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Dr. Schulman serves as Professor of Medicine, Associate Chair of Business Development and Strategy in the Department of Medicine, Director of Industry Partnerships and Education for the Clinical Excellence Research Center (CERC) at the Stanford University School of Medicine, and, by courtesy, Professor of Operations, Information and Technology at Stanford’s Graduate School of Business. He is the Director of Stanford's master degree program, the Master of Science in Clinical Informatics Management. Dr. Schulman’s research interests include organizational innovation in health care, health care policy and health economics.
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This will be a presentation of work-in-progress, with questions and feedback solicited throughout the talk. 

 

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Hybrid Seminar: Lunch will be provided for on-campus participants. 
Please register if you plan to attend, both for in-person and via Zoom.

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Encina Commons, Room 119 
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Dr. Rita Hamad is a social epidemiologist and family physician in the Philip R. Lee Institute for Health Policy Studies and the Department of Family & Community Medicine at UCSF. She is the director of the Social Policies for Health Equity Research Program (https://sphere.ucsf.edu). Her research focuses on the pathways linking social factors like poverty and education with racial and socioeconomic disparities in health across the life course. In particular, she studies the health effects of social and economic policies using interdisciplinary quasi-experimental methods to generate actionable evidence to inform policymaking.
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After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

Hybrid Seminar: Lunch will be provided for on-campus participants. 
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person: 
Encina Commons, Room 119 
615 Crothers Way 
Stanford, CA 94305

Seminars
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Keith Humphreys is the Esther Ting Memorial Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University. He is also a Senior Research Career Scientist at the VA Health Services Research Center in Palo Alto and an Honorary Professor of Psychiatry at the Institute of Psychiatry, King's College, London. His research addresses the prevention and treatment of addictive disorders, the formation of public policy and the extent to which subjects in medical research differ from patients seen in everyday clinical practice.
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After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

Hybrid Seminar: Lunch will be provided for on-campus participants. 
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person: 
Encina Commons, Room 119 
615 Crothers Way 
Stanford, CA 94305

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Eran Bendavid is an infectious diseases physician and an Associate Professor of Medicine. He is affiliated with Stanford Health Policy, the Center for Population Health Sciences, the Woods Institute for the Environment, and the division of Infectious Diseases. He received a B.A. in chemistry and philosophy from Dartmouth College, and an M.D. from Harvard Medical School. His residency in internal medicine and fellowship in infectious diseases were completed at Stanford.
eran bendavid

 

This will be a presentation of work-in-progress, with questions and feedback solicited throughout the talk. 

 

After registering, you will receive a confirmation email containing information about joining the meeting.

Registration

 

 

Hybrid Seminar: Lunch will be provided for on-campus participants. 
Please register if you plan to attend, both for in-person and via Zoom.

Log in on your computer, or join us in person: 
Encina Commons, Room 119 
615 Crothers Way 
Stanford, CA 94305

Seminars
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Postdoctoral Research Fellow
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MD

Naina Singh is a Health Services Research Fellow with the VA Ci2i. She earned a B.S. in Biochemistry at the University of California Los Angeles and an M.D. at the University of California Davis School of Medicine. As a hospice and palliative medicine (HPM) physician, she aims to improve HPM resources and utilization for all patients. She is interested in palliative care utilization in the Veteran population and understanding barriers/facilitators to improving Veteran quality of life. Naina enjoys singing and playing the piano. She also loves reading for fun -- she might devour a whole novel in 2 days if she loves it enough! She is a self-proclaimed home chef, and is sure her family will attest to that (because they have to!).

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Postdoctoral Research Fellow Alumni, Health Policy
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MD, MS, MBA

Dr. Shernaz Dossabhoy is a second-year AHRQ T32 postdoctoral research fellow in the Department of Health Policy and vascular surgery resident at Stanford Healthcare. She received her BA in German and Chemistry from Wellesley College, MS/MBA dual degree in Biomedical Science and Healthcare Management at Tufts University School of Medicine and Brandeis University Heller School for Social Policy and Management, and MD from the University of Massachusetts Medical School. Dr. Dossabhoy has completed her third year of clinical training in vascular surgery at Stanford. Now in her professional development time, her research is focused on improving comprehensive abdominal aortic aneurysm (AAA) care including screening, preoperative risk stratification, outcomes of surgical and endovascular treatment, and long-term surveillance following repair. 

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Ryan McDevitt

Ryan McDevitt is a professor of economics at the Fuqua School of Business, Duke University, and a research associate at the National Bureau of Economic Research. T

Title: Comparing the Effects of Vertical Integration and Horizontal Consolidation: Evidence from the Dialysis Industry

Abstract: Health care markets have consolidated in recent decades, with increases in both horizontal and vertical ownership ties. We study the implications of shared ownership along both of these dimensions in the U.S. market for outpatient dialysis using a new dataset of mergers, acquisitions, and joint ventures between dialysis chains and local partners such as physicians. We first provide novel evidence of the growth and prevalence of joint ventures in dialysis facilities, which nearly tripled from 9.8% in 2005 to 29.8% in 2017. Using a difference-in-differences framework, we find that joint ventures result in much larger gains in market share compared to acquisitions but relatively similar changes in practices. We also provide evidence that these gains in market share stem largely from business stealing and that patient steering at joint ventures may serve as a barrier to potential entrants.

Stanford Health Policy

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615 Crothers Way Encina Commons

 

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Slavery victimizes tens of millions of people worldwide. In 2016, 40 million people were identified as slaves, an estimated 25% percent of them children. Given a broader definition of slavery that includes child labor and child servitude, 152 million children between the ages of 5 and 17 were child laborers as of 2016, and many millions more were involved in some form of slavery-like practice.

Stanford PhD candidate Vincent Jappah, MD, notes in his new article published in the journal Medicine, Conflict and Survival, that the gray area surrounding the acceptance of child servitude in many cultures makes formulating the correct number of victims difficult. Call it servitude or slavery, the practice diminishes the health and social well-being of children and causes harmful ripple effects in their communities as well as to the rest of the world.

Jappah notes that policies to address child servitude and other slavery-like practices are fundamental to global health policy and development. Using a health equity framework can help mitigate the negative impacts of child servitude, in that it requires addressing the diverse factors that impact a person’s ability to meet key health milestones. Irrespective of a person’s race, socio-economic status, financial and physical ability, all global citizens have the right to a healthy life.

The study, “The political economy of child service in Liberia, West Africa,” co-authored by Jappah and Danielle Taana Smith, a professor of African American Studies at Syracuse University, notes that modern slavery is often centered around alleviating one’s own personal poverty and gaining power, even if that means exploiting the children of your own community.

Both Liberian natives, the researchers note that Liberians — like those of other countries including the United States — will often target those from low socioeconomic backgrounds and indigenous peoples.

This often takes place “within groups that in many instances share similar racial identities and physical features,” Jappah said. “Today, the child next door in a neighbor’s home may be deprived of going to school and coerced into performing endless hours of chores, with poor food and living conditions, the inability to leave the house, and the constant fear of violence.”

Jappah notes child servitude can potentially have devastating health consequences, and poses a major health challenge for individuals and their communities. Many victims typically live in unsuitable and unsanitary environments often littered with mosquitos, flies, lice, and other transmitters of disease. These children may also face poor mental health outcomes such as depression, social anxiety and social dysfunction, low self-esteem and failure to meet critical developmental milestones.

These children, as all children do, internalize and, to some extent, normalize their living conditions, and society becomes more acquiescent to such practices, despite their detrimental effects.
Vincent Jappah, MD, MPH
PhD Candidate, Stanford Heath Policy

Liberia is one of the poorest countries in the world, having suffered years of civil war and regional conflict. Its human development indicators rank 175 out of 189 countries on the 2019 Human Development Index. The child malnutrition rate is 15% among 5-year-olds and younger and many Liberians lack access to basic needs such as food, water, shelter, education, and health care.

In fact, the authors note, nearly 63% of the people in the West African nation established by freed American slaves live in poverty; 69% of the country’s 5 million people live on less than $3.20 a day.

“A functional economy that ensures that most citizens can earn a living wage does not exist,” the authors wrote. “Extreme poverty in some families, high levels of illiteracy and unemployment, and suboptimal economic activities contribute to child servitude and other forms of child exploitation.”

The children of Liberia are not alone. In societies with inherent instability and ongoing conflict, the practice of child servitude can become accepted as a normal way to make money and centralize power when opportunity and resources are scarce.

Jappah notes that for young children and adolescents, this is the period of forming personality, critical reasoning and developing relationships outside of the home, as well as forming opinions about the world around them. Living in such dehumanizing conditions can result in shame and trauma and often have intergenerational effects. They also have lower levels of education and higher dropout rates, contributing to an ongoing cycle of intergenerational poverty.

“These children, as all children do, internalize and, to some extent, normalize their living conditions, and society becomes more acquiescent to such practices, despite their detrimental effects,” Jappah said.  “These practices are widespread in places where laws are not adequate to address them, or if there are laws, few enforcement mechanisms are in place, or they are not enforced.”

Jappah said Liberians must address their cultural history of exploitation if they want to abolish the practice of child servitude. In addition, addressing the larger issues of inequity and the exclusion of marginalized groups is necessary.

“Throughout human history, we have witnessed clashes among social classes and groups,” Jappah said. “The more inequitable a society is, the more likely it is to be rife with social tensions.”

He concluded that those tensions are evident in developing countries as well as the industrialized nations such as the United States, a Western harbor of child trafficking and slavery. According to the Global Slavery Index, on any given day in 2016 there were 403,000 people living in conditions of modern slavery in the United States — or 1.3 victims of slavery for every thousand people in this country.

 “This phenomenon is universal; Liberia is not an exception,” Jappah said.

 

 

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Vincent Jappah, MD, MPH

PhD Candidate
He focuses on public policy, economics, global child and maternal health.
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A new article co-authored by Health Policy PhD candidate Vincent Jappah reveals that the modern drivers of child servitude in Liberia are largely social vulnerability and cultural acceptance of the practice, rather than traditional factors based on race and ethnicity.

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Master's Student Alumni, Health Policy
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MD

Beatrice Sun is a Master’s student in Health Policy at Stanford. She is a Stanford General Surgery resident currently in her Professional Development time. Prior to returning to the Bay Area, she obtained her BS from UCLA and MD from UC Irvine. She is interested in understanding the disparities and resource utilization of palliative and end of life care in cancer patients, with a particular focus on the resource needs of young adult cancer patients. After graduating residency, she plans on pursuing a fellowship in Surgical Oncology.

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Accountant
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MBA

Pamela Murarka previously worked at Rensselaer Polytechnic Institute as a Senior Business Administrator. She received her bachelor's degree and MBA from Rensselaer Polytechnic Institute. She is originally from Cleveland and currently resides in upstate New York.

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