Research

Health Policy

Health policy research encompasses a wide range of topics, including the organization and financing of health care, health system change, access to care, and quality, outcomes, and appropriateness of care.

Overview

Kevin J. Bozic, M.D., M.B.A., Associate Professor in Residence, Department of Orthopaedic Surgery and the Institute for Health Policy Studies at the University of California, San Francisco (UCSF), has been leading an investigation of the relationship between economics, health policy, and the practice of orthopaedic surgery. The results show there is much to be gained when orthopaedic surgeons bring their knowledge and clinical experience to bear on the policy-making process.

Highlights

Dr. Bozic received the 2006 OREF Clinical Research Award for his work entitled "Using Clinical and Economic Outcome Data to Influence Health Policy in the United States: The Case of Total Joint Replacement." Dr. Bozic and his multi-center research group used patient–specific outcomes data from total joint replacement procedures to influence health policy. Additional diagnosis and procedure codes for joint replacement were developed based on Dr. Bozic′s research and by creating more detailed, accurate, and descriptive codes they were able to assist public health efforts, such as the American Joint Replacement Registry Project (AJRR), and pay–for–performance initiatives that are intended to improve the overall quality of care for joint replacement patients.

Current Projects

  1. The impact of direct–to–consumer advertising in orthopaedic surgery - how does it affect patient expectations for treatments and the doctor-patient relationship?
  2. Shared-decision making in joint replacement – can improved communication between surgeons and patients lead to better outcomes and decreased healthcare costs?
  3. Access to specialty care in California – is the decreasing number of orthopedists in California who accept Medi-Cal insurance affecting the health of patients needing joint replacement surgery?
  4. Variation in orthopaedic practice patterns – does the rate of orthopedic surgical procedures, complications and treatment cost vary over geographic regions?
  5. Technology in orthopaedic surgery – is the increased cost and use of new technologically-advanced surgeries and instrument.