The Heller School for Social Policy and Management BRANDEIS UNIVERSITY Doctoral Seminar in Health Services Research Fall Semester 2014 Instructor: Room: Class Time: Telephone: Cell: Office Hours: Jon Chilingerian, Ph.D G3 Monday 12:15 to 13:45 pm (781) 736-3828 (617) 921-7618 Monday 02:00 p.m. -- 5:00 p.m. Tuesday 09:00 a.m. -- 12:00 p.m. My Office Location: Room 306 _______________________________________________________________________ "For so it is, oh Lord my God, I can measure it, but what it is that I can measure I do not know." St. Augustine "Upon my word, Watson, you are coming along wonderfully. You have really done very well indeed. It is true that you have missed everything of importance, but you have hit upon the method." Sherlock Holmes (Sir A. C. Doyle) "Alas, research is not so easy...because research is never completed, it is only abandoned! And research is not so easy...because if you can't write it, you just don't know it." Chilingerian I. Goals and Objectives I hope this seminar will be collaborative and fun. I have re-designed the seminar to lay a foundation for good empirical research in health services. It is designed for Ph.D. students who will undertake research in scholarly health journals. Not every student has the same preparation to conduct research so I hope this will be a collaborative learning process. The core competencies for HSR are easily accessed at: http://www.ahrq.gov/fund/training/hsrcomp08.htm . You should use these competencies as a guideline. Beyond the competencies for HSR, this seminar will set several realistic goals. One goal is to get everyone thinking about the health care research methods right away. A second goal is to examine the steps required to frame empirical research questions, guided by theory and supported by methods. A third goal is to help doctoral students identify and develop a dissertation topic. August 26, 2014 This seminar has been established as one mechanism to help doctoral students interested in health services research achieve their research goals as Ph.D. students. This seminar will introduce Ph.D. students and AHRQ Fellows to the work going on at Heller, and some faculty doing innovative research. The aim of the sessions is to acquaint students with how methods are used to conduct research. II. Course Description Plan: During this semester we will focus on research methods. The themes this semester will be: your Jungian type as a researcher; designing quantitative research with large data sets, varieties of qualitative research, library search strategies, frontier methods, framing interesting research questions, and developing action plans. I have also chosen two other topics: Narrative analysis, and non-parametric approaches. Since this is a seminar, not a survey course, we will only scratch the surface of health services research (in terms of what is being covered). It is intended to offer some methodological perspectives for the study of health policy, in order to open the way for students to begin developing their own areas of professional concentration. Conduct: Class sessions are arranged in two formats. The first involves a series of class and panel discussions based upon experiences. These discussions are designed to stimulate thoughtful consideration of research methods. The second format involves guest speakers and invites seminar participants to consider specific methods and/or health and social policy research endeavors. Each speaker will present materials related to her or his own research agenda and the role such research plays in addressing health and social policy. I have chosen this design in an attempt to have seminar participants grapple with some of the practical issues in research methods and to hear how researchers in the field address both general research and career concerns. There is wiggle room for students to invite speakers in the spring and fall!! Structure: The class will meet once a week on Monday for one hour and thirty minutes. Students should identify and cultivate significant others (mentors, shadow consultants, colleagues, tender comrades) at Heller and elsewhere. These "significant others" should be willing to engage in a variety of actions and interactions--i.e., listening (actively) to your research ideas, offering suggestions, sharing key readings, reading your papers, sitting on your dissertation committee, co-authoring papers, and so on. These are serious, "two-way street" relationships that require reciprocity. I am available to talk to you anytime we can agree on a time. The key readings should be completed before the class in which they will be discussed; however, many of the articles are for reference. I have attempted to provide you with a "folio of resources" that you can draw upon in the years to come. These articles have been chosen as "thought starter" references. They provide a start toward a minimal personal library. August 26, 2014 Course Requirement: I. Each student will be required to write one 3-5-page action plan for completing their dissertation. Students will be required to handout and present their action plan at the end of the semester. II. Read a Heller Ph.D. Proposal and Final Dissertation Attend one proposal hearing and one Ph.D. defense. If possible, for second and third year Ph.D. students, I recommend reviewing drafts and/or taking notes for someone during defenses. III. Try and attend one (or several) of the joint Boston University, MIT, and Harvard Health Economics joint seminars. See Fall/Spring schedule and topic papers here: http://www.bu.edu/econ/events/series Contact Gillian Gurish at gjgurish@bu.edu about seminar schedule. My hope is that students will share with each other upcoming presentations and seminars that may be of interest to students (some of these BU, MIT, Harvard sessions may not be the best fit for everyone in seminar). Performance: In concert with the class discussions, I am looking for thoughtful confrontation with the speakers and other class material. Second and third year students should be prepared to talk at least twenty minutes sometime during the semester to talk about their research progress. This will most likely be in the Spring, unless someone wants to do it in the Fall. Although we will schedule these near the end of the semester, students may ask for time to talk throughout the semester. Academic Integrity: Violations of University policies on academic integrity, described in Section 3 of Rights and Responsibilities, may result in failure in the course or on the assignment, and could end in suspension from the University. If you are in doubt about the instructions for any assignment in this course, you must ask for clarification. Notice: If you have a documented disability and require any accommodations, please bring them to my attention prior to the second meeting of the class. If you have any questions about learning or other disabilities, contact Heller’s disabilities coordinator. Two Good On-line Texts on Research Methods: 1. http://www.socialresearchmethods.net/kb/contents.php 2. http://www.socialresearchmethods.net Books on Order at Bookstore. These books are highly recommended. August 26, 2014 1. Surviving your dissertation. (2014) second edition. Kjell Rudestam & Rae Newton. Sage Publication. 2. Emmanuel Thanassoulis 2001. Introduction to the Theory and Application of Data Envelopment analysis: A Foundation Text with Integrated Software. Norwell: Kluwer Press. (Softcover) August 26, 2014 SCHEDULE September 8 I. Introduction to your seminar: Becoming a Researcher and Professor a. How do we meet our expectations for this seminar? b. Process and Requirements Review Competencies: http://www.ahrq.gov/fund/training/hsrcomp08.htm Class Handouts: MBTI Questionnaire In Class Case if time: Asst. Professor Graham and Ms. Macomber September 15 II. How to stop “The Crime of the Century?” Video Case: Fire in the Blood Class will start at noon! We watch a fascinating documentary on HIV and health policy and discuss the implications for policy and practice September 22 III. Researcher Goals, Researcher Attitudes and Your Jungian Type *Complete Myers Briggs Questionnaire and Self-Score Read: Christine Wenneras and Agnes Wold, “Nepotism and sexism in peer review” in Nature, Vol 387 (1997), p. 341- 343.* September 29 IV. Frontier Methodologies as a Paradigm Shift: Learning from Outliers and Controversies in the Field Read: Evaluating Clinical Performance in Health Services with Data Envelopment Analysis (DEA) (2010) Chilingerian October 6 August 26, 2014 V. Origins of DEA in Health Care Guest Speakers: Dr. David Sherman October 20 VI. Practicum Study Files Guest Speakers: Andrew Wilson October 27 VII. Problem Driven Research: Guest Speaker: Dr. Anita Tucker, International Business School at Brandeis Read: Tushman, M. and O’Reilly, C. Research and Relevance: Implications of Pasteur’s Quadrant for Doctoral Programs and Faculty Development. Academy of Management Journal, 50(4): 769-774 (2007 November 3 VIII. Working with Large DEA Data Sets and Designing Quantitative Research Tentative Guest Speakers: Dr. Jim Bennoyan Herbert Kritzer, “The Data Puzzle: The Nature of Interpretation In Quantitative Research”, American Journal of Political Science, Vol 40/1, 1996, p. 1-32 November 10 IX. Varieties of Qualitative Methods Guest Speaker: Laura Lorenz "Examples of Dr. Lorenz’s research with specific attention to methods and limitations, as well as problem solving around those methods." *Ray Pawson, "Theorizing the Interview," British Journal of Sociology, Vol 47,Issue 2, 1996, pp. 295-314.* November 17 X. Making Your Dissertation Happen Guest Speaker: Kate Fillo Novemer 24 August 26, 2014 XI. Getting Started with Your Dissertations: Moving Forward, Making Mistakes: Lessons Learned Guest Panel: First, Second, Third, & Fourth year students Read: Surviving your Dissertation (entire) December 1 XII. Presentation of Action Plans December 8 XIII. Introduction to the Research Process: Searching for Specialized Information. Second year and third year students are welcome to attend. Or second year students meet with third year students for lunch and informal discussions Guest Speaker: Ralph Szymczak (szymczak@brandeis.edu) Location: Gardiner Jackson, Mezzanine, Goldfarb Library August 26, 2014 Resources:i I. Some links to resources on databases, surveys, and data sources: a. http://www.ahrq.gov/data/ b. http://www.hsrmethods.org/Home.aspx http://www.hsrmethods.org/DataSources.aspx http://www.hsrmethods.org/Links.aspx?mode=type&name=Data%20and%20Data bases c. http://www.icpsr.umich.edu/icpsrweb/ICPSR/ http://www.icpsr.umich.edu/icpsrweb/ICPSR/access/subject.jsp#IX http://www.icpsr.umich.edu/icpsrweb/HMCA/index.jsp http://www.icpsr.umich.edu/icpsrweb/ICPSR/ssvd/series d. http://www.rwjf.org/pr/datacollections.jsp e. http://www.census.gov/acs/www/ http://www.census.gov/cps/ http://www.census.gov/sipp/ f. http://www.rand.org/health/surveys_tools.html g. http://www.nber.org/data/ h. http://www.hrsa.gov/ II. Links to resources on policy issues: a. http://www.hks.harvard.edu/library/research/guides/think-tanks-directory.htm b. http://www.kff.org/ c. http://www.statehealthfacts.org/ d. http://www.urban.org/health/index.cfm http://www.urban.org/health_policy/ e. http://www.urban.org/researchareas/index.cfm#healthandhealthcare f. http://www.brookings.edu/health.aspx g. http://www.brookings.edu/health/Projects.aspx h. http://www.healthaffairs.org/ August 26, 2014 http://content.healthaffairs.org/collections/ i. j. http://www.commonwealthfund.org/ http://www.rand.org/research_areas/health/ http://www.rand.org/health/ http://www.rand.org/pubs/online/health/ l. http://www.epi.org/issues/category/health_care/ m. http://www.aspeninstitute.org/policy-work/health-biomedical-science-society III. Interesting sites (potentially to identify “hot” topics or get the creative juices flowing): a. http://www.ted.com/ c. http://people-press.org/ d. http://people-press.org/news-interest/ i With thanks to Andrew Hart, Signe Peterson Flieger, and Lynn Garvin. August 26, 2014