Prof. Dr. Holger Pfaff

Prof. Dr. Holger Pfaff
 

Lebenslauf

Curriculum Vitae

Prof. Dr. Holger Pfaff

Work address:
University of Cologne
Faculty of Human Science and Faculty of Medicine
Institute for Medical Sociology,
Health Services Research and
Rehabilitation Science (IMVR)
Eupener Strasse 129
50933 Cologne, Germany

Home address:
Gustav-Heinemann-Strasse 48
50226 Frechen-Königsdorf
Phone: +49 (0)221 478-97100
Fax: +49 (0)221 478-97118
Email: holger.pfaff@uk-koeln.de
Website: http://www.holgerpfaff.eu
Website: http://www.imvr.de

Education
Habilitation Sociology, Technical University Berlin, Institute for Sociology (state doctorate; professorial dissertation), 1995
PhD Sociology, Technical University Berlin, Institute for Sociology, 1989
Diploma Administrative Sciences, University of Constance, Germany, 1981


Professional Experience

(1) University of Cologne: Faculty of Human Science and Faculty of Medicine

2009 – Present Professor of Quality Development and Evaluation in Rehabilitation, Faculty of Human Science
2009 – Present Director, Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMHR)
2002 – Present Director, Center for Health Services Research Cologne (ZVFK)
1997 - Present Professor of Medical Sociology, Faculty of Medicine

(2) Technical University of Berlin, Institute for Sociology

1995 – 1997 Visiting Professor of Technical and Industrial Sociology
1986 – 1995 Research Fellow

(3) University of Oldenburg, Institute for Sociology

1983 – 1986 Research Assistant, University of Oldenburg


Health Sciences Research Areas
I am currently the director of the Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMHR), which is a joint scientific institution of the Faculty of Human Sciences and the Faculty of Medicine (School of Medicine) at the University of Cologne. The IMHR consists of three departments: Medical Sociology, Health Services Research, and Rehabilitation. The institute’s mission is “to deliver knowledge to enhance care and health”. While care refers here to every kind of caring activity performed for ill or disabled people, health encompasses the health of the people cared for, the health of the professional caregivers and the health of employees in general. The basic assumption is that the outcome of care depends on the quality of care itself and on the context of care. Another assumption is that the context of care is deeply influenced by organizational characteristics and working conditions. I therefore focus on two areas of research: “care, context of care and quality” and “organizations, work and health.”

(A) Research area: “Care, context of care and quality”
Care research focuses on health services, such as primary care facilities, hospitals, and rehabilitation clinics, or care services including nursing homes and institutions for disabled people. I am interested in how the context of care (social factors, organizational structures and processes, health technologies, and personal behaviors) affects access to care and quality of care (e.g., health and quality of life). I also aim to examine the long-term care of the chronically ill or disabled and how this influences the trajectories of care (care career and patient career) and outcomes such as rehabilitation and social inclusion. My current research focuses on two forms of social systems - (1) the interaction system between professional and client and (2) the care organization as a system - with the main goal being to analyze the social integration dimension of these systems as the necessary basis for collective goal achievement (e.g., quality goals).

Professional-client interaction: Clients are people (patients, disabled people, people in need) who receive care from professionals (physicians, nurses, social workers) in the health and social services setting. My primary research interest involves studying the social integration elements of “trust” and “empathy” within professional-client interactions in order to explain how these elements are built up in professional interactions and how they could be used to foster quality of care and the health of clients (patients).
Study examples: I was the principal investigator (PI) in a study investigating the causes and effects of trust in physicians and a co-principal investigator (Co-PI) in a research project focusing on the causes and effects of physician empathy.

Care organization research: This area of research asks the question, “What are the organizational determinants of access to care and quality of care?” The main focus of this question lies in the concept of “social capital” as the central dimension of social integration in organizations. I have, therefore, posed two questions for study: What are the determinants of social capital in care organizations? Does social capital contribute to greater quality?
Study examples: I am the PI for a study investigating the influence of organizational characteristics (e.g., social capital) on psychosocial care in breast cancer centers by using multilevel analysis. Recently, I was the PI for a project studying the relationship between hospital characteristics and standardized mortality rates. I was also the PI for two research projects which studied the organizational and client-specific determinants of access to care.

Quality development research: My main research questions in this area are: How can we foster the quality of psychosocial care in professional-client interaction? Should quality measures be combined with measures for improving social capital in order to obtain good quality development results in care organizations? How can we promote the implementation of quality measures?
Study examples: I am currently a co-investigator (CI) for a project of the European Union (EU), which studies the relationship between hospital governance, quality development strategies and outcome quality in EU hospitals. As a Co-PI, I am also conducting a randomized experiment with the objective to enhance physician empathy using the four habits training program. Additionally, I was a CI in a study investigating different types of guideline implementations in physician practices and am currently a CI in a study investigating the relationship between the guideline knowledge and guideline compliance of general practitioners.


(B) Research area: “Organizations, work and health”
In this research area, the main question is: What are the organizational and work-related determinants of employee health. We are currently studying this question and the question in care and non-care organizations. We would also like to determine how employee health can be promoted. With regard to care organizations in particular, I have also posed the following question: What are the organizational and work-related determinants of the client / patient health

Organizations, work and employee health: The aim of this research area is to identify the organizational and work-related determinants of employee health. My research focuses on social support, group cohesion and social capital as social health resources and on the stress of choices (stress of options) and the stress of work-life imbalance as risk factors.
Study examples: I was the PI for two research projects studying the effect of social relationships at work on (a) the burnout of physicians and nurses and (b) the burnout of social workers working with disabled people.

Organizations, quality of care and client health: In this research area, I seek to determine how organizational factors and working conditions in care organizations affect staff burnout and, as a result, the quality of psychosocial care (trust, empathy and support) in the short run, and the health and satisfaction of clients in the long run .
Study examples: I am currently the PI for two studies investigating the relationships between working conditions, staff burnout, quality of care and the health of the patients in (a) breast care centers and (b) oncological medical practices.

Worksite health promotion and capacity building: I am studying the health promotion and health management activities in care and non-care organizations to identify the social determinants and social benefits of worksite health promotion. The aim is to build up the capacity of organizations for worksite health promotion. We are also trying to develop and evaluate specific health promotion techniques to promote social capital at work, reduce stress of choices, reduce coordination stress and foster work-life balance.
Study examples: I am currently the PI for two research projects - one in the information technology industry and one in the microsystem industry - investigating (a) the organizational determinants of worksite health promotion and (b) health promotion capacity building strategies.

Publications:

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Professional Organizations / Honors / Activities

Membership - Professional Associations

1. German Association of Sociology
2. German Association of Social Medicine and Prevention
3. German Association of Medical Sociology (DGMS)
4. German Association of Health Services Research
5. American Society of Clinical Oncology (ASCO)
6. AcademyHealth (USA)

Membership - University Boards
1994 - 1997 Member, Commission for implementing the course of study “Sociology with a Focus on Technological Science,” Technical University of Berlin
1999 - 2002 Member, Steering Committee on Clinical Risk Management, Medical Facilities at the University of Cologne
Since 2002 Member, Examination Board for courses of study in Health Economics (Diploma, Bachelor’s, and Master’s as continuing education studies for physicians and pharmacists), Faculty of Management, Ergonomics and Social Sciences and Faculty of Medicine, University of Cologne
Since 2003 Member, Evaluation Committee for the “Medicine” test study program, University of Cologne
Since 2004 Member, Doctorate Admissions Board of the Faculty of Medicine, University of Cologne
2005 - 2008 Deputy Member, Senate Commission: Permanent Commission for Planning and Finances, University of Cologne
Since 2008 Member, Admissions Board of the Master’s in Health Economics Program, University of Cologne
Since 2009 Vice-Chairman, Doctorate Admissions Board for Clinical Theory
Since 2010 Member of various review boards
2010 Member, Plenum for Excellence Initiative 2010, University of Cologne

Membership - Non-University Boards
1996 Member, Panel of Experts for Service 2000 plus, a project of the German Federal Ministry of Education, Science, Research and Technology (BMBF) Task Group on Health and Social Services
1998 Member, Panel of Experts for Quality Assurance in Industrial Health Promotion, a project of the Hans Boeckler Foundation
2000 - 2004 Member, Panel of Experts for Industrial Health Policies, a project of the Bertelsmann Foundation and the Hans Boeckler Foundation
2004 - 2005 Member, Task Group on Health Services Research, Academic Advisory Board of the German Medical Association
2004 – 2005 Chairman, Task Group on Defining Health Services Research
Since 2001 Representative of the DGMS in the Consortium of Academic Medical Associations (AWMF)
2001 - 2008 Representative of the DGMS in the German Society for Public Health
Since 2005 Member, Permanent Cooperation Group for Health Services Research, Academic Advisory Board of the German Medical Association
Since 2006 Member, Ad-Hoc Commission on Health Services Research, Consortium of Academic Medical Associations (AWMF)

Membership - Advisory Boards
Since 1999 Member, Academic Advisory Board, Institute for Industrial Health Promotion (BGF GmbH), AOK Nordrhein Health Insurance Fund
2000 - 2005 Member, Advisory Board of the journal Social and Preventive Medicine
2000 - 2006 Member, Advisory Board, North Rhine-Westphalian Research Association for Rehabilitative Sciences
Since 2005 Member, Advisory Board, Study Center of the German Association of Surgery
2006 - 2007 Member, Academic Advisory Board, Medical Faculty at the University of Witten-Herdecke
2007 - 2009 Member, Advisory Board for Outpatient Quality Indicators and Key Measures (AQUIK®), a project of the German Federal Association of SHI Physicians
Since 2010 Member, Academic Advisory Board, Institute for Applied Quality Promotion and Research in Health Services (AQUA)

Review Experience - Scientific Journals
Since 2001 Social and Preventive Medicine
Since 2003 Journal of advanced medical training and quality in health services
Since 2004 Psychotherapist
Since 2004 Health economics and quality management
Since 2005 German Federal Health Journal – Health Research – Health Protection
Since 2005 Palliative Medicine
Since 2005 European Journal of Health Economics
Since 2007 German Medical Weekly Journal (DMW)
Since 2007 Psycho-Social-Medicine (PSM)
Since 2007 German Medical Journal
Since 2008 BMC Health Services Research
Since 2008 BMC Public Health
Since 2009 Health Services
Since 2009 Journal for Social Reforms (ZSR)

Grant Review Experience
Since 2000 Reviewer, North Rhine-Westphalian Research Association of Rehabilitative Sciences
Since 2002 Reviewer, DIMDI (Health Technology Assessment)
Since 2003 Reviewer, National Fund of Switzerland
Since 2005 Reviewer, German Medical Association (for projects regarding health services research)
Since 2006 Reviewer, German Research Association (DFG)
Since 2007 Reviewer, German Federal Ministry of Education and Research (BMBF)
Since 2007 Grant Consultant, Canisius Foundation
Since 2007 Grant Consultant, German National Academic Foundation
Since 2008 Reviewer, Volkswagen Foundation

Editorial Experience
Since 2004 Co-Editor of the e-journal Psycho-Social Medicine
Since 2004 Editorial Board Member of the journal Senology (responsible for the area of health services research)
Since 2005 Co-Editor of the Health Research series from Juventa publishers
Since 2005 Co-Editor of the journal Prevention and Health Promotion
Since 2008 Editorship of the professional journal Health Services
Since 2010 Editorial Board Member of the journal BMC Health Services Research

Chairmanship and spokesperson
2000 – 2001 Vice-Chairman, German Association of Medical Sociology
2002 - 2009 Spokesman, Center for Health Services Research Cologne (ZVFK), Medical Faculty at the University of Cologne
2002 - 2010 Chairman, German Association of Medical Sociology (DGMS)
2004 - 2009 Spokesman, Coordinating Center for Health Services Research in North Rhine-Westphalia
Since 2005 Advisory Board Chairman, Study Center of the German Association of Surgery
Since 2006 Chairman, German Association of Health Services Research

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