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Health care in the U.S. is widely considered to be expensive and inefficient, and quality of care often falls short of evidence-based standards. These concerns have spurred concerted efforts to improve current models of health care delivery. Major examples of this effort to encourage higher quality care include implementation of the Affordable Care Act (ACA), which includes incentives to create accountable careorganizations,andeffortsbytheCentersforMedicareand Medicaid Services (CMS) to increase “meaningful use” of electronic health records (EHRs). Delivery science research seeks to overcome the barriers, understand the facilitators, and implement the innovations necessary to improve the process of health care. Delivery science has also been called “implementation science” or “translational research,” because the overarching goal is to moreeffectivelytranslate the evidence of clinical research into the practice of clinical care. Innovations examined or implemented by delivery science researchers include new health IT tools that leverage integrated electronic health records, new payment models to overcome some of the misaligned incentives of the traditional fee-for-service models, and patientcentered models of care that integrate individual patient preferences and values. While the United States spends more than $2 trillion on health care annually, less than 0.1 % of this total (representing only 3.6 % of the NIH budget) is currently devoted to research designed toimprovehow we deliver health care. 1 This relative funding neglect may be changing, however, as exemplified by new funding programs within the National Institutes of Health (NIH) and Agency for Healthcare Research and Quality (AHRQ) focused on health care delivery, and the recently created Patient Centered Outcomes Research Institute (PCORI).

Building a Career as a Delivery Science Researcher in a Changing Health Care Landscape