Center for Health Services Research

Home

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. The center focuses on the development and application of health services research methods in the design and evaluation of individually targeted healthcare and community-based public health.

Mission

The mission of the Center for Health Services Research (CHSR) is to conduct research and provide technical assistance and training in the organization, financing, and outcomes of health services, systems and policies. The Center focuses on the development and application of health services research methods in the design and evaluation of individually targeted healthcare and community-based public health.

The Center will complement other research activities within UTHealth and School of Public Health by applying basic research on causal relationships, intervention design and population surveillance to service, system and policy questions. The CHSR will provide graduate and postgraduate training and practice opportunities for students and fellows and collaborative research opportunities with other centers, institutes and external organizations where knowledge of financing, evaluation, organizational relationships and policy is important. It will create opportunities for research collaboration among faculty and students at the Houston and regional UTSPH campuses and the Texas Medical Center, as well as with other public and private organizations throughout Texas.

Research Areas

Research areas of the Center:

  • 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

Personnel

Personnel

Begley, Charles E., PhD – Professor
Research interests: Economic evaluation of health policy and programs particularly regarding Medicaid, Medicare, state and local safety net, neurological diseases, and breast cancer.
Campus: Houston (RAS E317)
Email: charles.e.begley@uth.tmc.edu
Phone: (713) 500-9179

Brown III, Henry S., PhD – Associate Professor
Research interests: Effects of and demand for health insurance, immigrants and minority groups, economic evaluation of public health interventions, productivity costs of chronic illnesses.
Campus: Houston (UTA 6.348)
Email: henry.s.brown@uth.tmc.edu
Phone: (512) 391-2521

DelliFraine, Jami, PhD – Assistant Professor
Research interests: Healthcare management, organization theory, quality management.
Campus: Houston (RAS E925)
Email: jami.l.dellifraine@uth.tmc.edu
Phone: (713) 500-9392

Du, Xianglin L., MD, PhD – Associate Professor
Research interests: Clinical Epidemiology of cardiovascular disease and cancer; health services and outcomes research; claims-based healthcare studies.
Campus: Houston (RAS E631)
Email: xianglin.l.du@uth.tmc.edu
Phone: (713) 500-9956

Franzini, Luisa , PhD – Associate Professor and Director, Div of Management, Policy and Community Health
Research interests: Health economics and econometrics; economic and social determinants of health; racial/ethnic health disparities and minority health; income inequality; cost effectiveness and cost-utility analysis; cost of medical education.
Campus: Houston (RAS E923)
Email: luisa.franzini@uth.tmc.edu
Phone: (713) 500-9487

Helton, Jeffrey R., PhD Assistant Professor
Research Interests: Impacts of information technology on operational efficiency in health care provider organizations, economic evaluation of rural and safety net delivery systems, and health care fraud.
Campus: Houston (RAS E319)
Email: jeffrey.r.helton@uth.tmc.edu
Phone: (713) 500-9186

Lairson, David R., PhD – Professor
Research interests: Health care economics; economics of health promotion/disease prevention with special interest in cancer; economic evaluation of health care technology.
Campus: Houston (RAS E307)
Email: david.r.lairson@uth.tmc.edu
Phone: (713) 500-9176

Mikhail, Osama I., PhD – Professor
Research interests: Hospital industry structure; strategic planning; health care finance; technology assessment.
Campus: Houston (RAS E315)
Email: osama.i.mikhail@uth.tmc.edu
Phone: (713) 500-9175

Morgan, Robert, PhD – Professor
Research interests: Measurement in health services research; system policies and patient factors affecting access to care; interactions among health care systems; patient knowledge about health care.
Campus: Houston (RAS E343)
Email: robert.o.morgan@uth.tmc.edu
Phone: (713) 500-9187

Rajan, Suja, PhD - Assistant Professor
Research interests: Health economics and application of econometric techniques; women’s health; breast and cervical cancer; impact of obesity on cancer care outcomes; comparative effectiveness and treatment evaluations in the area of cancer.  
Campus: Houston (RAS E319)
Email: suja.s.rajan@uth.tmc.edu
Phone: (713) 500-9194

Rowan, Paul, PhD – Assistant Professor
Research interests: The influence of psychological factors upon health care outcomes; organization of health care systems for detecting and treating psychological difficulties.
Campus: Houston (RAS E303)
Email: paul.j.rowan@uth.tmc.edu
Phone: (713) 500-9183

Swint, J. Michael, PhD – George McMillan Fleming Professorship in Health Administration
Research interests: Economic evaluation of public health and health care interventions and health care policy alternatives; comparative healthcare systems; health care system reform; health and economic development.
Campus: Houston (RAS E933)
Email: john.m.swint@uth.tmc.edu
Phone: (713) 500-9158

Tsai, Chu-Lin, PhD – Assistant Professor
Research interests: Comparative effectiveness research, epidemiologic methods in health services research, quality of care, health care disparities, pharmacoepidemiology, access to emergency care.
Campus: Houston (RAS W610)
Email: chu-lin.tsai@uth.tmc.edu
Phone: (713) 500-9244

Affiliates/Staff/Graduate Assistants

Lu Ann Aday, PhD
Lorne D. Bain Distinguished Professor Emerita in Public Health and Medicine

Patrick Courtney – Research Associate

Tom Reynolds – Research Associate

Graduate Assistants:
Yu-Chia Chang, Tonghan Chung, Stephen Huo, Siddharth Karanth, Jung Hyun Kim, Phuc Le.

Projects

Cost, Quality, Outcome of Health Services

Project Title Evaluation of Chemotherapy Claims for Breast Cancer
Investigator Du, Xianglin
Investigator Role PI
Primary Grantee NIH/NCI
Description The major goals of this project are to evaluate the utility of Medicare claims for identifying use of chemotherapy in older women diagnosed with breast cancer and to examine the patterns and outcomes of chemotherapy in large population-based settings.
Project Title Consortium for Research – Self Neglect in the Elderly
Investigator Franzini, Luisa
Investigator Role PI
Primary Grantee BCM
Description Establishment of project activities to study the interrelations of disease and social factors. To provide a continuum for neglected or self neglect in elders – lack of attention, inadequate clothing, lack of hygiene and reduce the abuse of seniors by person (s) in a position of trust.
Project Title Measuring the Value of Remote ICU Monitoring
Investigator Franzini, Luisa
Investigator Role CI
Primary Grantee NIH
Description The aims of this project are: 1. measure the effect of a tele-ICU on mortality, complications, and length of stay in ICUs; 2. measure the cost-effectiveness of the tele-ICU; 3. use human factors engineering techniques to gauge the effect of the user interface of the tele-ICU on the value of the technology; 4. measure changes in health care provider attitudes about their work processes, teamwork, and safety culture after implementation of the tele-ICU.
Project Title SIP 3-04 Healthy Passages: A Community Based Longitudinal Study of Adolescent Health
Investigator Franzini, Luisa
Investigator Role CI
Primary Grantee CDC
Description Help families, health care providers, schools, and communities develop effective policies and programs to improve the health of our young people.
Project Title Center for Hispanic Health Disparities Research
Investigator Franzini, Luisa
Investigator Role CI
Primary Grantee University of Texas, El Paso
Description To participate in and provide leadership to research-based innovations that will reduce Hispanic health disparities. The center will develop collaborative relationships between UTEP and UTHSC-H in fostering sustainable mechanisms for scholarship development in Hispanic health disparities; mentor health researchers through learning institutes, guides research studies and dissemination of new knowledge.

Health Systems Design and Evaluation

Project Title Houston Health Services Research Collaborative
Investigator Begley, Charles E
Investigator Role PI
Primary Grantee Houston Endowment
Description Establish the Houston Health Services Research Collaborative for documenting public health issues and evaluating policy initiatives that impact the greater Houston area and its medically underserved populations.
Project Title Socioeconomic Status, Healthcare Use, and Outcomes in Epilepsy
Investigator Begley, Charles E, Aday, Lu A
Investigator Role PI (Begley), CI (Aday)
Primary Grantee Centers for Disease Control and Prevention
Description To assess the relationship between health care use, and outcomes and the severity of epilepsy; Hypothesis 1: The use, cost and outcomes of care are directly related to the severity of epilepsy. 2. Outcomes of care are directly related to the intensity of care for epilepsy and subject to diminishing returns.

Reports & Presentations

New Connections Conceptual Models, June 2008, Luisa Franzini (Flash)

Publications

Recent Publications

All documents below are in PDF format. You will need Adobe Reader (Adobe.com) installed to view them. For a complete listing of articles, please refer to the CV for each faculty member.

Journal Articles

2010
2009