Lead Health Economist
NHS Quality Improvement
Harkness Project Title: Integrating Care: The Role of Motives and Incentives
Mentor: Gerard F. Anderson, Ph.D.
Placement: Bloomberg School of Public Health, Johns Hopkins University
Biography at time of Harkness Fellowship: Susan Myles, a 2000-2001 Commonwealth Fund Harkness Fellow in Health Care Policy, is a research fellow at the Primary Care Research Group in the Department of General Practice at the University of Edinburgh. She is currently a Ph.D. candidate at the University of Edinburgh and recently completed a Medical Research Council Training Fellowship in Health Services Research, where she conducted an economic analysis of reclassifying medicines. Myles’ research interests relate to the commissioning and delivery of high quality primary care and patients’ utilization and demand for primary health care. She has published on cervical screening, learning disabilities, informal caregiving, access to emergency contraception, primary care policy analysis, and deregulation of medicines. Myles was previously a research fellow at the York Health Economics Consortium and lecturer at Queen Margaret University College in Edinburgh. She completed her M.Sc. in health economics at the University of York. Her Harkness Fellowship is based at Johns Hopkins University’s Bloomberg School of Public Health where she is conducting a comparison of the incentive structures to integrate health and social care in the United States and the United Kingdom.
Project: Myles aimed to investigate the interactions between care professionals’ motivations and the incentive structures they face, and how this impacts their ability to deliver integrated care to older people. She described the range of incentive mechanisms used to promote integrated care, and elicited views on clinicians’ motivations and responses to incentives. She conducted sixty interviews with representatives from good practice models of integrated care, evaluators of these models, and policy experts in related fields.
Career Activity Since Fellowship
- Lead for Economist, NHS Quality Improvement Scotland, NHS Scotland, 2008
- Senior Lecturer in Health Economics and Deputy Director Health Economics & Policy Research Unit, University of Glamorgan, 2003
Current Position: Lead for Scottish Health Technologies Group, and Director, Health Improvement Scotland, NHS Scotland. (Updated 1/2014)