Determinants of knowledge translation from health technology assessment to policy-making in China: From the perspective of researchers

PLoS One. 2018 Jan 4;13(1):e0190732. doi: 10.1371/journal.pone.0190732. eCollection 2018.

Abstract

Background: For health technology assessment (HTA) to be more policy relevant and for health technology-related decision-making to be truly evidence-based, promoting knowledge translation (KT) is of vital importance. Although some research has focused on KT of HTA, there is a dearth of literature on KT determinants and the situation in developing countries and transitional societies remains largely unknown.

Objective: To investigate the determinants of HTA KT from research to health policy-making from the perspective of researchers in China.

Design: Cross-sectional study.

Methods: A structured questionnaire which focused on KT was distributed to HTA researchers in China. KT activity levels in various fields of HTA research were compared, using one-way ANOVA. Principal component analysis was performed to provide a basis to combine similar variables. To investigate the determinants of KT level, multiple linear regression analysis was performed.

Results: Based on a survey of 382 HTA researchers, it was found that HTA KT wasn't widespread in China. Furthermore, results showed that no significant differences existed between the various HTA research fields. Factors, such as attitudes of researchers toward HTA and evidence utilization, academic ranks and linkages between researchers and policy-makers, had significant impact on HTA KT (p-values<0.05). Additionally, collaboration between HTA researchers and policy-makers, policy-relevance of HTA research, practicality of HTA outcomes and making HTA reports easier to understand also contributed to predicting KT level. However, academic nature of HTA research was negatively associated with KT level.

Conclusion: KT from HTA to policy-making was influenced by many factors. Of particular importance were collaborations between researchers and policy-makers, ensuring policy relevance of HTA and making HTA evidence easier to understand by potential users.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • China
  • Cross-Sectional Studies
  • Factor Analysis, Statistical
  • Female
  • Health Communication
  • Health Policy*
  • Humans
  • Intersectoral Collaboration
  • Linear Models
  • Male
  • Middle Aged
  • Principal Component Analysis
  • Research Personnel / psychology
  • Surveys and Questionnaires
  • Technology Assessment, Biomedical*
  • Translational Research, Biomedical*
  • Young Adult

Grants and funding

The project is funded by China Medical Board (CMB 11-067), Shanghai Public Health Key Discipline Construction Project-Health Economics (No 12GWZX0601), Shanghai Public Health Senior Professional Oversea Fellowship (GWHW2012S10) and Shanghai Public Health Excellent Discipline Leadership Program (GWDTR201205) to YC. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.