Stahl, James
Institution: Massachusetts General Hospital
Grant Title: Organ Replacement Technology
Analysis Project
Grant Number: K08 HS011637
Duration: 4 years (2003-2007)
Total Award: $519,500
Project Description: The purpose of this project
is to develop a model of the liver allocation system to evaluate the costs,
effectivenesses and systemic implications of non-cadaveric organ replacement
technologies (ORT). Using a previously
developed and verified model of the current liver allocation system, this model
will be expanded and used to examine the following 3 aims:
- To determine the role and cost-effectiveness of ORTs that are functionally equivalent to cadaveric organs.
- To determine the role and cost-effectiveness of ORTs that are temporary or not as effective as cadaveri organ.
- To examine liver allocation policy with/without ORTs from the perspective of game theory and ethics.
Career Goals: Dr. Stahl is a Physician in
General Medicine at Massachusetts General Hospital. He wants to
establish himself as an independent investigator in academic medicine. Through the K award, the grantee plans to
acquire the structure and means to develop the theoretical and methodological
expertise and body of work necessary to reach his career goal.
Progress to Date: Dr. Stahl has validated the
baseline organ allocation model, incorporated a new pre-transplant survival
model based on findings, and updated the transportation module of the
model. His work was published in Medical
Decision Making. Dr. Stahl also
developed a simulated liver allocation market with which to conduct economic
experiments.
Future Plans: Dr. Stahl will continue
analyzing findings from his simulated liver allocation market research. He will continue working on manuscripts for
peer-reviewed journal publications. He
will also begin courses at the Harvard School of Public Health and continue
directed readings in ethics and pharmacoeconomics.
Highlights and Specific Accomplishments:
- Professional Societies:
- Member, American Medical Association.
- Member, Society of General Internal Medicine.
- Member, Medical Decision Making.
K-Generated Publications:
- Stahl JE, Kong N, Schecter SM, et al. A Methodological Framework for Optimally Re-organizing Liver Transplant Regions. Medical Decision Making 2005:25:35-46.
- Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the OR: Measuring the impact on job performance and satisfaction. Surgery 2005;137(5):518-26.
AHRQ Research Portfolios: Care Management; Socio-economics of Health
Care; Training.
AHRQ Goals: Efficiency
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