Table 1 The research impact matrix for the Centre for Research Excellence in Cardiovascular Outcomes Improvement projects
From: Applying a framework to assess the impact of cardiovascular outcomes improvement research
Time frame | Impact categories | Impact subgroups | Outputs/outcomes |
|---|---|---|---|
Short-term | 1. Research-related impact | Research and innovation outcomes | Direct Peer-reviewed publications (n = 41) Number of citations (n = 87) Journal impact factor (median 2.843; range 1.248 to 23.239) Manuscripts under review or development (n = 26) |
Indirect Associated publications (n = 156) | |||
Dissemination and knowledge transfer | Direct Conference presentations (n = 61) Total PhD candidacies commenced (n = 7):   PhD candidacies with cross-institutional collaboration (n = 1) | ||
Academic collaborations, research networks and data sharing | Direct Total new academic collaborations (n = 5):   International collaborations (n = 3) New database linkages (n = 6):   Admitted episodes & emergency episode   National Death Index   Ambulance Victoria   Australian and New Zealand Society of Cardiac and Thoracic Surgeons National database   Combined Australian acute coronary syndrome registries (n = 16,500)   Development of a multistate linked data platform for analysis of coronary heart disease in younger adults | ||
Indirect Utilization and reinforcement of a national general practice network to conduct research (> 2000 members) Establishment of the Australian and New Zealand Alliance for Cardiovascular Trials network (> 200 members) | |||
Mid-term | 2. Influencing and involvement in policy-making | Level of policy-making | Indirect Centre contribution to the development of a national cardiac data registry Centre contribution to the development of the National Heart Foundation guidelines [35,36,37] |
Type and nature of policy impact | Direct Contribution to Medicare Benefits Schedule reimbursement item number application: Â Â Ambulatory blood pressure monitoring Implementation of patient reported outcome measures in several data registries: Â Â Coronary Angiogram Database of South Australia Victorian Cardiac Outcomes Registry | ||
Policy networks | Direct Establishment of new industry collaborations (n = 9) Embedded academic and statistician roles in industry   Western Australian Department of Health PhD candidate transition to industry role (n = 1) | ||
Long-term | 3. Health and health systems impact | Evidence-based practice | Direct Establishment of longitudinal data capture regarding change in practice: Â Â Coronary Angiogram Database of South Australia [38] Â Â Percutaneous coronary intervention [39] Â Â Door-to-balloon time [40] Â Â Coronary artery bypass graft surgery [41] Development of contemporary management for aortic stenosis [42, 43] Development of a risk prediction model linked with cardiovascular data registries, which is reportedly used ongoing and has directly impacted hospital care [44, 45] |
Quality of care and service delivery | Direct Validation and auditing of registry data so it can be used to improve quality of care and service delivery:   Coronary Angiogram Database of South Australia   Melbourne Interventional Group database [46]   Australasian Society of Cardiac and Thoracic Surgeons database [46] Prevention targets developed from the identification of risk factor burden, clinical profile, and morbidity patterns of adults < 55 years with acute coronary syndrome | ||
Cost containment and effectiveness | Direct Cost-effectiveness of surgery vs stenting established: Â Â Percutaneous coronary intervention vs surgery for the treatment of multivessel coronary artery disease in the drug-eluting stent era [47] Â Â Coronary artery bypass surgery vs stenting in high-risk patients [48] Â Â Guideline-driven use of drug-eluting stents [49] | ||
Resource allocation | No information identified | ||
Health workforce | No information identified | ||
4. Health-related and societal impacts | Health literacy | No information identified | |
Health knowledge, attitudes and behaviours | No information identified | ||
Improved social equity, inclusion or cohesion | No information identified | ||
5. Broader economic impacts | Economic impacts | Direct PhD candidates transitioned from centre-funded to externally funded scholarship (n = 6; AUD$300,586) Centre grant recipients awarded additional external research funding:   National Health and Medical Research Council (total AUD$2,481,816)   Medical Research Future Fund (total AUD$2,062,697) Leveraged industry grants (n = 2):  Emergency Medicine Research Foundation (AUD$150,000) National Heart Foundation Vanguard Grant (AUD$73,000) |