Thérèse A. Stukel, PhD, is a Senior Scientist at the Institute for Clinical Evaluative Sciences (ICES), Toronto; Professor of Biostatistics and Health Services Research, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Hanover NH; Professor, Institute for Health Policy, Management and Evaluation, University of Toronto. She was statistical director of the Dartmouth Atlas of Health Care from 1995 to 2003 and co-authored two influential publications on the U.S. healthcare system demonstrating that higher healthcare spending did not lead to better outcomes, and a recent publication showing that in Canada, higher spending hospitals was associated with better outcomes for acute care patients. In 2007, she was nominated Fellow of the American Statistical Association.
Her current research interests are in the effects of health system resources and organization on delivery of care and outcomes in Canada and the U.S., particularly whether higher health care spending is associated with better health systems outcomes. She has also focused on methods for the analysis of observational studies, particularly the use of instrumental variables to remove unmeasured confounding and survival bias. She developed the boundaries of Ontario’s Local Health Integration Networks (LHINs) based on patterns of patient hospitalizations. With the support of a CIHR Team grant, she has created Ontario Multispecialty Physician Networks, virtual physician networks that mimic Accountable Care Organizations (ACOs), and is evaluating their efficiency (quality vs. costs) in managing patients with chronic disease. She has published over 160 peer-reviewed articles in medical and statistical journals.