Meeting the Nation's Needs for Biomedical and Behavioral Scientists (1994) / Chapter Skim
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8 HEALTH SERVICES RESEARCH PERSONNEL
8 HEALTH SERVICES RESEARCH PERSONNEL
Pages 81-88
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From page 81... ...
Its national importance is broadly recognized by providers, administrators, employers, insurers, and state and national policymakers who are seeking solutions to problems of escalating health care costs, erosion of access to care, concerns about the quality of care, and the overall health status of Americans. This field provides the information that is being used to design health care reform proposals and will be the source of information on the impact of any future health care reforms.
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From page 82... ...
Studies of acute myocardial infarction, cataract surgery, low bird weight, coronary artery disease, joint-replacement surgery, and other common conditions are providing new Insights Into the effectiveness and efficiency of our current health care delivery system as measured by improvements in patient Research is contributing to new and improved methods for measuring quality of heals services, including Heir impact on patient functioning, satisfaction, and quality of life. Quality of care is broadly conceived to include relevant characteristics of the organizational structure of Be heals care provider, the content of the care, and the outcomes experienced by individuals with specific health problems.
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From page 83... ...
Supply of Health Services Researchers Health services research is problem-oriented: practitioners examine and evaluate He delivery of heals care services in the United States. It is a distinct area of inquiry in which systematic methods are applied to problems of the allocation of finite health resources and the improvement of personal health care services.
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From page 84... ...
suggests that comparative studies might be developed. Because of He dynamic nature of this "labor force" and the importance to the national health effort, the Committee believes Hat some investment in labor force studies of the health services research community would yield tremendous payoffs and, given the direction of national interest in He improvement of health care delivery, will be increasingly sought in the coming years.
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From page 85... ...
As changes continue to occur in the provision of health care services, there will be growing needs for rigorous evaluations of the impact of innovations on the quality, cost, and patient outcomes of care. Evaluations studies can clarify positive and negative aspects of innovations in health care delivery as well as point to opportunities to introduce improved models of care.
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From page 86... ...
NRSA awards in the NIH institutes also support the training of some heals services researchers. NIMH supports TABLE 8-2 Aggregated Numbers of NRSA Supported Trainees and Fellows in Health Services Research for FY 1991 through FY 1993 Fiscal Type of Support TOTAL Tra~neeship Fellowship 12 Year Level of Tra~n~g 1991 Number of awards Predoctoral Postdoctoral o 12 o o o 12 o 12 1992 Number of awards 94 82 12 Predoctoral 35 35 0 Postdoctoral 59 47 12 1993 Number of awards 96 79 17 Predoctoral 30 30 0 Postdoctoral 66 49 17 NOTE: Based on estimates provided by the National Institutes of Health.
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From page 87... ...
RECOMMENDATIONS Program Size Health services research is critical to the future of heals care delivery in this country. Health services research is a relatively young field that uses interdisciplinary approaches TABLE 8-3 Committee Recommendations for Relative Distribution of Predoctoral arid Postdoctoral Trusteeship and Fellowship Awards for Health Services Research for FY 1994 through FY 1999 115 55 60 1995Recommended number of awards Predoctoral Postdoctoral 1996Recommended number of awards Predoctoral Postdoctoral 1997Recommended number of awards Predoctoral Predoctoral 1998Recommended number of awards Predoctoral Postdoctoral 1999Recommended number of awards Predoctoral Postdoctoral 240 180 60 360 300 60 300 60 60 360 300 60 360 300 60 95 45 50 145 95 50 190 140 50 140 50 50 190 140 50 190 140 50 20 10 10 95 85 10 170 160 10 160 10 10 170 160 10 170 160 10 Fiscal Year Level of Training 1994 Recommended number of awards Predoctoral Postdoctoral Type of Support TOTAL Traineeship Fellowship 87 Traineeships and Fellowships The institutional Raining grant permits the development of innovative interdisciplinary research training programs,
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From page 88... ...
between 1960 and 1976 and about 1000 individuals who had received research training support from NCHSR or Alcohol, Drug Abuse, and Mental Health Administration in the area of health services research between 1970 and 1977. About 77 percent of the former trainees and 81 percent of the former principal investigators were engaged in health services research at the time of the survey.
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