The goals of this project are to continue and to strengthen our pre- doctoral and post-doctoral training in health services research. The original grant proposal emphasized the importance of multidisciplinary training for health services research and the fact that multiple opportunities for such training are available at the University of Rochester. The programs at the UR have developed based on these resources. The training program which has evolved is predicated on the belief that there is a critical need in academia, government, and the private sectors for new researchers with multidisciplinary training. Such roles demand backgrounds in statistics, economics, and public policy analysis combined with an understanding of the institutions, structure, and functioning of the U.S. health care system and with health services research methods. This training is provided to students in the doctoral program through three different """"""""tracks"""""""": general health services research/clinical evaluative sciences, public policy, and economics. For persons trained in medicine, the post-doctoral program emphasizes the acquisition of research skills to produce competence in health services research, e.g. statistics, epidemiology, and clinical decision theory. For post-doctoral students with doctoral training in the social sciences, the program emphasizes the unique features of the U.S. health care system and the specialized methods of health services research. The departments collaborating in this program are all nationally prominent and provide excellent training to program fellows. The proposed training program responds specifically to five areas of interest to AHCPR, including (1) cost effectiveness and cost benefit analysis including the allocation of health care resources and its relationship to health status, (2) appropriateness and effectiveness including cost-effectiveness of alternative treatments and technologies, (3) primary care issues including the relationship between the structure and organization of service delivery and access to and cost and outcomes of care, (4) the evaluation of managed care and other alternative approaches to organizing, financing, and reimbursing health care services, and (5) alternative delivery systems, providers, and practice patterns in long-term care including home and community-based care.
| O'Brien, Suzanne R; Zhang, Ning (2018) Association Between Therapy Intensity and Discharge Outcomes in Aged Medicare Skilled Nursing Facilities Admissions. Arch Phys Med Rehabil 99:107-115 |
| McGarry, Brian E; Strawderman, Robert L; Li, Yue (2014) The Care Span: Lower Hispanic participation in Medicare Part D may reflect program barriers. Health Aff (Millwood) 33:856-62 |
| McGarry, Brian E; Temkin-Greener, Helena; Li, Yue (2014) Role of race and ethnicity in private long-term care insurance ownership. Gerontologist 54:1001-12 |
| Holland, Margaret L; Yoo, Byung-Kwang; Kitzman, Harriet et al. (2012) Mother-child interactions and the associations with child healthcare utilization in low-income urban families. Matern Child Health J 16:83-91 |
| O'Loughlin, Ryan E; Duberstein, Paul R; Veazie, Peter J et al. (2011) Role of the gender-linked norm of toughness in the decision to engage in treatment for depression. Psychiatr Serv 62:740-6 |
| Boyle, Lisa L; Richardson, Thomas M; He, Hua et al. (2011) How do the PHQ-2, the PHQ-9 perform in aging services clients with cognitive impairment? Int J Geriatr Psychiatry 26:952-60 |
| Richardson, Thomas M; Simning, Adam; He, Hua et al. (2011) Anxiety and its correlates among older adults accessing aging services. Int J Geriatr Psychiatry 26:31-8 |
| Holland, Margaret L; Yoo, Byung-Kwang; Kitzman, Harriet et al. (2011) Self-efficacy as a mediator between maternal depression and child hospitalizations in low-income urban families. Matern Child Health J 15:1011-9 |
| Richardson, Thomas M; He, Hua; Podgorski, Carol et al. (2010) Screening depression aging services clients. Am J Geriatr Psychiatry 18:1116-23 |
| Simning, Adam; Richardson, Thomas M; Friedman, Bruce et al. (2010) Mental distress and service utilization among help-seeking, community-dwelling older adults. Int Psychogeriatr 22:739-49 |
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