Impact of Medicare policies on utilization and outcomes.

描述(由申请人提供)：应聘者是董事会认证的 有兴趣将健康经济学的方法论应用于 研究影响患者护理的财政政策 关节炎和其他风湿性疾病。他正在寻求外部资金支持 这样他就可以有足够的时间利用正规课程了 学习，对提议的项目进行研究的时间，以及与他的导师的联系。他 有商业背景，目前就读于加州大学洛杉矶分校 公共卫生，卫生服务博士学位课程，重点是 健康经济学。 加州大学洛杉矶分校为他的职业发展提供了良好的环境。这个 医学部为其年轻研究人员提供正式支持 通过科学培训和高级研究计划。加州大学洛杉矶分校有 优秀的卫生服务研究人员和卫生经济学家 公共卫生和医学。加州大学洛杉矶分校与兰德公司有着密切的工作关系 和兰德研究生院。 在颁奖期间，候选人将参加所需的课程以完成他的 博士学位。拟议研究的一部分将作为他的 论文。他招募了一个健康经济学家团队，健康服务 研究人员、风湿病专家和统计学家教他 需要完成拟议的研究并将其职业生涯发展为 具有健康、经济和关节炎专业知识的独立研究员。 他曾提议研究平衡预算法案支出的影响 100%样本中急性后护理利用率和临床结果的削减 接受择期关节置换手术或 髋部骨折的外科治疗。他还提议审查管理人员 医疗成本-通过研究管理型医疗退保转移到服务部门的费用 在计划手术(择期关节置换)和退伍之前 在计划外手术(髋部骨折)之前。

DESCRIPTION (provided by applicant): The candidate is a board-certified rheumatologist interested in applying the methodology of health economics to study fiscal policies that impact the care of patients suffering from arthritis and other rheumatic diseases. He is seeking external funding support so that he might have the protected time to avail himself of formal course studies, research time on the proposed project, and access to his mentors. He has a business background and is currently enrolled in the UCLA School of Public Health, Health Services Ph.D. degree program, with an emphasis on Health Economics. UCLA provides an excellent environment for the development of his career. The Department of Medicine provides formal support for its young investigators through the Scientific Training and Advanced Research program. UCLA has excellent health service researchers and health economists in the Schools of Public Health and Medicine. UCLA has a close working relationship with RAND and the RAND Graduate School. During the award, the candidate will take classes required to complete his Ph.D. degree. A portion of the proposed research will serve as his dissertation. He has enlisted a team of health economists, health service researchers, a rheumatologist and a statistician to teach him the skills he needs to complete the proposed research and to develop his career as an independent researcher with health economic and arthritis expertise. He has proposed to study the impact of the Balanced Budget Act expenditure cuts on post-acute care utilization and clinical outcomes on a 100% sample of Medicare patients who have undergone elective joint replacement surgery or surgical management of hip fracture. He has also proposed to examine managed care cost-shifting to the fee for service sector by studying managed care disenrollment prior to planned surgery (elective joint replacement) and disenrollment prior to unplanned surgery (hip fracture).