Investigator Awards In Health Policy Research 53 Bay State Road
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Tel: 1-617-353-9220, ext. 1
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Email: rwjfihp@bu.edu
www.investigatorawards.org

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Section Info
Research In Profile is a series of pieces about investigators and their work that focuses on project findings, research insights, and policy implications. Summaries are provided on the website and each issue is available for download in Adobe Acrobat PDF format. Print copies can be requested from the National Program Office by sending an email to depdir@ifh.rutgers.edu.
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Eight New Research Projects to Tackle Complex Problems Facing Health and Health Care
Investigator Awards In Health Policy Research
Issue 31, July 2012
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The challenges facing our health care system remain at the forefront of national concern. To address these complex issues and improve health and health care for all Americans, the Robert Wood Johnson Foundation (RWJF) created the Investigator Awards in Health Policy Research program, which supports cutting-edge research and bold new ideas to inform health policy in the United States. The program awards scholars and researchers up to $335,000 to explore innovative solutions to resolving challenges in health care. The eight award recipients are:

  • Eiko Ikegami, PhD, New School University
  • Carla Keirns, MD, PhD, Stony Brook University
  • Suzanne Mettler, PhD, Cornell University
  • Harold Pollack, PhD, MPP, University of Chicago
  • Susan P. Shapiro, PhD, American Bar Foundation
  • Anthony So, MD, MPA, Duke University
  • Debra J. Umberson, PhD, MSW, University of Texas at Austin
  • Susan M. Wolf, JD, University of Minnesota Law School

This prestigious and highly competitive funding program attracts investigators from a wide range of fields including medicine, nursing, public health, economics, sociology, political science, psychology, history, law, ethics, journalism, communications, public and social policy, and others. A national advisory committee of distinguished experts from fields similar to those of the investigators reviews applications and makes funding recommendations to the Foundation.

The members of the 2011-2012 national advisory committee (NAC), which includes seven past Investigator Awardees, are:

  • Paul D. Cleary, PhD, Yale University, NAC Chair
  • Sheila Burke, RN, MPA, Harvard University
  • Lawrence Casalino, MD, PhD, Weill Cornell Medical College, 1999 Awardee
  • Susan Dentzer, Health Affairs
  • Judy Feder, PhD, Georgetown University
  • Bruce G. Link, PhD, Columbia University, 1995 Awardee
  • Catherine G. McLaughlin, PhD, Mathematica Policy Research, Inc.
  • Mark A. Peterson, PhD, University of California, Los Angeles, 1994 Awardee
  • Jill B. Quadagno, PhD, Florida State University, 1999 Awardee
  • Jeannette Rogowski, PhD, University of Medicine and Dentistry of New Jersey
  • Sara Rosenbaum, JD, George Washington University, 2000 Awardee
  • Mark J. Schlesinger, PhD, Yale University, 1993 Awardee
  • Alvin R. Tarlov, MD, University of Chicago (Retired)
  • William A. Vega, PhD, University of Southern California
  • Keith A. Wailoo, PhD, Princeton University, 2001 Awardee

RWJF’s Investigator Awards in Health Policy Research program supports talented researchers, typically in the more senior stages of their careers. Funded projects produce enduring insights and sophisticated analyses of pressing problems, potential solutions for improving health and health care, and evidence that can inform policymakers, the media, and the public. Since 1992, the Foundation has supported 175 projects involving 224 investigators.

“Through the Investigators’ program, the Foundation invests in ideas and individuals – investments that pay off long after the research grants have ended,” said Lori Melichar, PhD, economist and senior program officer in Research and Evaluation at RWJF. “The books and articles resulting from Investigators’ research contribute to the public discourse in health policy. The program also provides the Investigators with opportunities to join the debate on health policy issues, and influence how policymakers think about the challenges of providing and financing health care and improving the health of the nation.”

David Mechanic, PhD, leads the RWJF Investigator Awards program, which is headquartered at the Institute for Health, Health Care Policy, and Aging Research at Rutgers, The State University of New Jersey. “This program supports thinking that is creative and cross-disciplinary in search of knowledge and solutions to emerging problems or vexing questions that will help to improve the nation’s health and health care,” Mechanic says.

A brief description of each new investigator project follows.

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Policy Challenges in Modern Health Care
Mechanic, D., Rogut, L., Colby, D., Knickman, J., editors
Published: 2005
Rutgers University Press
A composite look at some of the striking contemporary challenges we face in health and health care by some of the nation's leading thinkers.
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Praise for Policy Challenges in Modern Health Care

"A marvelous collection of ideas and insights by first-rate scholars. This book lays a foundation for more creative and effective policy-making." - Stephen M. Shortell, Dean and Blue Cross of California Professor of Health Policy and Management, University of California, Berkeley

Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families.

Bringing together twenty-five of the nation's leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage.

Linking the nation's health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.

(Rutgers University Press, rutgerspress.rutgers.edu)(ISBN:0-8135-3578-6)

Section Info
Investigator publications listed on this site relate to research funded through the Investigator Awards program. References are provided for books and selected journal articles written by the investigators. Abstracts are available for some featured publications.
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Going Solo: The Extraordinary Rise and Surprising Appeal of Living Alone
Klinenberg, E.
Published: 2012
The Penguin Press
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Renowned sociologist and author Eric Klinenberg explores the dramatic rise of solo living and examines the seismic impact it's having on our culture, business, and politics. Conventional wisdom tells us that living by oneself leads to loneliness and isolation, but, as Klinenberg shows, most solo dwellers are deeply engaged in social and civic life. In fact, compared with their married counterparts, they are more likely to eat out and exercise, go to art and music classes, attend public events and lectures, and volunteer. There's even evidence that people who live alone enjoy better mental health than unmarried people who live with others and have more environmentally sustainable lifestyles than families, since they favor urban apartments over large suburban homes.

It is now more common for an American adult to live alone than with family or a roommate, and Klinenberg analyzes the challenges and opportunities these people face: young professionals who pay higher rent for the freedom and privacy of their own apartments; singles in their thirties and forties who refuse to compromise their career or lifestyle for an unsatisfying partner; divorced men and women who no longer believe that marriage is a reliable source of happiness or stability; and the elderly, most of whom prefer living by themselves to living with friends or their children. Living alone is more the rule than the exception in places like Manhattan, half of whose residents live by themselves, and many of America's largest cities, where more than a third of the population does. Drawing on over three hundred interviews with men and women of all ages and every class who live alone, Klinenberg reaches a startling conclusion: In a world of ubiquitous media and hyperconnectivity, this way of life helps us discover ourselves and appreciate the pleasure of good company.

With eye-opening statistics, original data, and vivid portraits of people who go solo, Klinenberg upends the conventional wisdom to deliver the definitive take on how the rise of living alone is transforming the American experience. Going Solo is a powerful- and necessary-assessment of an unprecedented social change.

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Great American City: Chicago and the Enduring Neighborhood Effect
Sampson, R.J.
Published: 2012
U of Chicago Press
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For over fifty years numerous public intellectuals and social theorists have insisted that community is dead. Some would have us believe that we act solely as individuals choosing our own fates regardless of our surroundings, while other theories place us at the mercy of global forces beyond our control. These two perspectives dominate contemporary views of society, but by rejecting the importance of place they are both deeply flawed. Based on one of the most ambitious studies in the history of social science, Great American City argues that communities still matter because life is decisively shaped by where you live.

To demonstrate the powerfully enduring impact of place, Robert J. Sampson presents here the fruits of over a decade’s research in Chicago combined with his own unique personal observations about life in the city, from Cabrini Green to Trump Tower and Millennium Park to the Robert Taylor Homes. He discovers that neighborhoods influence a remarkably wide variety of social phenomena, including crime, health, civic engagement, home foreclosures, teen births, altruism, leadership networks, and immigration. Even national crises cannot halt the impact of place, Sampson finds, as he analyzes the consequences of the Great Recession and its aftermath, bringing his magisterial study up to the fall of 2010.

Following in the influential tradition of the Chicago School of urban studies but updated for the twenty-first century, Great American City is at once a landmark research project, a commanding argument for a new theory of social life, and the story of an iconic city.

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Testing Baby: The Transformation of Newborn Screening, Parenting, and Policymaking
Grob, R.
Published: 2011
Rutgers University Press
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Within 48 hours after birth, the heel of every baby in the United States has been pricked and the blood sent for compulsory screening to detect or rule out a large number of disorders. Newborn screening is expanding rapidly, fueled by the prospect of saving lives. Yet many lives are also changed by it in ways not yet recognized.

Testing Baby is the first book to draw on parents’ experiences with newborn screening in order to examine its far-reaching sociological consequences. Rachel Grob’s cautionary tale also explores the powerful ways that parents’ narratives have shaped this emotionally charged policy arena. Newborn screening occurs almost always without parents’ consent and often without their knowledge or understanding, yet it has the power to alter many things including family dynamics at the household level, the context of parenting, the way we manage disease identity, and how parents’ interests are understood and solicited in policy debates.

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Patients as Policy Actors
Hoffman, B., Tomes, N., Schlesinger, M., Grob, R. editors
Published: 2011
Rutgers University Press
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Praise: "This strong volume brings together contributors of different disciplinary and experiential backgrounds, broadening our understanding of how patient voices influence American health care policy.""—Elizabeth Toon, Centre for the History of Science, Technology and Medicine, University of Manchester

Description: Patients as Policy Actors offers groundbreaking accounts of one of the health field's most important developments of the last fifty years--the rise of more consciously patient-centered care and policymaking. The authors in this volume illustrate, from multiple disciplinary perspectives, the unexpected ways that patients can matter as both agents and objects of health care policy yet nonetheless too often remain silent, silenced, misrepresented, or ignored. The volume concludes with a unique epilogue outlining principles for more effectively integrating patient perspectives into a pluralistic conception of policy-making. With the recent enactment of the Patient Protection and Affordable Care Act, patients' and consumers' roles in American health care require more than ever the careful analysis and attention exemplified by this innovative volume.

About the Editors: BEATRIX HOFFMAN is an associate professor and chair of the department of history at Northern Illinois Unversity. She is author of The Wages of Sickness: The Politics of Health Insurance in Progressive America. NANCY TOMES is a professor in the history department at Stony Brook University. She is the author of several books,among them, The Gospel of Germs: Men, Women, and the Microbe in American Life. RACHEL GROB is an associate dean of graduate studies, director of the Child Development Institute and healthy advocacy faculty member at Sarah Lawrence College. She is author of Testing Baby: The Transformation of New Born Screening, Parenting, and Policymaking (Rutgers Press, forthcoming). MARK SCHLESINGER is a professor of health policyand a fellow of the Institution for Social and Policy Studies at Yale University and past editor of the Journal of Health Policy, Politics and Law.

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Fatal Invention
Roberts, D.
Published: 2011
The New Press
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A decade after the Human Genome Project proved that human beings are not naturally divided by race, the emerging fields of personalized medicine, reproductive technologies, genetic genealogy, and DNA databanks are attempting to resuscitate race as a biological category written in our genes. In this provocative analysis, leading legal scholar and social critic Dorothy Roberts argues that America is once again at the brink of a virulent outbreak of classifying population by race. By searching for differences at the molecular level, a new race-based science is obscuring racism in our society and legitimizing state brutality against communities of color at a time when America claims to be post-racial.

Moving from an account of the evolution of race—proving that it has always been a mutable and socially defined political division supported by mainstream science—Roberts delves deep into the current debates, interrogating the newest science and biotechnology, interviewing its researchers, and exposing the political consequences obscured by the focus on genetic difference. Fatal Invention is a provocative call for us to affirm our common humanity.