other federal agencies.17 Other major areas may have to be identified, and within each priority area, detailed priorities have to be elucidated.

In the past, NCIPC has not systematically incorporated its stakeholders in the ongoing process of setting priorities for its intramural and extramural research programs. Stakeholders include federal research partners; representatives of state, local, and private organizations; public health professionals and practitioners; academic researchers; and the public. The value of a participatory research priority-setting process is that it coordinates diverse research programs, responds to regulatory needs, encourages synergies, and maximizes the use of limited resources. The inclusion of stakeholders and the public helps to enhance the knowledge base for priority decisions and leads to more widely accepted decisions (IOM, 1998). NCIPC is to be commended for having undertaken from 1991 to 1993 a consensus-building planning activity that set forth an agenda for research and programs (NCIPC, 1993), but this activity was time limited and has not been monitored or evaluated in terms of implementation, impact, or cost-effectiveness.

NCIPC might wish to consider developing a priority-setting process similar to the award-winning one employed by NIOSH—the National Occupational Research Agenda (discussed above). The inclusion of federal research partners was one of the hallmarks of NORA. Their inclusion led to the single largest infusion of investigator-initiated research funds for occupational safety and health research. NIOSH's contribution of $5 million to this joint endeavor came from a special congressional appropriation in recognition of the value of NORA. At least two separate NCIPC advisory committee reports on firearms and motor vehicle research recommended that research planning be performed in conjunction with federal research partners (NCIPC, 1995, 1997b). Federal regulatory partners such as CPSC also must be included. CPSC has a substantial regulatory interest in preventing residential and recreational injuries caused by consumer products. NCIPC is the primary source of federal funding for research on residential and recreational injuries, including those in which consumer products are implicated. CPSC has only limited funds to conduct research, and the research is restricted to consumer products, which are not the only causes of residential and recreational injuries. Therefore, these areas of research need priority attention by the NCIPC.

The committee recommends that NCIPC establish an ongoing and open process for refining its research priorities in the areas of biomechanics, residential and recreational injuries, and suicide and


Although NCIPC deserves credit for its support of trauma systems research, the committee believes that this area should be moved to HRSA, to ensure its expansion and linkage to a broader range of federal trauma systems development activities discussed in Chapter 6.

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