The Walter H. Shorenstein Asia-Pacific Research Center (APARC) is pleased to announce a suite of training, fellowship, and funding opportunities to support Stanford students interested in the area of contemporary Asia. APARC invites highly motivated and dedicated undergraduate- and graduate-level students to apply for these offerings:

APARC Summer 2023 Research Assistant Internships

APARC seeks current Stanford students to join our team as paid research assistant interns for the duration of the summer 2023 quarter. Research assistants work with assigned APARC faculty members on varied issues related to the politics, economies, populations, security, foreign policies, and international relations of the countries of the Asia-Pacific region. This summer's projects include:

• The Biopolitics of Cigarette Smoking and Production
• The Bureaucratic State: A Personnel Management Lens
• China’s Largest Corporations
• Healthy Aging in Asia
• Hiding in Plain Sight: How China Became A Great Power
• Nationalism and Racism in Asia
• U.S. Rivals: Construct or Reality?  
   

All summer research assistant positions will be on campus for eight weeks. The hourly pay rate is $17.25 for undergraduate students, $25 for graduate students.

The deadline for submitting applications and letters of recommendation is March 1, 2023.

Please follow these application guidelines:

I. Prepare the following materials:

• A current CV;
• A cover letter (up to 1 page);
• Completed Student Information Sheet

II. Fill out the online application form for summer 2023, including the above two attachments, and submit the complete form.

III. Arrange for a letter of recommendation from a faculty to be sent directly to Shorenstein APARC. Please note: the faculty members should email their letters directly to Kristen Lee at kllee@stanford.edu. We will consider only applications that include all supporting documents.

For more information and details about each summer research project, visit the Summer Research Assistant Internships Page >

APARC 2023-24 Predoctoral Fellowship

APARC supports Stanford Ph.D. candidates who specialize in contemporary Asia topics. The Center offers a stipend of $37,230 for the 2023-24 academic year, plus Stanford's Terminal Graduate Registration (TGR) fee for three quarters. We expect fellows to remain in residence at the Center throughout the year and to participate in Center activities.

Applications for the 2023-24 fellowship cycle of the APARC Predoctoral Fellowship are due March 1, 2023.

Please follow these application guidelines:

I. Prepare the following materials:

• A current CV;
• A cover letter including a brief description of your dissertation (up to 5 double-spaced pages);
• A copy of your transcripts. Transcripts should cover all graduate work and include evidence of recently-completed work.

II. Fill out the following online application form, including the above three attachments, and submit the complete application form.

III. Arrange for two (2) letters of recommendation from members of your dissertation committee to be sent directly to Shorenstein APARC.  
Please note: the faculty/advisors should email their letters directly to Kristen Lee at kllee@stanford.edu.

We will consider only applications that include all supporting documents. The Center will give priority to candidates who are prepared to finish their degree by the end of the 2023-24 academic year.

For more information, visit the APARC Predoctoral Fellowship Page >

APARC Diversity Grant

APARC's diversity grant supports Stanford undergraduate and graduate students from underrepresented minorities who are interested in contemporary Asia. The Center will award a maximum of $10,000 per grant to support a wide range of research expenses.

The Center is reviewing grant applications on a rolling basis.  
To be considered for the grant, please follow these application guidelines:

I. Prepare the following materials:

• A statement describing the proposed research activity or project (no more than three pages);
• A current CV;
• An itemized budget request explaining research expense needs.

II. Fill out the following online application form, including the above three attachments, and submit the complete application form.

III. Arrange for a letter of recommendation from a faculty to be sent directly to APARC.  

Please note: the faculty members should email their letters directly to Kristen Lee at kllee@stanford.edu.

For more information, visit the APARC Diversity Grant page >

As healthcare costs for patients with non-communicable diseases such as diabetes have risen, governments and healthcare providers have sought creative measures to align financial incentives with better patient outcomes. One incentive payment system known as “pay-for-performance” (P4P), in which providers are beholden to metric-driven outcomes, represents a potential path forward for healthcare providers to improve healthcare processes, resulting in higher quality and better patient health outcomes. The evidence on the effectiveness of P4P programs, however, is mixed.

To address this uncertainty, a new study, published in The European Journal of Healthcare Economics, assesses the effectiveness, in monetary terms, of a P4P program for patients with diabetes at a hospital system in Taiwan. 

The study coauthors, including APARC’s Asia Health Policy Program Director and FSI Senior Fellow Karen Eggleston, employed new patient-level data on clinical indicators, utilization, and expenditures, combined with data from the national death registry, to better understand the costs and benefits of the P4P program. Their results show that Taiwan’s implementation of the P4P program for diabetic care yielded positive results in terms of net value, defined as the value of life years gained minus the cost of care.

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Assessing Net Value of Taiwan’s P4P

Taiwan’s Bureau of National Health Insurance (now National Health Insurance Administration) introduced P4P in 2001 and enhanced the program in 2006 with an incentive for pay-for-reporting of outcomes. Financial incentives were used to encourage continuity of care with metrics such as new patient enrollment, follow-up visits, and annual reports, each tied to a specific monetary value. The program’s features are common across P4P, so the study’s findings have implications in other settings that incorporate similar designs in their P4P programs.

The study compares two different groups of patients at a large regional hospital in Taiwan, one consisting of newly enrolled P4P patients and another using P4P patients who have been enrolled since the beginning of the program. The researchers leverage detailed clinical data not used in previous assessments of the P4P program to better identify both costs and longer-term clinical outcomes based on measured biomarkers and predicted mortality.

Using an economic cost-benefit analysis conducted from a budgetary perspective, the study is the first analysis of any P4P program that estimates changes in the quality-adjusted price index relative to usual care. The authors consider health benefits in terms of survival and predicted survival and convert them into monetary terms. This net value approach is especially useful for policymakers and healthcare administrators who implement value-based purchasing and monitor outcomes for any service delivery innovation over time.

The study finds that Taiwan’s P4P program provided a positive net value for payers and patients, ranging from $40,084 USD to $348,717 USD. These positive net value results are primarily derived from health outcomes as measured by lower mortality rates in the P4P versus non-P4P cohorts, across both newly enrolled and continuously enrolled groups of patients. According to the authors, “these encouraging findings of the positive value of quality improvement net of expenditures adds evidence to the literature that has found mixed results of P4P programs.” 

 This study develops a new model for assessing the net value of service delivery innovations like P4P programs that can be applied in other contexts globally, providing healthcare systems researchers with new tools to better understand an emergent option for incentivized care. With a more economically-translatable understanding of P4P programs, this research helps build the bridge between the oft-disparate worlds of healthcare and policy.