Telephone Interview with Carroll Estes Wednesday, August 23, 1995, 4 p.m.

1a. Based on your experience and familiarity with the fellows and the programs, what did we really accomplish? What were the most important contributions?

I think the Pew program has very successfully seeded the field with competent, well-trained scholars at government levels, nonprofit and foundation levels, and university levels. The flowering and capability of those fellows and their contributions are beginning to be recognized at fairly significant levels. For example, one of our fellows was chair of one of the White House task forces on benefits in the health reform area (Linda Bergthold). The most important contribution of the fellows is a passionate commitment to health policy and health services research that is objective and has an impact and the ability to carry out that work either directly themselves or to stimulate organizations and institutions to do it where they are.

1b. What is the Pew "legacy" in terms of:

  1. health policy?

    There is very specific expertise that is available in the field as a result of the Pew program. I don't think it's enough. I think the program falls short by cutting itself to an end prematurely. I think the Pew Health Policy Fellowship Program needed to be extended a minimum of another 10 years. I look more toward the Robert Wood Johnson Clinical Scholars model. The magnitude of the work and the magnitude of change in the field is such that health policy contributions have just begun to be made, and these scholars will be around as they are becoming policy makers. Nevertheless, there is very important substantive work that still has to be done in health policy, and the training of more leaders continues to be needed.

  2. education (doctoral, postdoctoral, or midcareer programs)?

    There certainly are seminars and courses that exist on our campus that would not have existed on this campus without support from Pew. There are other postdoctoral programs that are multiplier effects from the Agency for Health Care Policy and Research (AHCPR), but now we don't know the extent to which AHCPR is going to be a viable institution to continue what would be complementary



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