Director, Division of Health Sciences, Brunel University London

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Presentation transcript:

Director, Division of Health Sciences, Brunel University London A tale of three decisions in public health: invest, invest more, disinvest Subhash Pokhrel, PhD Director, Division of Health Sciences, Brunel University London

Presentation outline Goal of research - support decision making Translation of research into policy making Why this research collaboration? Policy proposals Lessons learnt What have we found?

Acknowledgement and Disclaimer Collaborators – 35+ scientists located in 9 countries, 13 institutions Funding: NICE, Department of Health, MRC, European Commission All views expressed in today’s talk and any error are my own.

Relevance? Public health = Moving benefits from “ONE” to “MANY” From clinical efficacy to population health/wider outcomes At what cost?

Three investment questions As a decision maker, Do I continue to fund existing services? Do I invest in new/additional services? Do I disinvest from less effective services?

Evidence transfer within Translational Research Framework The EQUIPT study design Evidence transfer within Translational Research Framework (ROI 1.0)

The EQUIPT ROI Tool (EQUIPTMOD)

Economic costs of tobacco – 5 EQUIPT countries The EQUIPT Study Group (2016) http://equipt.eu/deliverables

An example: Increasing the reach of GP brief advice = improving ROI

Temporal returns (ROI) from prospective investment The EQUIPT Study Group (2016) http://equipt.eu/deliverables

Country-specific analyses What policy could provide good ROI? Germany Improving the reach of GP brief advice and varenicline Netherlands Using internet-based behavioural support to complement the current provision of services Hungary Introducing social marketing campaign Spain Expanding GP brief advice to whole country Coverage of pharmacotherapy England and the Netherlands Provision of cytisine Improving reach of GP brief advice, group-based support, SMS text messaging support

Lessons learnt Co-production (with stakeholders) of research has better value UK MRC funded SEE-Impact project Need to sustain the collaboration beyond the funding period – a challenge Wider use of EQUIPTMOD / (http://equipt.eu) Open Access publications ~ 15 scientific peer-reviewed journal articles; Dedicated web portal for all deliverables Dedication towards EQUIPT 2!

Learn from yesterday, Live for today, Hope for tomorrow Learn from yesterday, Live for today, Hope for tomorrow. The important thing is not to stop questioning. - Albert Einstein Photo courtesy: https://commons.wikimedia.org/wiki/File:Albert_einstein_by_zuzahin-d5pcbug.jpg