Health Services Research

Population Health M.S./Ph.D. Program at the University of Wisconsin-Madison

Overview

What is Health Services Research?

The Institute of Medicine defines health services research as “...a multidisciplinary field, both basic and applied, that examines the use, costs, quality, accessibility, delivery, organization, financing and outcomes of health care services to increase knowledge and understanding of the structure, process and effects of health services for individuals and populations.”  As a field of study within the University of Wisconsin-Madison Program in Population Health, health services research is placed within the broader context of the biological, social and economic determinants of population health.

The Program in Population Health offers M.S. and Ph.D. training in an exciting, interdisciplinary intellectual environment.  The UW Department of Population Health Sciences, which serves as the academic home to this unique graduate program, also offers courses for undergraduates, medical students and fellows.  Our multidisciplinary approach prepares our students to be leaders in health-related careers by instilling strong methodological research skills together with understanding of basic biological and health services constructs, with a population-based focus. Through coursework and research collaboration, we seek to train students to employ rigorous scientific and analytic methods to reduce the burden of morbidity and early mortality, to identify the most effective ways to prevent and treat diseases and disorders, and to promote population health.

Health Services Research PhD Areas of Study

Health services research students satisfy the general program requirements of the Program in Population Health (through which application for graduate study is made) and the University of Wisconsin Graduate School.  These requirements allow broad latitude for specialization. The program faculty have defined four areas of training for doctoral emphasis within the health services research concentration.  Example curricula in these four areas are shown in the following links.

Health Care Quality and Safety

Health Economics

Health Policy

Outcomes and Technology Assessment

Doctoral students are encouraged to work with their academic advisor to define a selection of electives to meet particular needs and interests.  There are nearly limitless choices of challenging courses within the graduate offerings of departments in the University at large and these serve to enrich the interdisciplinary training for health services research students.

Health Services Research Faculty

Graduate degrees in Population Health are research degrees.  Doctoral students acquire knowledge through coursework, but conduct of research is the primary focus of graduate study.  Upon admission students are assigned an academic advisor, but before the end of their second year should identify and associate with the faculty member who will be their major professor and research supervisor.  Usually doctoral students work with their major professor on research supported under grants held by the professor, hold a position as a trainee on a department’s training program, or are supported by competitive doctoral dissertation grants or fellowships secured by the student. 

Faculty member

Area(s) of research

Dennis Fryback, PhD

Quality of Life and Health Outcomes Measurement, Health Care Technology Assessment, Bayesian statistical methods applied in health services research

David Kindig, MD PhD

Health Policy

John Mullahy, PhD

Health Economics

Maureen Smith, MD MPH PhD

Access to Care, Quality of Care, Patient Safety, Patient-Physician Relationship

David Vanness, PhD

Health Economics, Health Care Technology Assessment

Barbara Wolfe, PhD

Health Economics, Public Economics

Current Health Services Research Projects in the Department

Project Title

Funding Source

Principal Investigator

Older Adults and Specialty Care Use in Managed Care

National Institute of Aging

Smith

Access to Care and Health Outcomes in the Near Elderly

National Institute of Aging

Smith

PILOT - Vascular Access Devices: Patterns of Care

National Cancer Institute

Smith

Racial Disparities in Stroke

National Institute of Aging (Pending)

Smith

Simulating Breast Cancer in Wisconsin

National Cancer Institute

Fryback

Norms and Performance Comparisons for 5 Health Indexes

National Institute of Aging

Fryback

The role of Badgercare in increasing health insurance coverage and increasing labor force participation

Economic Research Initiative on the Uninsured

Wolfe

Studies in ties between Income inequality and health inequality

Russell Sage Foundation

Wolfe, Mullahy, Robert

Evaluation of Osteoporosis Prevention in the Elderly: Benefits and Costs

National Institute of Aging

Vanness

National CT Colonography Trial

American College of Radiology (Pending)

Vanness

Pharmacogenetics of Advanced Colorectal Cancer

National Cancer Institute

Vanness

Health & Society Scholars Program

Robert Wood Johnson Foundation

Mullahy, Kindig, Robert

Additional UW Graduate Faculty associated with Health Services Research

Faculty member

Area(s) of research

Barbara Bowers, PhD RN FAAN

Nursing, Long Term Care

Patricia Flatley Brennan, MSN, PhD

Health Informatics, Health Services Research

Mark Browne, PhD

Insurance

Pascale Carayon, PhD

Quality of Care and Patient Safety

Mary (Molly) Carnes, MD

Women’s Health

Betty Chewning, PhD

Health Services Research, Adolescent Health

Edward (Jed) Frees, PhD

Risk and Insurance

David Gustafson, PhD

Health Systems Engineering

Karen Holden, PhD

Social Welfare, Pensions, Health Insurance

David Kreling, PhD

Pharmacy Economics & Policy

David Mott, PhD RPh

Pharmacy Economics

Stephanie Robert, PhD

Socioeconomic Determinants of Health

Marjorie Rosenberg, PhD FSA

Biostatistics, Actuarial Modeling in Health Care

Michael Smith, PhD

Human Systems Engineering

Bonnie Svarstad, PhD

Medical/Pharmaceutical Sociology

Karen Swallen, PhD

Medical Sociology

David Weimer, PhD

Health Policy

David Zimmerman, PhD

Health Services Research

Courses

The Population Health Core Curriculum includes an introductory course in population health, an introductory course in health services research, a two-semester sequence in epidemiology, a three-semester sequence in biostatistics, and a course in research ethics.  Students concentrating in health services research will choose a relevant thesis/dissertation topic and select electives from:

Assessment of Medical Technologies (875)

Measuring Health Outcomes (876)

Quality of Health Care: Evaluation and Assurance (703)

Economic Analysis for Population Health (877)

Health Economics (848)

The Economics of Health Care (548)

And other courses in Population Health including...

And other courses throughout the university including...

Sample PhD dissertations and post-PhD positions

Student (year graduated)

Dissertation title {Major Professor(s)} (funding)

First position after graduation

Hong Wang (2002) Variations in population health related quality of life and health service utilization in Beijing, China {Kindig} (Milbank Memorial Fund and the Wisconsin Public Health and Health Policy Institute) Assistant Professor, Division of Global Health, Yale School of Public Health
Christopher Seplaki (2002) The measurement and dynamic analysis of elderly living environment transitions and outcomes {Kindig} (NIMH Pre-Doctoral Fellowship) Post-doctoral Fellow, Office of Population Research, Princeton University
Yukiko Asada (2003) A framework for measuring health inequality {Wikler; Kindig, Mullahy} (Rotary International Scholarship; Fulbright Fellowship; AHRQ Dissertation Grant) Post-doctoral Fellow, Dalhousie University, Halifax, Nova Scotia
Ralph P. Insinga (2003) The health and economic burden of genital warts and cervical human papillomavirus-related disease within a set of U.S. health plans {Fryback} (AHRQ Traineeship; unrestricted Merck gift funds) Health Economist, Merck Research Laboratories, Blue Bell, PA.
Benjamin M. Craig (2003) Out-of-pocket price, prescription medications, and seniors {Mullahy} (AHRQ Traineeship) Assistant Professor, Center for Health Outcomes and Pharmacoeconomic Research, University of Arizona
Natasha K. Stout (2004) Quantifying the benefits and risks of mammography for women, researchers and policy makers: An analysis using a simulation model {Fryback} (AHRQ Traineeship; NCI research assistantship) Research Associate, Harvard Center for Risk Analysis, Harvard School of Public Health
Henry (Joe) Henk (2004-anticipated) Prices, Quantities, and Costs: Using Data on Health Care Prices and Resource Use to Inform Decisions about Health Care Interventions {Mullahy}  (Merck Foundation Fellowship) Researcher, Outcome Division, Ingenix

Financial Support

AHRQ Training Grant in Population-Based Health Services Research and Healthcare Quality Improvement  

NIMH Training Grant in Health and Mental Health Economics

Merck Foundation Fellowship in Health Economics

Research and Project Assistantships on Health Services Research Projects