Therese Stukel, PhD

Senior Scientist, Institute for Clinical Evaluative Sciences, Toronto
Professor, Dartmouth Institute for Health Policy & Clinical Practice & Department of Community and Family Medicine, Dartmouth Medical School
Professor, Institute for Health Policy, Management and Evaluation, University of Toronto

Email

Phone

(416) 480-6100 x3928

Education

  • PhD, University of Toronto, 1983
  • DEA, Universités de Paris VI et XI, Statistiques, 1975
  • MAF, Université de Grenoble, Maitrise, 1974
  • BSc (Hon), University of Ottawa,  1973
     

Primary Contact

Mariam Mukati
(416) 480-6100 x7651
Mariam.Mukati@ices.on.ca

Curriculum Vitae

Therese A. Stukel CV

Affiliations

Institute for Clinical Evaluative Sciences (Toronto, Canada)
(www.ices.on.ca)


Areas of Expertise

Health services research; Biostatistics


Awards:

Ongoing Research (in the past 5 years)
ETG 92248 Stukel (PI) 12/01/08 – 11/30/14
CIHR Team Grant in Applied Health Services and Policy Research
Health system sustainability through longitudinal efficiency: improved quality and lower costs
This study will (1) identify informal, empirically-derived physician networks in Ontario; (2) develop measures of aggregate quality and resource inputs to characterize the longitudinal efficiency of Ontario hospitals and physician networks; (3) determine structural and process factors related to high-performing hospitals and physician networks; and (4) examine implications for healthcare planning in Ontario and other provinces.
Role: Principal Investigator

DCO190GP Tu (PI) 4/1/12-3/31/17
CIHR Team Grant in Chronic Disease Risk and Intervention Strategies
Improving the quality of ambulatory care for people with chronic cardiovascular risk factors
This study will focus on measuring and improving the quality of ambulatory care for people with at least 1 major cardiovascular disease risk factors (smoking, hypertension, hyperlipidemia, diabetes) and/or at least 1 common cardiovascular chronic conditions (ischemic heart disease, heart failure, and stroke).
Role: Co-Investigator
MOP 114937 Lee (PI) 10/01/11 – 09/20/15
Canadian Institutes of Health Research
ACUTE Study: Acute congestive heart failure urgent and transitional care evaluation
This study will test the performance of the Emergency Heart Failure Mortality Risk Grade in real world situations and examine how its use could affect overall admissions and discharges for HF patients in the ED.
Role: Co-Investigator/Biostatistician

MOP 111035 Tu (PI) 04/01/11 – 03/31/15
Canadian Institutes of Health Research
Measuring and improving the quality of ST-segment elevation myocardial infarction (STEMI) care
This study will investigate variation in the 30-day mortality rate across Ontario’s 14 health regions.
Role: Co-Investigator/Biostatistician

MOP 102487 Ko (PI) 04/01/10 – 03/31/13
Canadian Institutes of Health Research
Assessing the appropriateness of coronary revascularization for patients with coronary artery disease
This study will determine the proportion of appropriate/inappropriate coronary revascularizations in Ontario, and evaluate the association between appropriateness of revascularization and longer-term outcomes.
Role: Co-Investigator/Biostatistician

RC2-1603-06 Schull & Bell (PIs) 10/01/07 – 09/30/12
Canadian Health Services Research Foundation
Waiting with an emergency
This study will evaluate the effectiveness of two ED based intervention in reducing ED wait times in Ontario.
Role: Co-Investigator/Biostatistician

Professional Achievements:

Dr. Thérèse Stukel has combined collaborative medical research with research on statistical methodology for many years in the U.S. and Canada. In the past 10 years, she has focused on health services and policy research and methods for observational studies. At the Dartmouth Institute for Health Policy and Clinical Practice, she was statistical director of the Dartmouth Atlas from 1995 to 2003 and co-authored two major publications on the U.S. healthcare system, demonstrating that regions with more healthcare resources incurred higher costs with no better outcomes (Fisher et al., Annals 2003).

Dr. Stukel directed an Ontario Ministry of Health policy initiative to create Local Health Integration Networks by deriving regional boundaries based on travel patterns for hospital care. She has facilitated several U.S.-Canada cardiac health services collaborations among ICES and Dartmouth colleagues.

Dr. Stukel has published over 160 peer-reviewed articles in medical journals, including the New England Journal of Medicine, Annals of Internal Medicine and The Lancet, and has three first-authored papers in JAMA. “Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods” (JAMA 2007) was a methodology paper that demonstrated how standard statistical methods may fail to remove unmeasured confounding and survival bias in observational studies. It was accompanied by an editorial and nominated for The Lancet’s 2007 Paper of the Year.

Dr. Stukel’s current health services research interests involve studying the effects of local health system resources on delivery of care and outcomes in Canada. With the support of a team grant from the Canadian Institutes of Health Research, she has creating virtual hospital-physician networks in Ontario (virtual Accountable Care Organizations) and evaluating their performance in managing patients with chronic disease. She was elected Fellow of the American Statistical Association in 2007.


Published Research


In the Media

Retooling the Health-Care System The Star, May 14, 2013 »

Canadian Hospitals That Spend More on Patients Get More Bloomberg, March 14, 2012 »