AHRQ Multi-Disciplinary Doctoral Training Program

描述（由申请人提供）：从海勒社会政策和管理学院这个博士前培训补助金的目标是培养有才华的学生成为卫生服务研究人员致力于进行调查，这将提高美国卫生保健提供系统提供高质量服务的能力。我们有跨学科的教师和学生的兴趣，培养12名博士生;四个一年三年。我们正在舒适地培训以行动为导向的，富有成效的研究人员在健全的方法。在过去的十年中，我们的学员中有三分之二以上获得了博士学位。大约25%的学生是少数民族。医疗保健组织作为政策变化或临床知识与患者结果之间的中介的重要性在lOM的2001年开创性报告中得到了强调：跨越质量鸿沟：21世纪世纪的新卫生系统。卫生保健组织具有许多其他非卫生保健组织的复杂性。然而，医疗保健组织的多重目标，竞争的经济，政治和文化子系统的组织，必须适应所需的自主权的医生，和不断变化的医疗保健工作团队的组成意味着组织行为学的理论必须适应研究医疗保健组织。这是一个能力非常有限的保健服务研究领域，因为需要进行跨学科培训，需要将联合收割机社会科学与管理专门知识结合起来。由于海勒学院有一个多学科的社会政策博士课程和人类服务组织管理的MBA课程，我们决定在我们2002年的竞争性更新，以专注于医疗保健组织。我们已经成功地重新设计了我们的课程和重新定位我们的研究生。特别是，我们已经开发了一个新的课程，在组织理论，有一个研讨会系列如何组织理论可以适用于探索医疗保健质量，所有的AHRQ学员都在他们的论文中使用组织框架。在这个延续中，我们提出了一个新的课程，将应用组织框架和方法，以改善医疗保健和广泛的研究经验，在我们的CMS项目之一，最有可能的价值为基础的采购医院，为学员，他们将学会适当地使用大型索赔数据集和AHRQ质量指标CMS的医院支付系统。

DESCRIPTION (provided by the applicant): The goal of this predoctoral training grant from the Heller School for Social Policy and Management is to train talented students to become health services researchers committed to conducting investigations that will improve the U.S. health care delivery system's ability to deliver high quality services. We have the interdisciplinary faculty and student interest to train 12 doctoral students; four a year for three years. We are comfortably training action oriented, productive researchers in sound methodological approaches. Over the past decade over two-thirds of our trainees received a Ph. D. About 25% of our students are minorities. The importance of health care organizations as mediators between policy changes or clinical knowledge and patient outcomes was emphasized in the lOM's 2001 seminal report: Crossing the Quality Chasm: A New Health System for the 21st Century. Health care organizations have the complexities of many other nonhealth care organizations. However, the multiple objectives of health care organizations, the competing economic, political and cultural subsystems of organizations that must accommodate the desired autonomy of physicians, and the always changing composition of the health care work team means that theories of organizational behavior must be adapted for studying health care organizations. This is an area of health services research that has very limited capacity because of the need for inter-disciplinary training and the need to combine social sciences with management expertise. Because the Heller School has a multidisclinary doctoral program in social policy and an MBA program in the management of human services organizations, we decided in our 2002 competitive renewal to focus on health care organizations. We have been successful in redesigning our curriculum and reorienting our graduate students. In particular, we have developed a new course in organizational theory, have a seminar series on how organizational theories could be applicable to explore health care quality, and all the AHRQ trainees are using organizational frameworks in their dissertations. In this continuation, we propose a new course that will apply organizational frameworks and methods to improve health care and extensive research experiences in one of our CMS projects, most likely Value Based Purchasing for hospitals, for the trainees in which they will learn to appropriately use large claim data sets and AHRQ quality indicators for CMS' hospital payment system.