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Vol 272 No 7291 p340
20 March 2004

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Another pharmacist awarded Harkness Fellowship

The Harkness Fellowship

Harkness Fellowships in Health Care Policy are offered by the US Commonwealth Fund — a private foundation established in 1918 by Anna M. Harkness with the “broad charge to enhance the common good” and which now supports independent research on health and social issues. The fund provides support for fellows to study how the US approaches health policy issues, to share lessons learnt from their home countries, and to develop a multinational perspective and network of contacts to facilitate policy exchange and collaboration that continues beyond the fellowship.

The fund’s programme areas include improving health insurance coverage, access to care and improving the quality of health care services. Its programmes also focus on specific groups, including underserved populations, young children, and the frail elderly. The fund has this year added two UK fellowships, also for travel to the US, supported by the PPP Foundation.

Rachel Elliott, clinical senior lecturer at the University of Manchester school of pharmacy and pharmaceutical sciences, has been awarded a Harkness Fellowship by the US Commonwealth Fund.

The Harkness Fellowships in Health Care Policy provide a unique opportunity for mid-career health services researchers and practitioners from the UK, Australia and New Zealand to spend up to 12 months in the US, working with health policy experts and conducting original research. Dr Elliott is the third UK pharmacist to be given this award.

Dr Elliott hopes to spend a year looking at the economic impact of policies to improve adherence to medicines based in a US academic institution. She believes that adherence is of crucial importance to health care in terms of public health, patient safety and health care financing. “My position is that lack of understanding of adherence undermines efficiency of public health policies. Furthermore, policies to improve adherence may be at odds with health policies promoting greater patient choice,” she says.

She hopes to examine the relative importance to patients of factors such as cost, risk/benefit of medicines, perception of disease severity and the patient-professional relationship in one particular disease group, such as hypertension. She believes that the potential findings will contribute to the formulation of policies for both government and professional bodies.

Dr Elliott has been based in the drug use and pharmacy practice group at the University of Manchester since 1996. She is currently clinical senior lecturer and programme director for the MSc/diploma in clinical and health services pharmacy.

“ I am very excited to have the opportunity to work in the US with leading experts in health care policy, health economics and medication use research,” Dr Elliott says.

The award runs from September 2004 to September 2005.

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