Health Services Research Work Force and Educational Issues (1995) / Chapter Skim
Currently Skimming:
1 Introduction and Background
1 Introduction and Background
Pages 13-24
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From page 13... ...
* How do capitated, per case, or other methods for paying health care institutions and practitioners affect the provision of appropriate and inappropriate medical services and the outcomes of care?
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From page 14... ...
AHCPR asked the IOM to investigate work force issues in health services research and prepare a report with recommendations to inform decisions about federal resources for educating and training health services researchers. Among the questions posed were: What levels and types of trained health services research personnel are available now?
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From page 15... ...
Regardless of its antecedents, health care restructuring raises significant questions and presents information-gathering challenges for the field of health services research and its supporting education and training programs. STUDY APPROACH To oversee the study, the IOM appointed a 12-member committee.
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From page 16... ...
In addition, a panel of executives arid researchers from these organizations met with the committee during its March 1995 meeting to discuss the focus of public and private sector research, policies on peer review arid dissemination, and implications for health services research education and training. The committee found the literature on educational and work force policies n the field of health services research to be sparse.
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From page 17... ...
Building on these earlier statements, the committee formulated the following definition: Health services research is a multidisciplinary field of inquiry, both basic and applied, that examines the use, costs, quality, accessibility, delivery, organization, financing, and outcomes of health care services to increase knowledge and understanding of the structure, processes, and effects of health services for individuals and populations. Several features of this definition are worth noting.
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From page 18... ...
In general, health services research falls toward the applied end of the research continuum. Many university-based health services research arid training programs are located in or described as health management and policy programs, clearly emphasizing their concern with applications.
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From page 19... ...
Traditionally, population-based health services have been conceived of in terms of community-wide health education programs, surveillance activities, communicable disease control methods, and similar programs. Now, large health care delivery organizations are managing personal health services for an increasing proportion of the population, and more efforts are being made to define organizational policies with a view to their effects on their defined populations rather than given individuals.
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From page 20... ...
Depending on their preparation and role, clinicians may be found in any of the three categories. As noted earlier, it is difficult to distinguish the health services research field from the arenas of clinical research, health care management, and health policymaking.
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From page 21... ...
In addition, the report notes that continuing education is an important resource, both to inform new or established researchers about advances in knowledge or methods and to assist people in shifting career paths as employment opportunities contract or expand in different sectors. Support for Health Services Research As is also the case for biomedical and clinical research, the federal government clearly is the major sponsor of health services research and research training.
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From page 22... ...
a Abbreviations stand for Agency for Health Care Policy and Research, National Institute of Mental Health, National Institute on Drug Abuse, National Institute on Alcohol Abuse and Alcoholism, National LibraIy of Medicine, Health Care Financing Administration/ Office of Research and Demonstrations, and Depa~ln~ent of Veterans Affairs/Health Services Research and Development office, respectively. h These figures represent AHCPR's total agency budget minus $2 million for "support." SOURCE: Adapted from briefing materials distributed at the Association for Health Services Research Board of Directors meeting on February 14, 1995.
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From page 23... ...
It draws on a variety of clinical and academic disciplines and, at its most creative level, integrates their conceptual frameworks and methodologies to provide new ways of studying and understanding the health care system. The next chapter sets the context for the report's discussion of work force and training issues by reviewing the evolution of health services research as a field.
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