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Health services research (HSR) is a multidisciplinary scientific field that examines how people get access to health care practitioners and health care services, how much care costs, and what happens to patients as a result of this care.[1] Studies in HSR investigate how social factors, financing systems, organizational structures and processes, medical technology, and personal behaviors affect access to health care, the quality and cost of health care, and quantity and quality of life. Compared with medical research, HSR is a relatively young science that developed through the bringing together of social science perspectives with the contributions of individuals and institutions engaged in delivering health services.[2] Goals The primary goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high quality care; reduce medical errors; and improve patient safety.[3] HSR is more concerned with delivery and access to care, in contrast to medical research, which focuses on the development and evaluation of clinical treatments. Health services researchers come from a variety of specializations, including geography, nursing, economics, political science, epidemiology, public health, medicine, biostatistics, operations, management, engineering pharmacy and psychology. While health services research is grounded in theory, its underlying aim is to perform research that can be applied by physicians, nurses, health managers and administrators, and other people who make decisions or deliver care in the health care system. Approaches Approaches to HSR include:[2] Implementation research: research focusing on public policy analysis, or the concerns of program managers regarding the effectiveness of specific health interventions; Impact evaluation: research with emphasis on effectiveness of health care practices and organisation of care, using a more narrow range of study methods such as systematic reviews of health system interventions. Health Services Research by country United States Data availability Claims data on USA Medicare and Medicaid beneficiaries are available for analysis. Data is divided into public data available to any entity and research data available only to qualified researchers. USA's Centers for Medicare and Medicaid Services(CMS) delegates some data export functions to a Research Data Assistance Center.[4] 23 Claims data from various states that are not limited to any particular insurer are also available for analysis via AHRQ's HCUP project.[5] Centers Colloquially, health services research departments are often referred to as "shops"; in contrast to basic science research "labs." Broadly, these shops are hosted by three general types of institutions - government, academic, or non-governmental think tanks or professional societies. Government Sponsored U.S. Department of Veterans Affairs Award in Health Services Research Institute of Medicine, U.S.-based policy research organization University Sponsored Center for Surgery and Public Health, U.S. -based research institute at the Brigham and Women's Hospital (Harvard University Affiliate) Regenstrief Institute Center for Healthcare Outcomes & Policy, U.S. -based research institute at the University of Michigan Leonard Davis Institute of Health Economics, U.S.-based center for HSR at the University of Pennsylvania Think Tank or Professional Society Sponsored Society of General Internal Medicine, U.S.-based professional organization in internal medicine research Commonwealth Fund, U.S.-based center for HSR Rand Corporation Health Division, U.S.-based center for HSR Canada Institute for Clinical Evaluative Sciences (ICES) in Toronto, Ontario. Denmark Data availability Several registries are available for research use, such as Danish Twin Register or Danish Cancer Register.[6] See also Health economics Health workforce research Health insurance Health policy Managed care Nursing Pharmacy Practice Research Public health Public health law Publications: BMC Health Services Research, scientific journal Health Affairs, scientific journal Health Services Research journal, scientific journal Medical Care, scientific journal Medical Care Research and Review, scientific journal World Health Report 2012: Better research for better health, publication of the World Health Organization |
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