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Center for Health Services Research

Creating healthier communities by evaluating and improving the full range of services on the continuum of healthcare.

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About the Center for Health Services Research 

The Center for Health Services Research (CHSR) conducts research and provides technical assistance and training in the organization, financing, and outcomes of health services, systems, and policies.

Mission

To develop and apply health research methods in the design and evaluation of individually targeted healthcare and community-based public health.

Our research areas

  • Clarify the costs and benefits of health promotion, protection, prevention, treatment and rehabilitation services
  • Identify and evaluate financing and service delivery initiatives to better serve uninsured, low-income populations
  • Identify and evaluate relevant federal, state and local health policy related to these issues

Research and Projects

The Center for Health Services Research (CHSR) complements other research activities within UTHealth and the School of Public Health by applying basic research on causal relationships, intervention design, and population surveillance to service, system and policy questions.

We provide graduate and postgraduate training, practice opportunities for students & fellows, and collaborative research opportunities with other centers, institutes, and external organizations where knowledge of financing, evaluation, organizational relationships and policy is important. The CHSR collaborates with faculty and students at all UTHealth School of Public Health campuses, the Texas Medical Center, and other public and private organizations.

CHSR Faculty
Role
Primary Investigator
Project Title
Sponsor
Start Date
End Date
Begley, Charles Co-Investigator Revere, Frances Southeast Texas Healthcare Transformation and Quality Improvement Program Learning Collaborative Support Project HC Hospital DISTRICT 3/1/13 2/28/17
Begley, Charles Co-Investigator Davis, Barry R. Methods Training in Patient-Centered Cancer Outcomes Research U of Tx MDACC 7/1/14 6/30/19
Begley, Charles PI Begley, Charles E. CDC Epilepsy Program CDC 9/1/14 8/31/17
Begley, Charles PI Begley, Charles E. SIP 14-007 Managing Epilepsy Well (MEW) Network Collaborating Center U OF ARIZONA 9/30/14 9/29/19
Begley, Charles Co-Investigator Wells, Rebecca Statewide Evaluation of the 1115 Medicaid Waiver TAMU HSC 1/20/15 1/31/17
Begley, Charles Co-Investigator Wells, Rebecca Integrating Primary Care into Behavioral Health Settings for Adults with Severe and Persistent Mental Illnesses (SPMI) TAMU HSC 1/20/15 1/31/17
Begley, Charles  Co-Investigator Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas MEADOWS MENTAL HEALTH POLICY 9/1/15 2/29/16
Brown III, Henry S. Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Brown III, Henry S. Co-Investigator Perry, Cheryl Tobacco Center of Regulatory Science on Youth and Young Adults NIH 9/19/13 8/31/18
Du, Xianglin L. PI Du, Xianglin L. Comparative Effectiveness and Cost Effectiveness of Cancer Chemotherapy AHRQ 4/1/12 1/31/17
Du, Xianglin L. Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Du, Xianglin L. Co-Investigator Vernon, Sally W. Graduate Training Program in Breast Cancer Disparity at UTSPH Susan B. Komen 10/30/14 10/29/17
Lairson, David  Co-Investigator Du, Xianglin L. Comparative Effectiveness and Cost Effectiveness of Cancer Chemotherapy AHRQ 4/1/12 1/31/17
Lairson, David  Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Lairson, David  PI Lairson, David R. HPV Economic Modeling U of Tx MDACC 9/1/15 8/31/17
Lairson, David  Co-Investigator Yamal, Jose-Miguel Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit Compared to Standard Management by Emergency Hermann HOSP. 9/1/16 8/31/21
Lairson, David  Co-Investigator Vernon, Sally W. Multi-component interventions for patients and providers to increase HPV vaccination in a network of pediatric clinics in Houston CPRIT 3/1/15 2/28/18
Morgan, Robert Project Director McPherson, David D. Center for Clinical and Translational Sciences (CCTS) NIH 6/27/12 5/31/17
Morgan, Robert Co-Investigator Davis, Barry R. Methods Training in Patient-Centered Cancer Outcomes Research U of Tx MDACC 7/1/14 6/30/19
Morgan, Robert Co-Investigator Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas MEADOWS MENTAL HEALTH POLICY 9/1/15 2/29/16
Rajan, Suja S. Co-Investigator Highfield, Linda Evidence-based Dissemination for Mammography Adherence in Safety Net Communities AHRQ 7/1/14 6/30/17
Rajan, Suja S. Contract PI Rajan, Suja S.

Comparative Effectiveness of Physicians versus Non-physicians for the Delivery of Outpatient Diabetes Care: Implications for Access to Care under the Affordable Care Act


American Diabetes Association Clinical Science and Epidemiology Award 01/01/16 12/31/17
Rajan, Suja S. Co-Investigator Grotta, James C. Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit Compared to Standard Management by Emergency

PCORI

9/1/16 8/31/21
Rajan, Suja S. Contract PI Rajan, Suja S.

Improving the Measurement of VA Facility Performance to Foster a Learning Healthcare System

Houston Veterans Affairs Health Services Research & Development

01/01/17 12/31/19
Rajan, Suja S. Contract PI Rajan, Suja S.

Less is More: Improving antimicrobial stewardship for asymptomatic bacteriuria

Houston Veterans Affairs Health Services Research & Development

01/01/17 12/31/19
Rowan, Paul Co-Investigator Wells, Rebecca Integrating Primary Care into Behavioral Health Settings for Adults with Severe and Persistent Mental Illnesses (SPMI)

TAMU HSC

1/20/15 1/31/17
Rowan, Paul PI Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas

MEADOWS MENTAL HEALTH POLICY

9/1/15 2/29/16
Weber, Ellerie Co-Investigator Schick, Vanessa Evaluation of an Innovative Approach to Improving Health Outcomes Among Formerly Incarcerated Homeless Women

ANGELA HOUSE

7/15/16

7/14/18

Our work

Announcements

Mean medical cost associated with vaginal and vulvar cancers for commercially insured patients in the United States and Texas, February 2018
Healthcare Utilization and Cost of the SMI Population in Texas Medicaid: Year 3 Final Report of the UTSPH Medicaid SMI Study, March 2017

Serious Mental Illness in Texas Medicaid: Descriptive Analysis and Policy Options Year 2 Final Report - April 2016

Serious and Persistent Mental Illness in Texas: County-Level Enrollee Characteristics of Medicaid-Supported SMI Care, Texas, 2012 - March 2015

Serious and Persistent Mental Illness in Texas Medicaid: Descriptive Analysis and Policy Options Final Report - February 2015

Harris County Emergency Department Use Study (2012-2013)

Publications

JE Hamilton, Pratikkumar VD, NR Hoot, RE Gearing, S Jeong, TD Meyer, JC Soares, CE Begley, Factors Associated with the Likelihood of Hospitalization Following Emergency Department Visits for Behavioral Health Conditions, Acad Emerg Med. 2016 Nov;23(11):1257-1266.

Martha Sajatovic, Barbara C. Jobst, Ross Shegog, Yvan A. Bamps, Charles E. Begley, Robert T. Fraser, Erica K. Johnson, Dilip K. Pandey, Rakale C. Quarells, Peter Scal, Tanya M. Spruill, Nancy J. Thompson, Rosemarie Kobau. 2016. The Managing Epilepsy Well Network: Advancing Epilepsy Self-management. American Journal of Preventive Medicine. In Press.

Revere L, Semaan A, Lievsay N, Hall J, Wang ZM, C Begley, Collaborative Learning in the Texas Medicaid 1115 Waiver Program. J Healthc Qual. 2016 Sep 13. [Epub ahead of print]

C Begley, J Hall, A Shenoy, J Hanke, R Wells, L Revere, N Lievsay. 2016. Design and Implementation of the Texas Medicaid DSRIP Program, Population Health Management, In Press.

Lee, C. Begley. 2016. Delays in Seeking Healthcare: Comparison of Veterans and the General Population, Journal of Public Health Management & Practice. In Press.

J Hamilton, I Passos, T Azevedo Cardoso, K Jansen, M Allen, C Begley, J Soares, F Kapczinski, Predictors of Psychiatric Readmission Among Patients with Bipolar Disorder at an Academic Safety-Net Hospital, Australian and New Zealand Journal of Psychiatry, In Press.

S Murty, CE Begley, L Franzini, M Swint, 2016. Primary Care Availability, Safety Net Clinics, and Health Insurance Coverage: The Association of these Access Factors with Preventable Hospitalizations, Journal of Ambulatory Care Management, July/September, 39(3); 253–263.

Xu DR, Gong W, Caine ED, Xiao S, Hughes JP, Ng M, Simoni J, He H, Smith KL, Brown HS 3rd, Gloyd S. Lay health supporters aided by a mobile phone messaging system to improve care of villagers with schizophrenia in Liuyang, China: protocol for a randomised control trial. BMJ Open. 2016; 6 (1):e010120. PMCID: PMC4735204. PMID: 26792221. doi: 10.1136/bmjopen-2015-010120.

Li L, Pérez A, Wu LT, Ranjit N, Brown HS, Kelder SH. Cardiometabolic Risk Factors among Severely Obese Children and Adolescents in the United States, 1999-2012. Childhood Obesity (Print). 2016 Feb; 12 (1):12-9. PMID: 26785314. doi: 10.1089/chi.2015.0136.

Du XL, Zhang Y, Hardy D. Temporal and Geographic Variations in the Receipt of Colony-Stimulating Factors and Erythropoiesis-Stimulating Agents in a Large Retrospective Cohort of Older Women with Breast Cancer from 2000 to 2009. American Journal of Therapeutics. 2016;23(2):e411-e421.

Parikh RC, Du XL, Morgan RO, Lairson DR. Patterns of Treatment Sequences in Chemotherapy and Targeted Biologics for Metastatic Colorectal Cancer: Findings from a Large Community-based Cohort of Elderly Patients. Drugs Real World Outcomes. 2016;3(1):69-82.

Farias AJ, Du XL. Ethnic differences in initiation and timing of adjuvant endocrine therapy among older women with hormone receptor-positive breast cancer enrolled in Medicare Part D. Medical Oncology. 2016;33(2):19 (pages 1-14).

Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Newmann A, Streckfus C, Chan W, Walji M. Partial-mouth periodontal examination protocol for estimating periodontitis extent and severity in a United States population. Clinical and Experimental Dental Research. 2016;2(1):73-79. DOI: 10.1002/cre2.24.

Du XL, Zhang Y, Hardy D. Associations between Hematopoietic Growth Factors and Risks of Venous Thromboembolism, Stroke, Heart Disease and Myelodysplastic Syndrome: Findings from a Large Population-based Cohort of Women with Breast Cancer. Cancer Causes and Control. 2016;27(5):695-707.

Liu Z, Zhang K, Du XL. Risks of Developing Breast and Colorectal Cancer in Association with Incomes and Geographic Locations in Texas: a Retrospective Cohort Study. BMC Cancer. 2016;16(1):294. doi: 10.1186/s12885-016-2324-z..

Li D, Du XL, Ren Y, Liu P, Li S, Yang J, Lv M, Chen L, Wang X, Li E, Yang J, Yi M. Comparative Analysis of Clinicopathologic Features of, Treatment in, and Survival of Americans with Lung or Bronchial Cancer. PLoS One. 2016 May 31;11(5):e0156617.

Parikh RC, Du XL, Morgan RO, Lairson DR. Cost Effectiveness of Treatment Sequences of Chemotherapies and Targeted Biologics for Elderly Metastatic Colorectal Cancer Patients. Journal of Managed Care and Specialty Pharmacy. 2016; In press.

Farias AJ, Du XL. The association between out-of-pocket costs, race/ethnicity, and adjuvant endocrine therapy adherence among Medicare patients with breast cancer. Journal of Clinical Oncology. 2016; In press.

Taylor, Jolyn et al. “The DISINFECT Initiative: Decreasing the Incidence of Surgical INFECTions in Gynecologic Oncology. Annals of Surgical Oncology (2016; in Press).

Contact Us

Charles E. Begley, PhD
(e) Charles.E.Begley@uth.tmc.edu
(p) (713) 500-9179
Houston Campus (RAS E317)

David R. Lairson, PhD
(e) David.R.Lairson@uth.tmc.edu
(p) (713) 500-9176
Houston Campus (RAS E307)

  • SEE OUR IMPACT

    Alumnus appointed to Texas Radiation Advisory Board

     Dr. William “Will” Pate, was appointed to the Texas Radiation Advisory Board (TRAB) and will remain in this position until the end of his term on April 16, 2023. Dr. Pate is one of 10 Texas professionals appointed to this board.

    READ MORESPH - Our Impact - Pate

    William Pate
  • SEE OUR IMPACT

    Carol Huber appointed to the Value Based Payment and Quality Improvement Advisory Committee for Texas

    Huber will serve as a member representing regional healthcare partnerships.

    READ MORESPH - Our Impact 2020 - Carol Huber appointed to Value Based Payment and Quality Improvement Advisory Committee for Texas

    Carol Huber
  • SEE OUR IMPACT

    Meeting the public health education needs of the Permian Basin community

    UTHealth School of Public Health and the University of Texas Permian Basin (UTPB) College of Business have partnered to provide graduate students with the opportunity to earn a Graduate Certificate in Public Health while simultaneously earning a Master of Business Administration (MBA) beginning Spring 2020.

    READ MOREUTPB Partnership CertificateSPH - Our Impact - UTPB Partnership Certificate

    UTHealth School of Public Health Dean Eric Boerwinkle, PhD, UTPB President Dr. Sandra Woodley
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    Leading data collection effort aimed at reducing teen pregnancy

    The data collection effort, expected to take six months, is the second part of a yearlong planning phase to address the issue of pregnancy prevention among children in foster care. Melissa Peskin, PhD, associate professor with UTHealth School of Public Health, will lead the effort.

    READ MORESPH - Our Impact - CLYC slider

    Dr. Markham works with community partner. Photo by Aaron Nieto.
  • SEE OUR IMPACT

    Conducting needs assessments and "meeting people where they are"

    UTHealth School of Public Health researchers work to bridge that gap between what intervention programs offer versus what's needed by creating programs based on input from the individuals who have lived the experiences. 

    READ MORESPH - Our Impact - Meeting People Where They Are

    Vanessa Schick, PhD; and J. Michael Wilkerson, PhD, MPH
  • SEE OUR IMPACT

    Fighting back against the vaping epidemic among youth

    As e-cigarette use by young people reaches epidemic proportions, researchers at The University of Texas Health Science Center at Houston (UTHealth) have received a $3.1 million grant from the National Institutes of Health to conduct the first-ever assessment on the long-term results of a nationwide nicotine vaping prevention program for youth called CATCH My Breath.

    READ MORESPH - Our Impact - vaping epidemic

    Steven H. Kelder, PhD, MPH
  • SEE OUR IMPACT

    Understanding how one dose of the HPV vaccine may prevent infection

    A new study revealed that one dose of the HPV vaccine may prevent infection from the potential cancer-causing virus, according to research published in JAMA Network Open by UTHealth School of Public Health researchers.

    READ MORESPH - Our Impact - HPV dosage slider

    Study authors Ashish Deshmukh, PhD, MPH; and Kalyani Sonawane, PhD. Photo by Maricruz Kwon.
  • SEE OUR IMPACT

    Preventing and caring for HIV in homeless youth

     Alexis Sims, a doctoral student in health promotion and behavioral sciences at The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, has been awarded a $100,000 supplemental research grant from the National Institutes of Health to investigate HIV prevention and care in homeless youth.

    READ MORESPH - Our Impact - NIH funding for HIV

    Alexis Sims, MPH
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