making research matter; comment on “public spending on health service and policy research in canada, the united kingdom, and the united states: a modest proposal”

We offer a ukbased commentary on the recent “perspective” published in ijhpm by thakkar and sullivan. we are sympathetic to the authors’ call for increased funding for health service and policy research (hspr). however, we point out that increasing that investment – in any of the three countries they compare: canada, the united states and the united kingdom– will ipso facto not necessarily lead to any better use of research by health system decisionmakers in these settings. we cite previous authors’ descriptions of the many factors that tend to make the worlds of researchers and decisionmakers into “two solitudes.” and we call for changes in the structure and funding of hspr, particularly the incentives now in place for purely academic publishing, to tackle a widespread reality: most published research in hspr, as in other applied fields of science, is never read or used by the vast majority of decisionmakers, working out in the “real world.”