Current Supply/Stock of Health Services Researchers (HSRers) BIANCA - - PowerPoint PPT Presentation
Current Supply/Stock of Health Services Researchers (HSRers) BIANCA K. FROGNER, PHD ASSOCIATE PROFESSOR, DEPARTMENT OF FAMILY MEDICINE DIREC TOR, CENTER FOR HEALTH WORKFORCE STUDIES UNIVERSITY OF WASHINGTON UNDERSTANDING THE CURRENT HSR
BIANCA K. FROGNER, PHD ASSOCIATE PROFESSOR, DEPARTMENT OF FAMILY MEDICINE DIREC TOR, CENTER FOR HEALTH WORKFORCE STUDIES UNIVERSITY OF WASHINGTON
“UNDERSTANDING THE CURRENT HSR WORKFORCE AND MAXIMIZING ITS FUTU RE” ACADEMYHEALTH ANNUAL RESEARCH MEETING NEW ORLEANS, LA JUNE 26, 2017
Primary Objectives 1) To update (and expand on) prior studies on the stock/supply of health services researchers (HSRers) to gauge whether the field is growing or shrinking 2) To examine the educational pipeline to identify how many students are training in HSR-related fields, or could potentially be an HSRer 3) To discuss how the HSR supply has been changing (e.g., sociodemographics, work location, areas of concentration) and the challenges of defining the field Study Design Exploratory descriptive analysis of multiple data sources on individuals involved in HSR in the United States between January 1, 2010 to December 31, 2015
Study Investigators NIH Research Portfolio Online Reporting Tools (RePORTER) AHRQ Grants On-Line Database Health Services Research Projects in Progress (HSRProj) Authors PubMed using Medical Subject Headings (MeSH) and selected journals Other HSRers AcademyHealth
LinkedIn (as of July 2016) ResearchGate (as of July 2016) Education Pipeline Integrated Postsecondary Education Data System (IPEDS)
SOURCES COUNT AcademyHealth 2015 Annual Research Meeting Presenters 5,792 Select Journals (First three authors published from 2010 to 2015) Health Services Research (714 articles) Medical Care (1209 articles) 1,500 2,580 Sponsored Projects (Investigators) NIH RePORTER and AHRQ GOLD (16,041 grants) 1 HSRProj 2 NIH, AHRQ, VA sponsoring agencies Other sponsoring agencies 5,031 6,630 4,740 1,890 Duplicated count 21,533 Unduplicated count to compare with 11,596 HSRers found in 2011 by McGinnis & Moore (ARM, Select Journals, HSRProj) 14,526 Unduplicated count expanded (including NIH RePORTER, AHRQ GOLD) 16,743 AcademyHealth Membership Directory (as of 7/31/2016) All members in United States Type of work identified as “Health Services Research” Secondary type of work identified as “Health Services Research” 4,343 1,395 163 LinkedIn.com Self-identified skill of “Health Services Research” in United States Members of “Health Services Research Group” AcademyHealth Group 6,126 6,331 3,206 ResearchGate.net Researchers in “Healthcare Policy and Economics” in United States 20,300
Table 1: Number of Health Services Researchers Identified from Sources Compared to: 5,000 in 19951 11,596 in 20072 At least 25% increase
Table 2: Article Count by Key Medical Subject Headings (MeSH) as Major Topic, 2010-2015
Medical Subject Headings (MeSH) as Major Topic Article Count Translational Research 3,026 Health Care Category 754,001 Environment and Public Health 308,682 Health Care Economics and Organizations 124,829 Health Care Facilities, Manpower, and Services 298,253 Health Care Quality, Access, and Evaluation Health Services Research Delivery of Health Care Ethics Quality Assurance, Health Care Quality of Health Care 314,334 12,184 148,708 12,495 26,595 188,176 Health Services Administration 230,494 Population Characteristics 115,331
Figure 1: Industry in Which AcademyHealth Members Identified as HSRers Work (N=1395)
Universities, 50.8% Research/policy org/not a university, 10.7% Federal government, 3.9% Hospital/healthcare provider, 3.2% Corporation, 3.2% Consulting, 2.2% Association, 2.2% Foundation, 1.9% "Other", 1.1% State/local government, 0.9% Health plan/insurer, 0.5% Pharmaceutical, 0.2% Not identified, 19.2%
Figure 2: Diversity of Pipeline in Core HSR-Related Fields, 2010/11 v. 2014/15
6% 7% 5% 6% 50% 50% 41% 52% 14% 14% 13% 18% 10% 11% 10% 8% 1% 2% 0% 1% 9% 7% 16% 5% 10% 8% 14% 9% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% N=14,544 N=16,339 N=415 N=578 2010-2011 2014-2015 2010-2011 2014-2015 Non-citizen Unknown race/ethnicity Multi-race Hawaiian Island/Pacific Islander American Indian/Alaskan Native Asian Black/African American White Hispanic, Any Race
Master’s Degree Doctoral Degree Non-Hispanic Educational Pipeline: Approximately 1 HSR student for every 5 to 6 HSRer
Conclusion: The stock of HSRers is growing and currently less diverse than population. Need better definition of boundaries and better methods to track HSR workforce of the future, which appears to be growing and more diverse. Areas for further discussion: 1. What is the goal of counting HSRers – meeting demand of employers/stakeholders, advocate for funding, expand AcademyHealth’s reach, strengthen the pipeline of students? 2. What makes for a “HSRer”? What are the topic or skill boundaries? 3. How do we capture HSRers who do not publish in peer-reviewed journals or do not seek external funding from federal agencies and foundations? 4. How do we better track our HSR workforce? Could we better align and connect datasets?
BIANCA K. FROGNER, PHD ASSOCIATE PROFESSOR, DEPARTMENT OF FAMILY MEDICINE DIREC TOR, CENTER FOR HEALTH WORKFORCE STUDIES BFROGNER@UW.EDU UW CENTER FOR HEALTH WORKFORCE STUDIES HT TPS://DEPTS.WASHINGTON.EDU/FAMMED/CHWS/ @UWCHWS