William Weeks

William Weeks

dates de séjour

11/01/2016 - 13/07/2016


Economie de la santé




Dartmouth College, The Dartmouth Institute for Health Policy and Clinical Practice, USA

pays d'origine


projet de recherche

Establishing a program on geographic variation in health services utilization in France

Over the past three years, I have worked with collaborators at Aix Marseille University (AMU) and the Aix-Marseille School of Economics (AMSE) to apply techniques developed at The Dartmouth Institute for Health Policy & Clinical Practice (where I work and teach) to the first studies of geographic variation health services utilization in France.  We found substantial variation in admission for some elective procedures and for ambulatory care sensitive conditions (ACSCs), higher rates of admission for ACSCs in France than in other countries, and some evidence that for-profit hospitals in France create supplier-induced demand. Concerns about accelerating healthcare costs and healthcare budget shortfalls in France will make the study of variation in healthcare utilization – and identification of opportunities to reduce it – increasingly important to policymakers.

I intend to use the Fulbright-Toqueville Distinguished Chair award to help develop capacity to address the problem of variation in health services utilization in France in perpetuity.  The award will allow me to work with health economists, health services researchers, and students at AMU and AMSE to conduct research, transfer knowledge, and set the foundation for a permanent academic program on geographic variation in health services utilization in France.  At AMU and AMSE, I will help develop that program through conducting research on geographic variation in healthcare utilization in France and teaching AMSE’s PhD and masters level students.

This award will have a lasting impact on my career.  I plan to contribute to the work conducted in the center we will create for the rest of my career.  Being able to commit dedicated time to demonstrate the benefits, effectiveness, and impact of the study of geographic variation in healthcare, while concurrently getting students and faculty excited about the work, is what will create the center.  I hope that the work I complete in France will encourage similar work throughout the EU and will provide opportunities to collaborate and share techniques designed to minimize waste, improve outcomes, and improve value in healthcare systems internationally.


William B. Weeks, MD, MBA, is a graduate of Whitman College (BS), The University of Texas Medical Branch (MD), and Columbia University (MBA). After practicing clinical psychiatry for five years, he pursued a career as a health services researcher within the VA system where his work focused on variation in physician incomes, in the types, quality, and outcomes of health services that veterans obtained through the VA and through Medicare, and in the types and quantities of care needed and received by rural, as opposed to urban-dwelling, veterans. He received the National Rural Health Association’s Rural Health Outstanding Researcher Award in 2009. Currently, he is associate professor and core faculty at The Dartmouth Institute for Health Policy and Clinical Practice where he teaches, does health services research, and serves as medical director for TDI’s Office of Professional Education and Outreach and as medical director of the High Value Healthcare Collaborative, a consortium of 14 healthcare systems across the nation that are committed to improving the value of the health services that they deliver.