Funding the Training of Future Health Services Researchers

Development of the Rehabilitation Health Policy, Systems, and Services Research Field: Quantitative Analyses of Publications over Time (1990–2017) and across Country Type

“…While we found a significant growing trend in the portion of the country-specific Rehabilitation HPSSR publications that were focused on LMICs(up to 13% in 2017),a still higher preponderance of rehabilitation HPSSR is likely needed, especially in LMICs; transformational rather than incremental improvements would be required to address this gap. Capacity would need to be created, for example, in developing a research workforce with the means, focus, and capabilities to implement a Rehabilitation HPSSR agenda worldwide [10,22,[67][68][69], including with a special focus on LMICs [70][71][72].…”

Update on the Stock and Supply of Health Services Researchers in the United States

“…Future monitoring of whether the diverse pipeline eventually translates to a diverse leadership in senior ranks in HSR is recommended. A potential threat to the future HSRer stock is the available funding for HSR predoctoral and postdoctoral training (Mor and Wallace 2018). Some schools have recognized the financial challenges that students face in financing their education, and thus have restricted the pipeline of HSR students to a number that they were able to ensure support throughout their doctoral education, which may be reflected in the slowdown in doctoral degrees conferred over the last few years.…”

Training for Health System Improvement: Emerging Lessons from Canadian and US Approaches to Embedded Fellowships

“…Both the American and the Canadian fellowship programs have spawned imitation and emulation, and these should be encouraged. In the US, the Education Council of AcademyHealth has overseen a workforce initiative that has underscored the importance of embedded experiences and the growing role of health systems in health services research (Atkins 2018;Javadi et al 2018;Menachemi et al 2018;Mor and Wallace 2018;Rich and Collins 2018). Second, several other groups have become interested in sponsoring similar, real-world learning opportunities for post-doctoral fellows.…”

“…Health services and policy research (HSPR) is the innovation engine of a healthcare system (Tamblyn et al 2016a). The Canadian Institutes of Health Research Institute of Health Services and Policy Research (CIHR-IHSPR) defines it as the field of scientific investigation that generates evidence on how to invest in programs, services and technologies that maximize health and health system outcomes (CIHR-IHSPR 2016), and it is similarly defined by AcademyHealth and the Agency for Healthcare Research and Quality (AHRQ) in the US (Mor and Wallace 2018). Countries worldwide are grappling with rising expenditures, inefficient service delivery and suboptimal patient outcomes, and doctoral graduates in HSPR have the skills to tackle such challenges and the potential to make significant contributions to health system improvement (Bornstein et al 2019;Brown and Nuti 2016;Tamblyn et al 2016b).…”