The Lessons and The Legacy of the Pew Health Policy Program (1997) / Chapter Skim
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Part 3: Determining the Legacy
Part 3: Determining the Legacy
Pages 69-94
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From page 69... ...
health care enterprise. If key roles at national meetings and significant representation in the peer-reviewed literature and major studies are reliable indicators, then Pew fellows, old and new, appear to be deeply involved in some of the leading analysis, (demonstrations, and policy and political work that will help determine the landscape of tomorrow's health care system (Pew Fellows News, Winter 1996~.
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From page 70... ...
Table 2 provides a break (lown of the career categories used to (demonstrate the professional (distribution of PHPP alumni. For four PHPP sites, the largest number of fellows graduate into academic positions.
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From page 71... ...
Pew alumni hold highly influential positions in strategic and highly visible areas of academia, consulting firms, health care management positions, all levels of government, private research organizations, professional associations, and various tO/eae`Ohat ta`att`6"t`0h of ~ ~ht by Mite, ~996 20 10 9.q 20 10 o ~..
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From page 72... ...
Pew alumni hold highly Ten percent of all Pew alumni are employe(1 in the non influential positions in university-based private research sector as of 1996. Another strategic and highly ~ percent of alumni work as health policy consultants, some visible areas of in private firms, others with public organizations, and sever academia consulting ' al In private practice.
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From page 73... ...
Congress Health Care Financing Administration Environmental Protection Agency Agency for Health Care Policy and Research National Academy of Sciences National Institute on Aging National Institute on Alcohol Abuse and Alcoholism International Director of Health National Expert Examples: Aga Khan Health Services, France European Commission, Luxembourg State: Departments of Health Health Commissioners/Directors General Counsel House Chairman Examples: Rate Setting Commission Offices of Statewide Health Planning & Development Departments of Health State Medicaid Programs Local and County Health Departments Joint Committee on Health Care Academia t98) Faculty: Assistant, Associate, Full Deans Department Chairs Research Associates (university-based)
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From page 74... ...
It is noteworthy that 70 percent of all feliows who entered the Pew programs from academic positions remained in academia after completing the program. On the other han(l, only 20 percent of all fellows who were employe(1 in the private research sector before entering the program remained in that field.
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From page 76... ...
For the UCSF program this makes the most sense because its largest program was a postdoctoral fellowship, and it can be assumed that most fellows come in from academia and graduate back into academia at higher levels. This is in fact the case, with 41 percent of UCSF fellows starting off in academia and 46 percent of alumni currently employed in academic positions.
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From page 77... ...
offered a doctoral program every year that they received Pew binding. The last year that Brandeis granted Pew fellowships was 1995.
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From page 78... ...
Their completion rates as of 1996 were 80 percent and 89 percent respectively. UCSF phased out its doctoral program early on; however, it offered doctoral training to seven fellows, and its completion rate was 71 percent.
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From page 79... ...
For someone like himself who had master's training in policy analysis that was inter(lisciplinary in nature, stopping the (loctoral program after classes would still enrich his knowledge base, but in a very expensive and inefficient way for the Pew Charitable Trusts. Keeping in line with Dan Rubin's comment about the Trusts, other faculty and fellows spoke about the importance of finishing their degree not only for themselves but also because that was the "contract" that they had ma(le with the Pew Charitable Trusts.
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From page 80... ...
Therefore, she acknowledges the fact that in her subsequent professional activities she will probably never again conduct research quite at the level of the dissertation. However, she believes that it is extremely important for policy analysts to be able to understand the process of collecting original data, how to work with secondary databases, and how to use the data: Because of my age and because of my existing experience, I don*
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From page 81... ...
At the Pew Health Policy Program Advisory Board Meeting in January 1992, participants raised the topics of program It is extremely important for policy analysts to be able to understand the process of collecting original data, how to work with secondary databases, and how to use the data.
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From page 82... ...
Program enhancement activities that build on the activities of professional associations such as the Association for Health Services Research (AHSR) foster the legitimacy of policy research by providing a forum for presentations and journal publications.
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From page 83... ...
Leon Wyszewianski does not disagree with this and recommended that another way to measure value added to the field would be to see if alumni changed direction from non-health-related policy work to health policy-related work and to determine if what they do currently differs from what they did before their Pew experience (see Table 3 and earlier discussion)
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From page 84... ...
Leighton Ku articulated a commonly held view of the legacy as "nothing brassy and shiny"; rather, it's "the people." Many agreed. In an effort to tease out exactly how the alumni translate into value added for the field, it was necessary to think about what was happening in the field prior to the Pew programs.
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From page 85... ...
He also indicated that even though the cohort may be much smaller than the community to which it is attempting to infiltrate, it must be remembered that health policy is a context in which a critical few in strategic locations can make a big difference. Stuart Altman appreciates the difficulty in quantifying the actual impact that the Pew program has had on the health policy field; however, he does believe that the program was successful: I think [the Pew programs; demonstrated that these programs are important, that they can produce value added.
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From page 86... ...
Marion Fin Lewin agrees that PHPP has enriched the field of health policy research in a remarkable and significant way, both in the quality and in the level of people that it was able to attract: This program came along at ~ time when health policy research was becoming increasingly recognized as an important discipline and health care programs and budgets were becoming ~ significant aspect of public, federal, state, community, and private-sector bud gets. Until the Pew Health Policy Program came along there were not many people who weregood at both policy and who had the ana lytic skills to really understand what these dynamics were all about; how to develop ~ changed agenda.
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From page 87... ...
He believes that the Pew program helped to take academic health policy out of the traditional areas with which it has been predominately associated: hospital administration and economics. Ed Hamilton also discussed Pew's legacy for the health policy field in his 1995 evaluation: [T7he Pew Charitable Trusts-funded effort was one of the early and influential stimulants to what became, over time, ~ sizable expansion of rigorous health policy training during the past dozen years.
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From page 88... ...
This is a high-quality Terry Hammons expan(le(1 on this, (1iscussing how at way to approach policy, RAND the principle accomplishment was to have pulled a and it does not mean number of experienced people into an environment where that policy is not carried out in a political they were able to become valuable contributors to health context. care policy in both the private sector and the public sector.
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From page 89... ...
In the same way that the RW7 [Robert Wood Johnson Foundation; pro,gram provides an environment of understandin,g between hands-on mana,gers and clinicians and those familiar with the policy process, so too the Pew fellowships offer ~ creative linkage between the old van,guard of health policy analysts and those with ~ more interdisciplinary approach. Altman acknowledges the tension between depth and breadth in a program such as PHPP, incorporating an inter(lisciplinary approach.
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From page 90... ...
It is commonly agreed that this goal has been achieved. Carroll Estes attests to the success of the Pew programs: I think the Pew program has very successfully seeded the field with competent well-trained scholars at,government levels, nonprofit and foundation levels, and university levels.
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From page 91... ...
Hal Luft reflects on the evolution of the program at UCSF and the changing environment: When our program started there were very few integrated postdoctoral fellowship programs. I think now there are more of them, some funded loy AHCPR, the ROW Clinical Scholars, the new Johnson Policy Scholars, etc.
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From page 92... ...
Stuart Altman agreed that there is still a need in the health policy arena for individuals who have a broad sense of what the issues are and who do not come from narrowly based disciplines. There is still a need for professionals with analytical training that allows them to think clearly and to do research.
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From page 93... ...
Steve Crane underscored Stuart Altman's and Hal Luft's point, emphasizing the importance of continuing to bring in students from different areas of the health care field. He stated that the problems of today are not oriented toward institutions, the nation, or the states; rather, they cut across all conventional boundaries and we need to continue to train people to take that view and to learn how to promote change and dialogue within the sectors.
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From page 94... ...
The programs have succeeded in raising the level of acceptance for aca(lemically based health policy programs and in demonstrating their importance and value to the field.
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