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The Health Services Research Workforce: Current Stock

The Health Services Research Workforce: Current Stock. Health Services Researchers of 2020 Summit November 30, 2007 Jean Moore, Director Center for Health Workforce Studies School of Public Health, SUNY at Albany http://chws.albany.edu. The Center for Health Workforce Studies.

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The Health Services Research Workforce: Current Stock

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  1. The Health Services Research Workforce: Current Stock Health Services Researchers of 2020 Summit November 30, 2007 Jean Moore, Director Center for Health Workforce StudiesSchool of Public Health, SUNY at Albany http://chws.albany.edu

  2. The Center for Health Workforce Studies • Based at the School of Public Health at SUNY Albany • Our mission is to provide timely, accurate data, and conduct policy-relevant research about the health workforce • Our goal is to inform public policies, the health and education sectors and the public Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  3. Research Questions • How many individuals are conducting health services research? • Where is their work featured? • What do they look like? • What do they study and how do they study it? Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  4. Medical Sociology Health Economics Public Health Multidisciplinary or Interdisciplinary Health Services Researchers Health Policy Medicine Nursing Health Care Management Health Services Researchers Have Diverse Backgrounds Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  5. Health Services Research Is Featured in Many Venues • HSR-specific • AcademyHealth membership and meeting participants • HSRProj (Health Services Research Projects in Progress) • Health Services Research • Medical Care • Not HSR-specific • Peer-reviewed journals • Research conferences Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  6. A Conservative Count of Health Services Researchers Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  7. Beyond a Conservative Count • American Society of Health Economists (ASHE) conference attendees, 2006 • American Public Health Association (APHA) Annual Meeting paper and poster authors, 2007 • American Sociological Association (ASA) participants in 42 health-related sessions, 2007 • First three authors from original research articles in 11 health-related peer-reviewed journals Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  8. % Included in the Conservative Count of HSRers Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  9. Silos or a Core? • There is a small group of health services researchers whose work is featured in many different venues • There are a large number of health services researchers who appear in only one place or in venues associated with only one discipline Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  10. 2007 Salary Survey of AcademyHealth members • Provides demographic and background data • 1,317 responses • 38.6% Response Rate • 37.1% of Membership Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  11. Respondents by Gender, 2007 Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  12. Respondents by Age, 2002 & 2007 Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  13. Race/Ethnicity of 2007 Respondents Compared to the U.S. Population Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  14. Ten Most Common Educational Background of Respondents, 2007 Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  15. Current Employment Setting Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  16. Primary Job Titles of Respondents, 2007 Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  17. Median 2007 Salary by Gender and Highest Degree ($1,000s) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  18. Health Services Researchers Enjoy High Job Satisfaction • 92.5% are satisfied with their current profession/occupation • 62.9% report it is very or somewhat unlikely they would initiate a job search in the next year • Relatively few respondents reported that they were “very anxious” about their job security over the next year (3%), and six in ten felt no anxiety about their job security. Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  19. Methods: Content Analysis of 2005 HSRProj Abstracts • HSRProj is a database of current health services research • Most recent complete year is 2005 • Research was classified based on MESH terms associated with abstracts to identify the types of services, populations, and conditions commonly studied and methods commonly used Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  20. Common Themes in HSRProj, 2005 • Top Services Studied: • Medicare (8%) • Primary Health Care (7%) • Patient Education (6%) • Mental Health Services (6%) • Public Health (6%) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  21. Common Themes in HSRProj, 2005 • Top Populations Studied: • Children (15%) • Women (13%) • Aged (13%) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  22. Common Themes in HSRProj, 2005 • Top Research Methods: • Program Evaluation (19%) • Program Development (18%) • Outcome Assessment (13%) • Randomized Controlled Trials (10%) • Data Collection (9%) • Intervention Studies (9%) • Treatment Outcome Studies (8%) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  23. Common Themes in HSRProj, 2005 • Top Conditions Studied: • Neoplasms ( 10%) • Obesity (7%) • Substance-Related Disorders (6%) • Mental Disorders (5%) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  24. Limitations • We have only identified health services researchers from the most obvious sources • We have little information on the characteristics of health services researchers in various disciplinary “silos” • Our analyses may include a broader group of researchers than just health services research (e.g. those doing health policy or biological research) Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  25. Conclusions • Health services researchers are drawn from many disciplines • Increasingly, health services research involves international collaborations Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  26. Findings • Health services research degree programs are an important source – but not the primary source – of health services researchers • Most health services researchers are based in academic settings • Program evaluation and program development are central competencies in HSR • Health services research is an attractive career field for doctoral-educated researchers Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  27. Findings • Salary disparities by gender are problematic • The health services research workforce lacks diversity, with few African Americans and Hispanics • It is difficult to separate the U.S. from the international HSR workforce Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

  28. How Can We Better Prepare the Future Health Services Research Workforce? • Better understand how to bring together health services researchers from various disciplinary “silos” and from other parts of the world • Collection of information on health services researchers must extend beyond current efforts • More consistent monitoring of the health services research workforce Center for Health Workforce Studies School of Public Health – University at Albany, SUNY, November 2007

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