eLife Assessment
This important study used five metrics to compare the cost-effectiveness of intramural and extramural research funded by the National Institutes of Health in the United States between 2009 and 2019. They found that each type of research had its own set of strengths: extramural research was more cost-effective in terms of publications, whereas intramural research was more cost-effective in terms of influencing clinical work. The evidence supporting these findings is mostly solid, but there are a number of questions about the methods and data - notably about indirect cost recovery and other non-NIH sources of funding - that need to be answered.