | ||
Trainees are leaders in the Canadian Health Research Enterprise | No | No | Yes | No | No | No | No | No | No | No | No | No | No | No | No | Yes | Yes | No | No | No | No | No | ||
Strategic Direction 2 | Health Innovation | Knowledge informs the development of diagnostic, therapeutic, clinical, technological and health system solutions | Yes | No | No | Yes | No | No | No | No | No | No | No | Yes | No | Yes | No | No | No | No | No | No | No | No |
Evidence informs the implementation of new diagnostic, therapeutic, clinical, technological and health system solutions | No | No | No | No | Yes | Yes | Yes | Yes | Yes | Yes | No | No | Yes | No | No | No | No | No | No | No | No | No | ||
Aboriginal Peoples’ Health | Indigenous knowledge and ways of knowing are an integral part of Indigenous health research | Yes | No | No | Yes | No | No | No | No | No | No | Yes | No | No | No | Yes | No | No | No | No | No | No | No | |
Knowledge from Aboriginal research is applied to other relevant settings and health issues | No | No | No | No | Yes | Yes | Yes | Yes | Yes | Yes | No | No | No | No | No | No | No | No | No | No | No | No | ||
Health Promotion & Prevention | Knowledge of biological, psychological, social, environmental and economic determinants of health is advanced | Yes | No | No | Yes | No | No | No | No | No | No | No | Yes | No | No | No | No | No | No | No | No | No | No | |
Evidence-informed intersectoral health promotion and disease prevention interventions are implemented | No | No | No | No | Yes | Yes | Yes | Yes | Yes | Yes | No | No | Yes | Yes | No | No | No | No | No | No | No | No | ||
Man. & Treat. of Chronic Conditions | Knowledge of diagnosis and treatment barriers for multiple, co-existing chronic conditions is advanced | Yes | No | No | Yes | No | No | No | No | No | No | No | Yes | No | No | No | No | No | No | No | No | No | No | |
Evidence-informed integrated care approaches improve the diagnosis, monitoring and treatment of multiple, co-existing chronic conditions | No | No | No | No | Yes | Yes | Yes | Yes | Yes | No | No | No | No | Yes | No | No | No | No | No | No | No | No | ||
Reaping Benefits from Strategic Alliances | Stakeholders are engaged in CIHR decision making (e.g. priority setting, policies, programs and initiatives) | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | Yes | |
CIHR builds collaborative relationships with health and out-of-health sector stakeholders | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | No | Yes | Yes | Yes | ||
Canadian researchers are leaders and innovators in international research initiatives | No | Yes | No | No | No | No | Yes | No | No | No | No | No | No | No | Yes | No | No | No | No | No | Yes | No | ||
Knowledge from collaborative research in low- and middle-income countries (LMIC) is applied to the Canadian context | No | No | No | No | Yes | Yes | No | No | Yes | Yes | No | No | No | No | Yes | No | No | No | No | No | No | No |
Footnotes
- Footnote iii
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To be reported by a) research area: research areas across the spectrum of health, including ethics research, knowledge translation science; and in CIHR priority areas: health innovation, aboriginal research, health promotion and disease prevention, management of chronic conditions, and eHealth; b) type of research (discovery, demonstration, validation and application) and c) type of grantee/awardee, including gender, age or other demographics, where applicable.
- Footnote iv
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CIHR is currently pilot testing methodologies to access, search and report on citations to funded research in ‘non-journal’ publications such as policies and guidelines.
- Footnote v
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Field analysis identifies whether findings are taken up by other disciplines.
- Footnote vi
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To be reported by stakeholder type, region and sector.
- Footnote vii
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To be reported by sector and position. This indicator is currently based upon the Banting Postdoctoral Fellowships program end-of-award survey.
- Footnote viii
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Examples of stakeholders include health care/health system/public health practitioners, patients or consumers of the health system/care, study stakeholders, health system/care managers, health system/care professional organizations, federal/provincial representatives, community/municipal organizations, consumer groups, charitable organizations, industry, the media; and other researchers/academics (excluding study stakeholders).
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