Harkness Fellowships in Health Care Policy and Practice
möglichkeit für Fachleute in gesundheitspolitischen Frage-
stellungen. Das Programm ermöglicht einen ca. einjährigen Arbeits- und Forschungsaufenthalt an renommierten Universitäten und Einrichtungen des Gesund-
heitswesens in den USA.
Dort untersuchen die Fellows im Rahmen eines Forschungs-
projektes Aspekte des amerikanischen Gesundheits-
wesens, die von besonderem Interesse für die Situation in Deutschland sind oder verglei-
Die Robert Bosch Stiftung hat von 2007 bis 2014 insgesamt acht deutsche Harkness Fellows gefördert. Der Commonwealth Fund und die B. Braun Stiftung vergeben weiterhin Stipendien für Teilnehmer aus Deutschland. Weitere Informationen zu den Fellowships und zum Bewerbungsverfahren finden Sie auf den Websites des Commonwealth Funds und der B. Braun Stiftung.
Placement: Dartmouth University
Mentors: Elliott S. Fisher, M.D., director, Population Health and Policy, Dartmouth Institute for Health Care Policy and Clinical Practice; and Julie Bynum, M.D., associate professor, Dartmouth Medical School
Current Project Abstract: Koller's Harkness project will use Medicare data to analyze variations in health care utilization for patients with dementia by region, age, sex, socioeconomic status, and ethnicity. In collaboration with the Alzheimer’s Association, she will supplement the quantitative analyses with expert interviews to better understand the needs of patients and caregivers, the delivery system issues for this vulnerable population, and the implications for addressing these issues under health reform.
Placement: Harvard School of Public Health
Mentor: Meredith B. Rosenthal, Ph.D., professor of health economics and policy, Harvard School of Public Health
Current Project Abstract: Reibling's Harkness project will analyze data from the Medical Expenditure Panel Survey in the U.S. and the Survey of Health, Ageing, and Retirement in Germany to assess which aspects of the patient-centered medical home model—such as accessibility, continuity, coordination, patient-centeredness─are most important in reducing racial and socioeconomic disparities in health and health care. Interviews with senior government officials, provider organizations, and key experts will be used to further understand the mechanisms through which primary care and medical homes can address the needs of disadvantaged populations and improve health care and outcomes.
Placement: Stanford University
Mentor: John Ioannidis, Stanford University
Project: Randomized controlled trials (RCTs) are the gold standard in evidence-based medicine and are essential for comparative effectiveness research. However, members of priority groups are often under-represented in RCTs, and the reporting of safety results is often insufficient. Dr. Hemkens project compared the findings of research using routinely collected utilization databases – such as claims data, EMRs, patient registries, dedicated research networks – with RCTs addressing the same question. He conducted a systematic comparison of RCT results against research using utilization databases to determine the level of concordance.
Current Position: Clinical Researcher, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel (Updated January 2013)
Placement: University of California-San Francisco
Mentors: Lisa Bero, Ph.D., Professor, University of California, San Francisco; Carolyn Clancy, M.D., Director, Agency for Healthcare Research and Quality
Project: Professor Gerhardus explored: how useful the comparative effectiveness research (CER) funded under the American Recover and Reinvestment Act will be from the perspective of entities deciding on coverage; how aspects such as rigor, relevance and the exact topic of the research contribute to the usefulness of the research; and what are the most important features that these entities expect from future CER projects. Semi-structured interviews were undertaken with senior scientists who work for institutions or committees that critically review studies in order to support rational decision-making (e.g., the Blue Cross/Blue Shield-Technology Evaluation Center).
Current Position: Professor and Chair, Health Service Research, Institute for Public Health and Nursing Research, University of Bremen (Updated July 2011)
Placement: Duke University
Mentors: Peter Ubel, M.D., Professor, Fuqua School of Business, Duke University; Kevin Schulman, M.D., Professor, Duke Clinical Research Institute
Project: Professor Mühlbacher’s project aimed to provide health care policymakers and decision-makers with a comprehensive assessment of patients’ views on the relative value of coordinated care. The project had a qualitative and quantitative phase. In the qualitative phase, focus groups and interviews were conducted with patients regarding their preferences for different aspects of coordinated care. In the quantitative phase of the project, a discrete choice experiment was conducted, wherein roughly 700 patient participants were presented with a scenario and given a choice between possible coordinated care interventions. Their choices were analyzed based upon the characteristics of the interventions they chose.
Current Position: Professor and Chair, Institute for Health Economics and Medicine Management, University of Applied Sciences Neubrandenburg
Placement: University of Pennsylvania School of Nursing
Mentor: Mary Naylor, Ph.D., FAAN, RN, Professor, University of Pennsylvania, and Director, NewCourtland Center for Transitions and Health
Project: Professor Roes’ project fit within a large study being conducted by the Long-Term Quality Alliance on transitions in long-term care. She developed a quality indicator analytical framework for transitional care for vulnerable and chronically ill elderly. Particular measurement focus areas included improvement of care transitions, the reduction of avoidable hospitalizations, health-related quality of life, patient experiences and preferences, and cost of care. Professor Roes undertook a literature review on transitional care models and an expert survey to identify currently used outcome indicators.
Current Position: Site Speaker, German Center for Neurodegenerative Diseases (DZNE) (Updated January 2013)
Mentors: Kay Dickersin, Ph.D., Holger Schünemann, M.D., Ph.D. (McMaster University), and Milo A. Puhan, M.D., Ph.D.
Placement: Johns Hopkins Bloomberg School of Public Health
Project: This project informed the IOM’s Committee on Standards for Systematic Reviews of Clinical Effectiveness Research about what is known about consumer involvement in conducting systematic reviews in the United States and key international organizations. The term “consumer” referred broadly to members of the public, patients and caregivers. Kreis conducted interviews and document review at organizations that commission or conduct systematic reviews.
Mentor: Robert Blendon, Sc.D.
Placement: Harvard School of Public Health
Project: Professor Wendt’s project investigated the correspondence between particular institutional arrangements of health care and citizens’ trust in the performance of these institutions. Using data from the Commonwealth Fund International Health Policy Survey, he explored public attitudes towards the health system, how these correlate with institutional arrangements, and how they vary based on socioeconomic differences.
Current Position: Professor of Sociology of Health and Health Systems, University of Siegen (Updated August 2010)
Mentors: Sherry Glied. Ph.D.; Lawrence Brown, Ph.D.
Placement: Columbia University Mailman School of Public Health
Project: Professor Cacace compared health care system equity in Canada, Germany, and the U.S. She conducted an analysis of the 2007 Commonwealth International Health Policy Survey of Adults to measure differences in health care utilization between low and high income groups (adjusting for need). She then decomposed utilization inequalities between the two groups by other socioeconomic factors such as education, race/ethnicity, and insurance status.
Current Position: Visiting Professor in Regional Health Economics, Leuphana University (Updated January 2012)
Mentors: Ruth McCorkle, Ph.D., FAAN; Penny H. Feldman, Ph.D.
Placement: Yale University School of Nursing
Project: Professor Haslbeck explored the self-management needs and abilities of the elderly living alone with chronic conditions – a particularly vulnerable population with often complex health care needs. He first conducted a literature review, followed by expert interviews including with physicians, nurses, social workers.
Current Position: Director, Careum Patient Education, Careum Foundation (Updated August 2010)
Mentor: Mary Naylor, Ph.D., FAAN, R.N.
Placement: University of Pennsylvania School of Nursing
Project: Pay-for-performance, collecting and reporting performance data, and a growing awareness of sub-optimal care have necessitated the identification of best practices to help reduce quality gaps. Home health care agencies frequently have turned to guidelines to promote best practices, though implementing new practices once they have been identified remains a significant challenge. Professor Stock's study aimed to summarize the available evidence on guideline implementation effectiveness research and to draw up practical recommendations for an industry-wide framework for a systematic approach to guideline implementation.
Current Position: Professor and Provisional Head of the Institute for Health Economics and Clinical Epidemiology, University of Cologne
Placement: Children's Hospital of Philadelphia (CHOP) and University of Pennsylvania
Project: Dr. Gerber examined how pediatricians use an electronic health record (EHR) and clinical decision support tool introduced into their office. As part of a larger research team, he undertook observations of pediatricians’ interactions with patients and use of the EHR system at primary care centers affiliated with Children’s Hospital of Philadelphia. Variation among physicians in their patient interactions and computer use were calculated and analyzed.
Current Position: Head, Department of Health Economics, Insitute for Quality and Efficience in Health Care (IQWiG). (Updated August 2010)
Mentors: Lawrence D. Brown, Ph.D., Sherry Glied, Ph.D., and David Blumenthal, M.D.
Placement: Department of Health Policy and Management, Mailman School of Public Health, Columbia University
Project: Professor Janus’ project shed light on how monetary and non-monetary incentives are perceived by physicians and their actual impact on decision-making, including how this differs across specialties and whether the incentives are for routine or non-routine services. She interviewed more than 40 physicians from different specialties (surgery, general internal medicine, anesthesiology and psychiatry) on their decision-making process.
Current Positions: Professor, Ulm University; Assistant Professor, Columbia University Mailman School of Public Health (Updated August 2010)
Mentor: Alan Garber, M.D., Ph.D.
Placement: Center for Health Policy, Stanford University
Project: Professor Schreyögg’s project aimed to explain variation in mortality and hospital costs for treatment after acute myocardial infarction between hospitals of the Veteran Health Administration (V.A.) and Germany. He drew on patient-level data from 130 V.A. and 18 German hospitals, and used a multilevel regression to draw insights regarding their relative efficiency and quality, adjusting for the different patient profiles in each system.
Current Position: Chair for Health Care Management, Faculty of Economics and Social Sciences, University of Hamburg (Updated September 2010)