Advanced Training Health Service Research

描述（由申请人提供）：宾夕法尼亚大学沃顿商学院卫生保健系统系、普通内科学部和伦纳德·戴维斯卫生经济学研究所要求额外五年的资助，以支持宾夕法尼亚大学卫生服务研究博士项目每年培养两名博士后和八名博士生。申请人为每个学生寻求两到三年的支持。其余培训（共四至五年）的经费将来自其他来源。最初的NRSA拨款于1986年颁发，帮助该大学建立了一个教育项目，该项目已成为全国领先的卫生服务研究博士项目之一。该项目将几个传统学科的研究生水平的强化培训与卫生服务研究的高级学习、跨学科课程、与导师的研究经验以及与教师和研究员的合作结合起来。该项目的课程设置和教师的研究兴趣与NRSA项目的总体目标、AHRQ的优先领域以及寻求培训的研究类型高度一致。学生接受了以下方面的培训：1)卫生经济学；2)卫生系统管理；3)结果测量；4)质量测量与质量激励；5)生物统计学;6)流行病学;7)决策分析；8)成本效益和成本效益分析；9)质量和成本权衡或互补性分析；10)服务不足人群的健康结果和规划；11)保险经济学；以及一系列其他医疗服务问题。在所有这些领域，宾夕法尼亚大学拥有优秀的师资队伍，有着完善的研究记录和正在进行的研究项目。该大学NRSA项目的毕业生已经在学术界、享有盛誉的研究机构和政府部门从事研究工作。AHRQ/NRSA资助学生的学费和津贴对维持这一卓越项目至关重要。

DESCRIPTION (provided by applicant): The University of Pennsylvania's Health Care Systems Department at the Wharton School, together with the Division of General Internal Medicine and the Leonard Davis Institute of Health Economics request five additional years of funding to support the training of two post-doctoral and eight pre-doctoral students per year in the PhD program in Health Services Research at the University of Pennsylvania. The applicant seeks support for two to three years for each student. Funding for the remainder of their training (a total of four to five years) will come from other sources. The original NRSA grant, awarded in 1986, was instrumental in helping the University establish an educational program which has become one of the nation's leading PhD programs in Health Services Research. This program combines intensive graduate-level training in several traditional academic disciplines with advanced study in health services research, cross-disciplinary coursework, research experience with mentors, and collaboration with faculty and fellows. The program curriculum and the research interests of the faculty are highly congruent with the overall goals of the NRSA program and with the priority areas of AHRQ and the types of research for which training is sought. Students have been trained in: 1) health economics; 2) health systems management; 3) outcomes measurement; 4) quality measurement and quality incentives; 5) biostatistics; 6) epidemiology; 7) decision analysis; 8) cost-benefit and cost-effectiveness analysis; 9) analysis of quality and cost tradeoffs or complementarities; 10) health outcomes and programs for underserved populations; 11) insurance economics; and a host of other health services issues. In all these areas, the University of Pennsylvania has excellent faculty with well-established research records and on-going research programs. Graduates of the University's NRSA program have gone on to careers in academia, highly reputed research institutes, and research functions with government. AHRQ/NRSA funding to support tuition and stipends for students is essential to the maintenance of this program of excellence. The program builds on the close teaching and research collaboration between the Wharton School, the School of Medicine, the Department of Economics, the Department of Biostatistics and Epidemiology, the Leonard Davis Institute of Health Economics, all at the University of Pennsylvania, and the Center for Outcomes Research at Children's Hospital. The strong connections between the Medical School and the Wharton School make this program highly attractive to physicians as well as to non-physicians. The program incorporates plans to intensify efforts to recruit minority students through several channels, including closer collaboration with Penn's Center for Excellence for Diversity in Health Education and Research, a HRSA-funded program promoting research in minority issues, minority student and faculty recruitment and retention, and advancing leadership roles of minority faculty.