AHRQ Multi-Disciplinary Doctoral Training Program

描述（由申请人提供）：这项来自海勒社会政策与管理学院的博士前培训基金的目标是培养有才华的学生成为卫生服务研究人员，致力于开展调查，以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，培养了12名博士生；每年四次，连续三年。我们正在训练以行动为导向的、富有成效的研究人员，采用合理的方法方法。在过去的十年中，我们超过三分之二的学员获得了博士学位，大约25%的学生是少数民族。2001年lOM的开创性报告《跨越质量鸿沟：21世纪的新卫生系统》强调了卫生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。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，卫生保健组织的多重目标，组织中相互竞争的经济、政治和文化子系统必须适应医生期望的自主性，以及卫生保健工作团队的组成总是在变化，这意味着必须适应组织行为理论来研究卫生保健组织。这是保健服务研究的一个领域，能力非常有限，因为需要进行跨学科培训，并且需要将社会科学与管理专门知识结合起来。因为海勒学院有一个多学科的社会政策博士项目和一个人力服务组织管理的MBA项目，我们在2002年的竞争性更新中决定把重点放在医疗保健组织上。我们已经成功地重新设计了我们的课程，重新定位了我们的研究生。特别是，我们开设了一门新的组织理论课程，举办了一系列关于如何将组织理论应用于探索卫生保健质量的研讨会，所有AHRQ学员都在他们的论文中使用组织框架。在这个续集中，我们提出了一个新的课程，将应用组织框架和方法来改善医疗保健和广泛的研究经验，在我们的一个CMS项目中，最有可能是医院的基于价值的采购，在这个课程中，学员将学习如何适当地使用大型索赔数据集和AHRQ质量指标，用于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.