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Health Policy Research in Surgery

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Health Services Research

Part of the book series: Success in Academic Surgery ((SIAS))

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Abstract

The purpose of this chapter is to provide an overview of health policy research in surgery. We will begin by considering common pitfalls in conducting health policy research. We will then provide research examples from two key areas: (1) Physician and hospital payment reform and (2) Surgical training and workforce policy. For each area of research, recent and impending policy changes will be discussed; examples of studies that have answered important questions provided; and important research questions that are not yet answered will be highlighted. Finally, we will close with a brief discussion of the research tools necessary to generate the right answers and where to find collaborators for those interested in pursuing research in this field.

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Further Reading

  • Bernal JL, Cummins S, Gasparrini A. Interrupted time series regression for the evaluation of public health interventions: a tutorial. Int J Epidemiol. 2017;46(1):348–55.

    PubMed  Google Scholar 

  • Dimick JB, Nicholas LH, Ryan AM, Thumma JR, Birkmeyer JD. Bariatric surgery complications before vs. after implementation of a national policy restricting coverage to centers of excellence. JAMA. 2013;309:792–9.

    Article  CAS  Google Scholar 

  • Dimick JB, Ryan AM. Methods for evaluating changes in health care policy: the difference-in-differences approach. JAMA. 2014;312:2401–2.

    Article  CAS  Google Scholar 

  • Paquette IM, Zuckerman R, Finlayson SR. Perforated appendicitis among rural and urban patients: implications of access to care. Ann Surg. 2011;253:534–8.

    Article  Google Scholar 

  • Ryan AM, Krinsky S, Maurer KA, Dimick JB. Changes in hospital quality associated with hospital value-based purchasing. N Engl J Med. 2017;376:2358–66.

    Article  Google Scholar 

  • Rajaram R, Chung JW, Jones AT, Cohen ME, Dahlke AR, Ko CY, Tarpley JL, Lewis FR, Hoyt DB, Bilimoria KY. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. JAMA. 2014;312:2374–84.

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. National Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA

    Karan R. Chhabra

  2. Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA

    Karan R. Chhabra

  3. Department of Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    Karan R. Chhabra

  4. Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA

    Justin B. Dimick

Authors
  1. Karan R. Chhabra
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  2. Justin B. Dimick
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Corresponding author

Correspondence to Karan R. Chhabra .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA

    Justin B. Dimick

  2. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

    Carrie C. Lubitz

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Chhabra, K.R., Dimick, J.B. (2020). Health Policy Research in Surgery. In: Dimick, J., Lubitz, C. (eds) Health Services Research. Success in Academic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28357-5_4

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  • DOI: https://doi.org/10.1007/978-3-030-28357-5_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28356-8

  • Online ISBN: 978-3-030-28357-5

  • eBook Packages: MedicineMedicine (R0)

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