The Dartmouth Institute for Health Policy and Clinical Practice

How well do medical and surgical procedures actually work? How are health care resources distributed and used? How do patients value medical interventions and their consequences?

Those are the fundamental questions the physicians, economists, researchers, and social scientists at The Dartmouth Institute for Health Policy and Clinical Practice (TDI) have been addressing since 1988. Today, The Institute is nationally and internationally recognized for its research on health outcomes, informed choices for patients, and innovative policy solutions. Says Dr. Albert Mulley, the Director of the Dartmouth Center for Health Care Delivery Science and former Chief of General Internal Medicine at Massachusetts General Hospital and a longtime collaborator with many TDI faculty, "The work of The Dartmouth Institute and the professionals it trains offers our best chance of seeing to it that people get the care they need and no less--and the care they want and no more."

For Geisel students, having TDI and its joint-degree programs here allows them to participate in cutting-edge

Dr. John Wennberg, former director of TDI Dr. John Wennberg, Founder and Director Emeritus of The Dartmouth Institute, received the 2008 Gustav O. Lienhard Award from the Institute of Medicine for "reshaping the US health care system" to focus on objective evidence and outcomes rather than physician preference as the basis for treatment decisions, and for his efforts to empower patients with greater input on decisions about their own care.

research that ranges from the widely-quoted Dartmouth Atlas of Health Care, which documents how medical resources are distributed and used in the United States, to numerous studies showing that more health care often leads, paradoxically, to poorer health outcomes. TDI research and policy recommendations were at the foundation of a number of provisions included in the health reform law.

"In a country that spends 17 percent of its gross domestic product on health care,
nothing could be more important."

Founded in 1988, TDI is home to the nation's first graduate program of its kind • The Dartmouth Atlas of Health Care is the first comprehensive documentation of patterns and differences of medical care around the US