FSI's research on the origins, character and consequences of government institutions spans continents and academic disciplines. The institute’s senior fellows and their colleagues across Stanford examine the principles of public administration and implementation. Their work focuses on how maternal health care is delivered in rural China, how public action can create wealth and eliminate poverty, and why U.S. immigration reform keeps stalling. 

FSI’s work includes comparative studies of how institutions help resolve policy and societal issues. Scholars aim to clearly define and make sense of the rule of law, examining how it is invoked and applied around the world. 

FSI researchers also investigate government services – trying to understand and measure how they work, whom they serve and how good they are. They assess energy services aimed at helping the poorest people around the world and explore public opinion on torture policies. The Children in Crisis project addresses how child health interventions interact with political reform. Specific research on governance, organizations and security capitalizes on FSI's longstanding interests and looks at how governance and organizational issues affect a nation’s ability to address security and international cooperation.

Recent Scholarly Publications

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Broadening the Scope of Nursing Practice

December 2010

The Affordable Care Act promises to add 32 million Americans to the rolls of the insured at a time when there is a shortage of primary care providers.

The Relation of Price of Antiretroviral Drugs and Foreign Assistance with Coverage of HIV Treatment in Africa: Retrospective Study

November 2010

Objective To determine the association of reductions in price of antiretroviral drugs and foreign assistance for HIV with coverage of antiretroviral treatment. Design Retrospective study.

A Simulation Model Investigating the Impact of Tumor Volume Doubling Time and Mammographic Tumor Detectability on Screening Outcomes in Women Aged 40-49 Years

August 2010

Background: Compared with women aged 50-69 years, the lower sensitivity of mammographic screening in women aged 40-49 years is largely attributed to the lower mammographic tumor detectability and...

Military-related sexual trauma among Veterans Health Administration patients returning from Afghanistan and Iraq.

June 2010

We examined military-related sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans.

The Contribution of Health Plans and Provider Organizations to Variations in Measured Plan Quality

March 2010

OBJECTIVE: Some argue that health plans have minimal impacts on quality of care and that quality data collection should focus only on physician organizations.

Characteristics of Pediatric Trauma Transfers to a Level I Trauma Center: Implications for Developing a Regionalized Pediatric Trauma System in California

January 2010

Background: Since California lacks a statewide trauma system, there are no uniform interfacility pediatric trauma transfer guidelines across local emergency medical services (EMS) agencies in...

A Collection of Articles on U.S. Health Reform

January 2010

A collection of core faculty Victor Fuchs' articles on actions needed for meaningful health care reform in the United States.Eliminating "Waste" in Health CareFour Health Care Reforms for 2009Cost...

Patient safety climate in 92 us hospitals differences by work area and discipline

December 2009

Abstract BACKGROUND: Concern about patient safety has promoted efforts to improve safety climate.

Relationship of safety climate and safety performance in hospitals

December 2009

Abstract OBJECTIVE: To examine the relationship between measures of hospital safety climate and hospital performance on selected Patient Safety Indicators (PSIs).

Payment Reform for Safety-Net Institutions - Improving Quality and Outcomes

December 2009

Parental misinterpretations of over-the-counter pediatric cough and cold medication labels

December 2009

Abstract OBJECTIVE: Concerns about the safety and efficacy of over-the-counter cold medications have led to a recent US Food and Drug Administration public health advisory against their use in...

Factors Influencing the Enrollment of Eligible Extremely-Low-Birth-Weight Children in the Part C Early Intervention Programyourmom87!

December 2009

Objective To determine whether eligible extremely-low-birth-weight children (<1000g) were enrolled in the federally enacted, state-coordinated Early Intervention (EI) program intended to help...

Effects of Mammography Screening Under Different Screening Schedules: Model Estimates of Potential Benefits and Harms

December 2009

Background: Despite trials of mammography and widespread use, optimal screening policy is controversial. Objective: To evaluate U.S. breast cancer screening strategies.

Is There Monopsony in the Labor Market? Evidence From a Natural Experiment.

December 2009

A variety of recent theoretical and empirical advances have renewed interest in monopsonistic models of the labor market.

Payment Reform for Safety-Net Institutions — Improving Quality and Outcomes

November 2009

Inpatient treatment of diabetic patients in Asia: evidence from India, China, Thailand and Malaysia

October 2009

Aims The prevalence of Type 2 diabetes mellitus (DM) has grown rapidly, but little is known about the drivers of inpatient spending in low- and middle-income countries.

Identifying Organizational Cultures that Promote Patient Safety

October 2009

BACKGROUND: Safety climate refers to shared perceptions of what an organization is like with regard to safety, whereas safety culture refers to employees' fundamental ideology and orientation and...

Magnetic Resonance Imaging And Low Back Pain Care For Medicare Patients

October 2009

Magnetic resonance imaging (MRI) is a technology frequently used to evaluate low back pain, despite evidence that challenges the usefulness of routine MRI and the surgical interventions it may...

Economic Incentives to Promote Innovation in Healthcare Delivery

October 2009

Economics influences how medical care is delivered, organized, and progresses. Fee-for-service payment encourages delivery of services.

Hospital Performance Recognition with the Get With The Guidelines Program and Mortality for Acute Myocardial Infarction and Heart Failure.

October 2009

BACKGROUND: Many hospitals enrolled in the American Heart Association's Get With The Guidelines (GWTG) Program achieve high levels of recommended care for heart failure, acute myocardial infarction...

Medicare’s Policy Not To Pay For Treating Hospital-Acquired Conditions: The Impact

September 2009

In 2008 Medicare stopped reimbursing hospitals for treating eight avoidable hospital-acquired conditions.

Improving Chronic Illness Care: A Longitudinal Cohort Analysis of Large Physician Organizations.

September 2009

Background: An increasing number of people suffer from chronic illness. Processes exist to provide better chronic illness care and yet for the most part, they are not used.

Inequality in Treatment Use Among Elderly Patients with Acute Myocardial Infarction: USA, Belgium and Quebec

July 2009

BACKGROUND: Previous research has provided evidence that socioeconomic status has an impact on invasive treatments use after acute myocardial infarction.

Comparing Safety Climate Between Two Populations of Hospitals in the United States

July 2009

Objective. To compare safety climate between diverse U.S. hospitals and Veterans Health Administration (VA) hospitals, and to explore the factors influencing climate in each setting.