108 C.C. Greenberg and J.B. Dimick

delivery system can only be understood by examining the behavior and thought processes of individuals interacting with the system. Qualitative techniques include key informant interviews, focus groups, and observation, with a rigorous coding and analysis of data.

An understanding of cutting-edge health policy will help surgeons identify important policy changes, especially in the context of demonstration or pilot programs. These programs provide “natural experiments” for evaluating policy interventions. Investigators interested in this area should read Health Affairs, reports from the Medicare Payment Advisory Commission (MedPAC), and follow health care reform debates in Congress.

Conclusion

Health services research is playing an increasingly prominent role in academic surgery, a trend that will likely continue. It is important for all surgeons to have a basic understanding of this field and the role this type of research plays in improving the care that we provide. Those that are interested in pursuing a career in health services research are encouraged to seek additional training and mentorship in their area of interest.

References

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