title: Purchasing evidence: the corollary of evidence-based purchasing.
abstract: The National Health Service (NHS) market led to problems in funding research and development (R&D). The current policy is to resolve these by funding R&D through a national levy on purchasers. The policy does not, however, address the underlying problem that evidence produced by R&D is largely irrelevant to purchasers. The consequences of this policy are likely to be that purchasing will have limited impact in securing health gain most effectively, the progress and impact of R&D will be impaired, and its funding will remain insecure. If R&D and purchasing were integrated each could become more effective. This integration can be fostered through developing the regulation of purchasers and providers within the NHS market.
authors.affiliation: South and West Regional Health Authority, Bristol.
authors.forename: S F
authors.initials: SF
authors.lastname: Gray
authors.forename: G
authors.initials: G
authors.lastname: Bevan
authors.forename: S
authors.initials: S
authors.lastname: Frankel
mesh_terms: D003256:Community Participation; D019317:Evidence-Based Medicine; D006291:Health Policy; D006801:Humans; D008403:Mass Screening / Q000191:economics; D011634:Public Health; D012109:Research Support as Topic; D013222:State Medicine; D013673:Technology Assessment, Biomedical / Q000191:economics; D006113:United Kingdom