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Rajiv L. Sharma

Dr. Rajiv L. Sharma

Associate Professor of Economics (1998)

Contact information:

Department of Economics
241-U Cramer Hall
Portland State University

P.O. Box 751
Portland, OR 97207-0751

Phone: 503-725-3925
Email: sharmar@pdx.edu

Ph.D.Economics, University of Florida,  August 1998.
M.S.Economics, University of Florida, May, 1995.
B.S.Magna Cum Laude, Economics, Angelo State University, San Angelo, TX,  May 1993

Biography

Professor Sharma specializes in microeconomics and health economics. Some journals where his research has been published include the RAND Journal of Economics, Journal of Health Economics, Medical Care and the American Journal of Public Health. He has collaborated extensively with physicians, and has advised public agencies on health and economic issues. Professor Sharma has led the Longitudinal Access to Physicians Study (LAPS) since its inception in 2013. LAPS audits primary care physicians nationally to assess the effects of state a federal policies on access to health care. The first paper from this study was recently published in Economics Letters, and is available at the Portland State Library. The study is now funded by the NIH.

 

POSITIONS HELD

  • Portland State University, Portland, OR: 2008-Present, Associate Professor, Department of Economics.
  • Portland State University, Portland, OR: 1998-2008, Assistant Professor, Department of Economics
  • Portland VA Medical Center, Portland, OR: 2006-200,Health Economist/Core Investigator, Research Enhancement Awards Program.
  • University of Florida, Gainesville, FL: 1993-1998, Research Associate, Public Utilities Research Center.

 

 

 

 

 

 

 

 

 

 

Teaching Fields

  • Health Care Economics
  • Microeconomic Theory

Research Interests

  • Access and disparities in health care.
  • Cost-Effectiveness Analysis of medical interventions.
  • The patient-physician relationship and medical decision-making.

SELECTED PEER-REVIEWED PUBLICATIONS

 

Sharma R, Mitra A, Stone M. Insurance, Race/Ethnicity, and Sex in the Search for a New Physician. Economics Letters 137, 150-153, 2015.

Sharma R, Stano M. Implications of an economic model of health states worse than dead. Journal of Health Economics 29, 536-540, 2010.

Dickinson KC,  Sharma R,  Duckart JP, Corson K, Gerrity MS, Dobscha SK. VA Healthcare costs of a collaborative intervention for chronic pain in primary care. Medical Care 48, 38-44, 2010.

Sharma R, Haas M, Stano M, Spegman A, Gehring R. Determinants of costs and pain improvement for medical and chiropractic care of low back pain.  Journal of Manipulative and Physiological Therapeutics 32, 252-61, 2009..

Sharma R, Stano M, Gehring R. Short-term fluctuations in hospital demand: Implications for admissions, discharges, and discriminatory behavior. RAND Journal of Economics 39, 586-606, 2008.

Haas M, Sharma R, Stano M. Relative cost-effectiveness of medical and chiropractic care for acute and chronic low back pain. Journal of Manipulative and Physiological Therapeutics 28, 555-63, 2005.

Haas M, Groupp E, Muench J, Kraemer D, Brummel-Smith K, Sharma R, Ganger B, Attwood M, Fairweather A. Chronic disease self-management program for low back pain in the elderly. Journal of Manipulative and Physiological Therapeutics 28, 228-37, 2005.

Sharma R, Stano M, Haas M,  Adjusting to changes in health: Implications for cost-effectiveness analysis. Journal of Health Economics 23, 335-351, 2004.

Sharma R, Haas M, Stano M.  Patient attitudes, insurance, and other determinants of self-referral to medical and chiropractic physicians. American Journal of Public Health 93, 2111-2117, 2003.

 

REPORTS & OTHER PUBLICATIONS

 

Gehring R, Sharma R. The behavior of patients and doctors: Incentives, quality and prices. Oregon’s Future 6, 43-47, 2005.

Sharma R, Gehring R. How the health care market differs from other markets. Oregon’s Future 5, 16-18, 2004.

Sharma R. “Industry structure and pricing: The new rivalry in infrastructure”, Mark A. Jamison in the Review of Industrial Organization 18, 133-135, 2001.  Book review.

Sharma R, Ziliak J., Rosenman R. Estimating the Value of Health Improvements in Oregon and Washington between 1970-1990. The Lasker Foundation, 2000.

Sharma R. Comparative Institutional Aspects of Regulatory Reform: the Role of Regulators and Competition Authorities. FORFAS—the Irish policy advisory board for enterprise, trade, science, technology and innovation, 2000.

Sharma R, Health care payment systems: Cost and quality incentives—comment. Journal of Economics and Management Strategy 7, 127-37, 1998.

Berg S, Sharma R. Techniques for Assessing Firm Efficiency: An  Overview. The Australian Competition and Consumer Commission, November 1997.

Berg S, Foreman D, Sharma R, Gupta S, Klien M, Blair B, Garmon C.
Cross-Country Survey of Approaches to Regulation: United States and Canada. The World Bank, 1994.

 

SELECTED CONFERENCE PROCEEDINGS

 

Haas M, Sharma R, Spegman A, Stano M. Predictors of Cost and Effectiveness:  Chiropractic and Medical Care for LBP. In: Proceedings of the Symposium for Portland Area Research on Complementary and Alternative Medicine, Portland, Oregon, traveling poster presentation, June 4-9, 2007. 

Sharma R, Stano M, and Gehring R. Short-term Fluctuations in Hospital Demand:  Implications for Admission, Discharge, and Discriminatory Behavior. 2007 North American Winter Meeting of the Econometric Society, Chicago, IL, January 6, 2007.  Available under Session #28 at: http://zeus.econ.umd.edu/conference/NAWM2007/program/NAWM2007.html.

Haas M, Sharma R, Spegman E, Stano M. Predictors of cost-effectiveness of chiropractic and medical care for low back pain: a practice-based comparative study. Dose-response studies. In: Proceedings of the Conference on Chiropractic Research. Foundation for Chiropractic Education and Research. Chicago,  2006:20.

Haas M, Sharma R, Stano M. Cost-effectiveness of chiropractic and medical care for low back pain: a practice-based comparative study. In: Proceedings of the WFC’s 8th Biennial Congress. World Federation of Chiropractic. Sydney, Jun 16-18, 2005:199.

Gehring R, Sharma R, Stano M.  Computing Hospital Occupancy.  In: Proceedings of the 2005 NWSUG

        Conference.  Tacoma, WA, 2005. http://www.pnwsug.com/Conference_2005/Proceedings/WebPage/PaperLInks.htm

Haas M, Sharma R, Stano M. Relative cost-effectiveness of chiropractic and medical care for acute and chronic low back pain In: Proceedings of the 132th Annual Meeting of the American Public Health Association. Washington, D.C.: American Public Health Association, 2004: http://apha.confex.com/apha/132am/techprogram/meeting_132am.htm.

Sharma R, Stano M, Haas M. Cost-effectiveness of chiropractic and medical care for acute and chronic low back pain. In: Proceedings of the 130th Annual Meeting of the American Public Health Association. Philadelphia, PA.: American Public Health Association, 2002: http://apha.confex.com/apha/130am/techprogram/paper_40109.htm.

Stano M, Sharma R, Haas M. Long-term costs and cost-effectiveness for chiropractic and medical treatment for low back pain. In: Proceedings of the 2002 International Conference on Spinal Manipulation. Des Moines, IA: Foundation for Chiropractic Education and Research, 2002:52.

 

SELECTED PRESENTATIONS

 

Sharma R, Stano M, Gehring R. Short-term fluctuations in hospital demand: Implications for admission, discharge and discriminatory behavior.  Winter Meeting of the Econometric Society, Chicago, IL.  2007.

Sharma R, Stano M, Gehring R. Short-term fluctuations in hospital demand: Implications for admission, discharge and discriminatory behavior.  Applied Microeconomics Workshop, Yale University.  2006

Sharma R, Stano M, Gehring R. Weekend closures and source of hospital admissions: Using a natural experiment to detect differential access to health care.  Oregon Health Research and Evaluation Collaborative. 2005.

Sharma R, Stano M, Gehring R. Short-term fluctuations in hospital demand: Implications for admission, discharge and discriminatory behavior.   Oregon Health Research and Evaluation Collaborative. 2005.

Sharma R, Stano M, Haas M. Cost-effectiveness of chiropractic and medical care for acute and chronic low back pain. The 130th Annual Meeting of the American Public Health Association. Philadelphia, PA. 2002.

 

ONGOING RESEARCH SUPPORT 

Haas (PI)

NIH                                                                                            10/01/2011-09/30/2016

Co-Investigator: RCT: Dose response of chiropractic manipulation in cervicogenic headace.

This RCT will evaluate the effectiveness of a variety of dose levels of chiropractic manipulation in patients with cervicogenic headache.  Sharma has designed and will conduct cost and cost effectiveness analyses.

 

SELECTED COMPLETED RESEARCH SUPPORT 

1 R01 AT001908-01A2 Haas (PI)

NIH                                                                                            10/01/2006-09/30/2011

Co-Investigator: RCT: Dose response/efficacy of spinal manipulation in LBP.

The major goal of this RCT was to evaluate the effectiveness of a variety of dose levels of spinal manipulation in patients with low back pain.  Sharma designed and conducted cost and cost effectiveness analyses.

 

Dobscha (PI)  

VHA HSR&D                                                                                      8/1/2005 - 9/30/2009  

Consultant: RCT: Improving Chronic Pain Treatment in Primary Care.
The purpose of this study was to understand the relationship between adherence to guidelines for the treatment of chronic, non-malignant pain and clinical outcomes in a VA primary care setting.  Sharma helped design and conduct cost and cost effectiveness analyses.

Ganzini (PI)

VHA HSR&D                                                                                        10/1/2006 - 9/30/2009

Co-Investigator: Research Enhancement Awards Program (REAP).

REAP is designed to create a core group of researchers for development of health services research projects at VA medical centers.  Sharma’s task was to help VA researchers with utilization and economic issues.

 

 HONORS AND AWARDS

 

John Eliot Allen Outstanding Teacher Award, Portland State University, 2003.

Lanzillotti Dissertation Fellowship in Public Policy, University of Florida, 1996-1997.

Madelyn M. Lockhart Award, University of Florida, 1996. 

College of Liberal Arts & Sciences Dissertation Fellowship, University of Florida, 1996.

Grinter Fellowship for Doctoral Students, University of Florida, 1993-1996.

Carr Academic Scholarship, Angelo State University, 1990-1993.

 

 TEACHING EXPERIENCE

 

Portland State University

  Advanced Microeconomics (EC 576).

  Applications of Advanced Microeconomic Theory (EC 591).

  Economics of Industrial Organization (EC 425/525).

  Health Care Economics (EC 410/510).

  Public and Private Investment Analysis (EC 399U).

  Microeconomic Theory (EC 376).

  Introduction to Health Care Economics (EC 316U).

  Principles of Economics – Microeconomics (EC 201).

  Principles of Economics – Macroeconomics (EC 202).

 

University of Florida

  Principles of Economics section for the Honors Program Microeconomics (ECO 2023).

  Managerial Economics (ECO 3100).