Investment in Prevention Health Care Delivery Research by the National Institutes of Health. Issue 2 (6th February 2023)

• Record Type: Journal Article
• Authors: Ganoza, Luis F.; Villani, Jennifer; Klabunde, Carrie N.
• Is Part Of: Medical care. Volume 61:Issue 2(2023)
• Page Start: 75
• Page End: 80
• Publication Date: 2023-02-06
• Subjects: delivery of health care -- prevention and control -- health services -- national institutes of health (United States); Economics, Medical -- Periodicals; Insurance, Health -- Periodicals; Santé, Services de -- Administration -- Périodiques; Soins médicaux -- Périodiques; Medical economics -- Periodicals; Health insurance -- Periodicals; Medical economics -- United States -- Periodicals; Health insurance -- United States -- Periodicals; Comprehensive Health Care -- Periodicals; Personal Health Services -- Periodicals; Gezondheidszorg; Économie de la santé -- Périodiques; Santé, Services de -- Périodiques; Health insurance; Medical economics; United States; Periodicals; 362.10973
• DOI: 10.1097/MLR.0000000000001809
• Languages: English
• ISSNs: 0025-7079

Abstract

Abstract : Background: Research assessing the delivery of preventive health care has considerable potential for improving health outcomes and reducing health care costs for the United States population. Objective: To characterize the prevention health care delivery research grant portfolio supported by the National Institutes of Health (NIH). Materials and Methods: A random sample of 14, 523 NIH research projects funded during 2012–2019 was selected and coded for various study topics using a structured taxonomy. We analyzed the subset of prevention research projects, for which health care delivery was identified as an independent or dependent variable, including study characteristics and funding trends. Results: Overall, 11.2% of NIH-funded prevention research projects were relevant to health care delivery. Of these projects, 68.6% assessed access to care, 53.4% examined quality, and 27.1% assessed costs. Over the study period, the percentage of funded prevention research projects involving health care delivery increased from 10.9%–15.1%. Over half of the projects assessed research related to the prevention of a new health condition, identification of risk factors, or health promotion (55.5%), whereas < half addressed prevention of disease progression/recurrence (40.4%), screening for early disease (20.2%), or screening for risk factors (1.4%). human immunodeficiency virus/acquired immune deficiency syndrome, cancer, and substance use were the most prevalent health topics studied, whereas other topics—such as lung diseases and Alzheimer disease—were less frequently studied. Conclusions: Health care delivery research comprises a modest portion of the NIH prevention research portfolio and is mostly focused on access and quality of care; cost-related analyses are less prevalent. human immunodeficiency virus/acquired immune deficiency syndrome, cancer, and substance use are frequently studied health topics in this portfolio.