Research/Areas of Interest:
My research examines how health care organizations transform care delivery systems to improve population health. I study care delivery models that integrate services, coordinate care, and value patient-centeredness, particularly for those with serious and complex conditions. I use qualitative and quantitative methods to examine several aspects of health care, including primary care, hospital care, palliative care, and advance care planning, often applying organization theory to understand how health care organizations implement innovations, with attention to relational, structural, and cultural factors at the organizational level as well as the external policy context. I value stakeholder engagement, often working with providers, payers, and community organizations in the development and implementation of research projects. Through my research, I aim to identify practical and evidence-based strategies to help providers and policymakers transform care delivery to address the triple aim: improving the patient experience of care, improving the health of populations, and reducing per capita cost of health care.
Education
- Doctor of Philosophy, Brandeis University, USA, 2014
- Master of Arts, Brandeis University, USA, 2010
- Master of Social Work, Washington University in St. Louis, St Louis, USA, 2006
- Artium Baccalaureatus, Harvard University, USA, 2004
Biography
Signe's research focuses on the U.S. health care system, state and federal health policy, aging, and serious illness. Through her research, Signe aims to improve the effectiveness of the health care system through organization, system, and policy-level interventions. She conducts mixed methods evaluations of care delivery interventions implemented in a variety of settings, including primary care practices, hospitals, cancer centers, community-based palliative care providers, and aging services organizations. In particular, Signe's research focuses on identifying strategies to improve outcomes among older adults living with serious and complex chronic illness together with their caregivers. Signe is the Co-Director of the Center for Health Systems and Policy at Tufts University School of Medicine. Prior to her career in academia, Signe served as a Presidential Management Fellow at the Centers for Medicare and Medicaid Services in the Medicaid Division, and as a policy analyst for non-profit organizations examining the impact of health policy on low-income populations and people with disabilities.