Harkness Project Title: Financial Incentives and the Implementation of Systematic Chronic Disease and Preventive Care in California Medicaid

Mentor: Andrew Bindman, M.D.

Placement: Division of General Internal Medicine, University of California, San Francisco

Biography at time of Harkness Fellowship: Bruce Guthrie, a 2006–07 Commonwealth Fund Harkness Fellow in Health Care Policy, was previously a Health Foundation/Scottish Executive Chief Scientist Office postdoctoral research fellow at the University of Dundee, and a Medical Research Council Health Services research training fellow at the University of Edinburgh. His research interests are in the definition and measurement of quality of care, and the effectiveness and equity of organization of health care for chronic disease including the place of personal continuity. He has training in quantitative and qualitative methods in epidemiology and social research, and combines his research work with clinical general/family practice.

Career Activity Since Fellowship

• Member, National Institute for Health and Clinical Excellence QOF Indicators Committee, 2009
• Member, NHS Quality Improvement Scotland National Clinical Data for Quality Improvement Advisory Group, 2009
• Professor, University of Dundee, 2006

Current Position: Professor, University of Dundee. (Updated August 2010)

E-mail: b.guthrie@chs.dundee.ac.uk

Harkness-Related Publications

Guthrie B. “Auto-Assigning New Enrolees To Top-Performing California Medicaid Plans Does Not Appear To Improve Quality” Health Affairs, 2010; 29(8).

Guthrie B, Saultz JW, Freeman GK, and Haggerty JL. “Continuity of care matters.” BMJ, 2008; 337:a867.

Campbell N, Murray E, Darbyshire J, Emery J, Farmer A, Griffiths F,  Guthrie B, Lester N, Wilson P, Kinmonth A. Designing and evaluating complex interventions to improve health care. BMJ 2007;334:455 – 459.