Research Topics
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Problems in recruiting community-based physicians for health services researchS Asch
West Los Angeles VA Medical Center, Los Angeles, California, USA
J Gen Intern Med 15:591-9. 2000..To qualitatively determine factors that are associated with higher participation rates in community-based health services research requiring significant physician participation burden...
Measuring underuse of necessary care among elderly Medicare beneficiaries using inpatient and outpatient claimsS M Asch
RAND, Santa Monica, CA, USA
JAMA 284:2325-33. 2000..Traditional approaches to measuring underuse have relied on patient surveys and chart reviews, which are expensive, or simple single-condition claims-based indicators, which are not clinically convincing...
A review of instruments assessing public health preparednessSteven M Asch
RAND Health, Santa Monica, CA 90401, USA
Public Health Rep 120:532-42. 2005..The purpose of this study was to review instruments that assess the level of preparedness of state and local public health departments to respond to health threats such as bioterrorism...
Who is at greatest risk for receiving poor-quality health care?Steven M Asch
RAND Health, Santa Monica, Calif, USA
N Engl J Med 354:1147-56. 2006..Quality-improvement programs that focus solely on reducing disparities among sociodemographic subgroups may miss larger opportunities to improve care...
Why do symptomatic patients delay obtaining care for tuberculosis?S Asch
Department of Medicine, West Los Angeles VA Medical Center, California 90073, USA
Am J Respir Crit Care Med 157:1244-8. 1998..The results suggest that improving the availability of services for high-risk groups may substantially reduce TB patients' delay in obtaining care, and thus may limit the spread of the disease...
Tuberculosis in homeless patients: potential for case finding in public emergency departmentsS Asch
West Los Angeles Veterans Administration Medical Center, CA 90073, USA
Ann Emerg Med 32:144-7. 1998....
Symptom-based framework for assessing quality of HIV careSteven M Asch
Department of General Internal Medicine, VA Greater Los Angeles Health System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA
Int J Qual Health Care 16:41-50. 2004..To evaluate HIV quality of care using a symptom-based, patient-centered framework...
Does the collaborative model improve care for chronic heart failure?Steven M Asch
VA Greater Los Angeles Healthcare System, Los Angeles, California, USA
Med Care 43:667-75. 2005..We evaluated the effects of the Institute of Healthcare Improvement's Breakthrough Series (IHI BTS) on quality of care for chronic heart failure (CHF)...
Quality of care for hypertension in the United StatesSteven M Asch
West LA VA, Mail Code 111G, 11301 Wilshire Bl, Los Angeles, CA 90073, USA
BMC Cardiovasc Disord 5:1. 2005..While access and adherence to therapy certainly play a role, another potential explanation is poor quality of essential care processes (QC). Yet little is known about the relationship between QC and BP control...
Scope of rapid HIV testing in private nonprofit urban community health settings in the United StatesLaura M Bogart
RAND Corp, 1776 Main St, PO Box 2138, Santa Monica, CA 90407 2138, USA
Am J Public Health 98:736-42. 2008....
The challenge of measuring quality of care from the electronic health recordCarol P Roth
RAND Health, Santa Monica, California 90407 2138, USA
Am J Med Qual 24:385-94. 2009....
Scope of rapid HIV testing in urban U.S. hospitalsLaura M Bogart
RAND Corporation, Santa Monica, CA 90407 2138, USA
Public Health Rep 123:494-503. 2008..The present study examined the scope of rapid human immunodeficiency virus (HIV) testing in urban U.S. hospitals...
Provider-related barriers to rapid HIV testing in U.S. urban non-profit community clinics, community-based organizations (CBOs) and hospitalsLaura M Bogart
RAND Corporation, 1776 Main Street, P O Box 2138, Santa Monica, CA 90407 2138, USA
AIDS Behav 14:697-707. 2010..For greater rapid testing diffusion, policies are needed to reduce administrative barriers and provide quality assurance training to non-laboratory staff...
Early identification of co-occurring pain, depression and anxietyCathy D Sherbourne
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407 2138, USA
J Gen Intern Med 24:620-5. 2009..Depression and anxiety frequently co-occur with pain and may affect treatment outcomes. Early identification of these co-occurring psychiatric conditions during routine pain screening may be critical for optimal treatment...
Race and sex differences in the receipt of timely and appropriate lung cancer treatmentLisa R Shugarman
RAND Corporation, 1776 Main Street, Santa Monica, CA 90407 2138, USA
Med Care 47:774-81. 2009..Few studies, however, have considered race and sex disparities in the timing and appropriateness of treatment across stages of diagnosis...
The quality of health care delivered to adults in the United StatesElizabeth A McGlynn
RAND, Santa Monica, Calif 90407, USA
N Engl J Med 348:2635-45. 2003..We have little systematic information about the extent to which standard processes involved in health care--a key element of quality--are delivered in the United States...
Comparing quality of care for sexually transmitted diseases in specialized and general clinicsSteven M Asch
Veterans Administration Greater Los Angeles Healthcare System, CA 90073, USA
Public Health Rep 117:157-63. 2002..The objective of this study was to compare quality of care for patients with sexually transmitted diseases (STDs) in specialized vs. general clinics...
Compliance among pharmacies in California with a prescription-drug discount program for Medicare beneficiariesJoy H Lewis
RAND Health, Santa Monica, Calif 90407 2138, USA
N Engl J Med 346:830-5. 2002..Because Medicare beneficiaries may not be accustomed to presenting their Medicare cards at pharmacies, we assessed the compliance of pharmacies with Senate Bill 393...
Quality of health care for women: a demonstration of the quality assessment tools systemElizabeth A McGlynn
RAND, Santa Monica, California 90401, USA
Med Care 41:616-25. 2003..Consumers, purchasers, and regulators are seeking information on quality for a variety of purposes. To address these demands, methods are required that are flexible in meeting the information needs of different audiences...
Underdiagnosis of depression in HIV: who are we missing?Steven M Asch
VA Los Angeles Healthcare System and UCLA Department of Medicine, Los Angeles, California 90073, USA
J Gen Intern Med 18:450-60. 2003..05) compared to <3 visits were less likely to have their depression diagnosis missed by providers. CONCLUSIONS: Our results suggest that providers should be more attentive to diagnosing comorbid depression in HIV-infected patients...
Accommodating ethnic diversity: a study of California hospice programsKarl A Lorenz
VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
Med Care 42:871-4. 2004..Studies have confirmed ethnic disparities in the use of hospice services and identified barriers that minorities face in accessing care...
A bitter pill: formulary variability and the challenge to prescribing physiciansWilliam H Shrank
Division of General Internal Medicine, VA Greater Los Angeles Health Care System, Los Angeles, CA 90073, USA
J Am Board Fam Pract 17:401-7. 2004..However, the degree of formulary variability among and within health plans over time is unclear...
Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sampleSteven M Asch
Veterans Affairs Greater Los Angeles Healthcare System and David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, USA
Ann Intern Med 141:938-45. 2004..Recent comparisons with other delivery systems have been limited to a small set of indicators...
Quality measures for symptoms and advance care planning in cancer: a systematic reviewKarl A Lorenz
Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
J Clin Oncol 24:4933-8. 2006..This study was designed to identify systematically the quality measures and the evidence to support their use in pain, dyspnea, depression, and advance care planning (ACP), and to identify research gaps...
Waiting times in California's emergency departmentsSusan Lambe
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, CA 94143, USA
Ann Emerg Med 41:35-44. 2003..Yet few data are available on ED waiting times among a heterogeneous group of hospitals serving a distinct geographic region...
Racial and ethnic differences in patients' preferences for initial care by specialistsMitchell D Wong
Division of General Internal Medicine and Health Services Research, School of Public Health, University of California, Los Angeles, USA
Am J Med 116:613-20. 2004..To examine racial and ethnic differences in patients' preferences for initial care by specialists, and to determine whether trust in the physician and health beliefs account for these differences...
Does screening for pain correspond to high quality care for veterans?Lisa Zubkoff
Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA
J Gen Intern Med 25:900-5. 2010..Routine numeric screening for pain is widely recommended, but its association with overall quality of pain care is unclear...
Usage patterns of over-the-counter phenazopyridine (pyridium)Chih Wen Shi
University of California Los Angeles, Departments of Family Medicine, Los Angeles, Calif 90095, USA
J Gen Intern Med 18:281-7. 2003..This study examines whether consumers inappropriately use and substitute a recently widely distributed OTC urinary analgesic, phenazopyridine, for provider care...
Effect of an education kiosk on patient knowledge about rapid HIV screeningBenjamin C Sun
Department of Medicine, VA Greater Los Angeles Health System, California, USA
J Telemed Telecare 16:158-61. 2010..The majority of patients expressed excellent (38%) or very good (39%) satisfaction with the kiosk module. The results suggest that a computer kiosk can deliver brief and targeted education to improve knowledge about HIV screening...
Improving HIV screening and receipt of results by nurse-initiated streamlined counseling and rapid testingHenry D Anaya
Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA
J Gen Intern Med 23:800-7. 2008..HIV rapid testing is effective in many healthcare settings, but scant research has been done within primary care settings or within the US Department of Veteran's Affairs Healthcare System...
Adoption and use of stand-alone electronic prescribing in a health plan-sponsored initiativeJoshua M Pevnick
Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Am J Manag Care 16:182-9. 2010....
Variation in implementation and use of computerized clinical reminders in an integrated healthcare systemConstance H Fung
Department of Medicine, Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Am J Manag Care 10:878-85. 2004..To identify patterns of use of computerized clinical reminders (CCRs) across an integrated healthcare system and describe institutional factors associated with their implementation...
The relationship between multimorbidity and patients' ratings of communicationConstance H Fung
Zynx Health, Incorporated, Los Angeles, CA, USA
J Gen Intern Med 23:788-93. 2008..Few data are available on how multimorbidity affects common performance metrics...
Human immunodeficiency virus and hepatitis C virus testing services at syringe exchange programs: availability and outcomesKeith G Heinzerling
Department of Family Medicine and Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA 90095 7087, USA
J Subst Abuse Treat 32:423-9. 2007..Efforts to increase both the availability of HIV and HCV testing services at syringe exchange programs and the use of existing testing services are needed...
Charity for the dying: who receives unreimbursed hospice care?Karl A Lorenz
VA Greater Los Angeles Healthcare System, Veterans Integrated Palliative Program, Division of General Internal Medicine, 11301 Wilshire Boulevard, Code 111 G, Los Angeles, CA 90073, USA
J Palliat Med 6:585-91. 2003..Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey...
An evaluation of the Veterans Health Administration's clinical reminders system: a national survey of generalistsConstance H Fung
VA Greater Los Angeles Healthcare System, Los Angeles, USA
J Gen Intern Med 23:392-8. 2008..The Veterans Health Administration (VHA) is a leader in developing computerized clinical reminders (CCRs). Primary care physicians' (PCPs) evaluation of VHA CCRs could influence their future development and use within and outside the VHA...
Developing quality indicators for the appropriateness of resuscitation in prehospital atraumatic cardiac arrestCorita R Grudzen
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, CA 90024, USA
Prehosp Emerg Care 11:434-42. 2007..We sought to develop a set of straightforward clinical indicators that paramedics could use to better match resuscitation attempts to those most likely to benefit...
Measuring the quality of colorectal cancer screening: the importance of follow-upDavid A Etzioni
Department of General Surgery, David Geffen School of Medicine, UCLA, Los Angeles, California 90403, USA
Dis Colon Rectum 49:1002-10. 2006..However, 41 percent of patients with positive fecal occult blood tests failed to receive follow-up testing. Efforts to measure the quality of colorectal cancer screening programs should focus on the entire diagnostic process...
Health literacy and English language comprehension among elderly inpatients at an urban safety-net hospitalKristina M Cordasco
VA Greater Los Angeles Healthcare System, University of California, Los Angeles, USA
J Health Hum Serv Adm 32:30-50. 2009..To evaluate the relationship between health literacy and age in chronically-ill inpatients at a safety-net hospital...
An HIV collaborative in the VHA: do advanced HIT and one-day sessions change the collaborative experience?Allen M Fremont
Department of Veterans Affairs, Greater Los Angeles Healthcare System, CA, USA
Jt Comm J Qual Patient Saf 32:324-36. 2006....
Selection of workers' compensation treatment guidelines: California experiencePhilip Harber
Division of Occupational and Environmental Medicine, Department of Family Medicine, David Geffen School of Medicine at the University of California, Los Angeles, Calif, USA
J Occup Environ Med 50:1282-92. 2008..Workers' compensation systems increasingly use mandatory treatment guidelines to guide clinicians and for utilization management. This article describes the steps for selecting such guidelines...
Do the incentives in 3-tier pharmaceutical benefit plans operate as intended? Results from a physician leadership surveyWilliam H Shrank
Division of General Internal Medicine, VA Greater Los Angeles Health Care System, Los Angeles, Calif 90073, USA
Am J Manag Care 11:16-22. 2005..Three-tier pharmaceutical benefit systems use graded co-payments to steer patients toward "preferred" formulary medications...
Hospice admission practices: where does hospice fit in the continuum of care?Karl A Lorenz
Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA
J Am Geriatr Soc 52:725-30. 2004..To evaluate selected hospice admission practices that could represent barriers to hospice use and the association between these admission practices and organizational characteristics...
Exploring alternative approaches to routine outpatient pain screeningKarl A Lorenz
Veterans Administration Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
Pain Med 10:1291-9. 2009..To evaluate potential alternatives to the numeric rating scale (NRS) for routine pain screening...
Evaluation of the sustainability of an intervention to increase HIV testingMatthew Bidwell Goetz
Infectious Diseases Section 111 F, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90073, USA
J Gen Intern Med 24:1275-80. 2009..Sustainability-the routinization and institutionalization of processes that improve the quality of healthcare-is difficult to achieve and not often studied...
How reliable is pain as the fifth vital sign?Karl A Lorenz
Veterans Administration Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Code 111 G, Los Angeles, CA 90064, USA
J Am Board Fam Med 22:291-8. 2009....
Improving Latino disaster preparedness using social networksDavid P Eisenman
Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles UCLA, Los Angeles, California 90095 1736, USA
Am J Prev Med 37:512-7. 2009..Culturally targeted, informal social networking approaches to improving disaster preparedness have not been empirically tested...
A low-literacy medication education tool for safety-net hospital patientsKristina M Cordasco
VA Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard 111G, Los Angeles, CA 90073, USA
Am J Prev Med 37:S209-16. 2009..To improve medication adherence in cardiac patients, in partnership with a safety-net provider, this research team developed and evaluated a low-literacy medication education tool...
The quality of care provided to hospitalized patients at the end of lifeAnne M Walling
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90024, USA
Arch Intern Med 170:1057-63. 2010..However, when lifesaving treatments are unsuccessful, patients often die in the hospital with distressing symptoms while receiving burdensome care. Systematic measurement of the quality of care planning and symptom palliation is needed...
Evidence-based recommendations for information and care planning in cancer careAnne Walling
David Geffen School of Medicine, University of California, Los Angeles, CA, USA
J Clin Oncol 26:3896-902. 2008..The standards presented here for information and care planning in cancer care should be incorporated into care pathways and should become the expectation rather than the exception...
Evidence-based recommendations for cancer nausea and vomitingArash Naeim
David Geffen School of Medicine, University of California, Los Angeles, CA, USA
J Clin Oncol 26:3903-10. 2008..The standards presented here for preventing and managing nausea and vomiting in cancer care should be incorporated into care pathways and should become the expectation rather than the exception...
Quality measures for supportive cancer care: the Cancer Quality-ASSIST ProjectKarl A Lorenz
VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Code 111 G, Los Angeles, CA 90073, USA
J Pain Symptom Manage 37:943-64. 2009..Research is needed to characterize adherence to recommended practices and to evaluate the use of these measures in quality improvement efforts...
The impact of integrated HIV care on patient health outcomesTuyen Hoang
Health Services Research and Development Center of Excellence, Veterans Affairs Greater Los Angeles Healthcare System, Sepulveda, CA, USA
Med Care 47:560-7. 2009..Yet many HIV-infected patients have comorbidities that pose social and clinical barriers to achieving viral suppression. Integration of subspecialty services into HIV primary care may overcome such barriers...
Indications for performing carpal tunnel surgery: clinical quality measuresMelinda A Maggard
Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif 90095, USA
Plast Reconstr Surg 126:169-79. 2010..Rates of carpal tunnel surgery vary for unclear reasons. In this study, the authors developed measures determining when surgery is necessary (benefits exceed risks), inappropriate (risks outweigh benefits), or optional...
Hospital utilization for injection drug use-related soft tissue infections in urban versus rural counties in CaliforniaKeith G Heinzerling
UCLA Department of Family Medicine, 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA, 90025, USA
J Urban Health 83:176-81. 2006..Increased access to harm reduction services and drug treatment may reduce government health care expenditures by preventing unnecessary hospital utilization for DR-STIs...
Surgery for hepatocellular carcinoma: does it improve survival?Jerome H Liu
Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
Ann Surg Oncol 11:298-303. 2004..To address this question, we used a population-based cancer registry to compare survival outcomes between patients receiving and not receiving surgery with similar tumor sizes and health status...
Residential segregation and Latino, black and white mortality in New York CitySanae Inagami
Veterans Affairs, VA Greater Los Angeles Health Care System, Division of General Internal Medicine 111G, 11301 Wilshire Blvd, Los Angeles, CA, 90073, USA
J Urban Health 83:406-20. 2006....
Controversies and legal issues of prescribing and dispensing medications using the InternetConstance H Fung
Department of Medicine, Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, Calif, USA
Mayo Clin Proc 79:188-94. 2004..We review the regulatory framework governing online pharmacies and the potential risks and benefits of using online pharmacies...
You are where you shop: grocery store locations, weight, and neighborhoodsSanae Inagami
Veterans Affairs Health Services and Research Development, VA Greater Los Angeles Health Care System, Division of General Internal Medicine, Los Angeles, California 90073, USA
Am J Prev Med 31:10-7. 2006..One possible reason might be the quality of available foods in their area. Location of grocery stores where individuals shop and its association with BMI were examined...
Sins of omission: getting too little medical care may be the greatest threat to patient safetyRodney A Hayward
Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA
J Gen Intern Med 20:686-91. 2005..Little is known about the relative incidence of serious errors of omission versus errors of commission...
Differences in education, knowledge, self-management activities, and health outcomes for patients with heart failure cared for under the chronic disease model: the improving chronic illness care evaluationDavid W Baker
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
J Card Fail 11:405-13. 2005..CONCLUSION: Participation in a QI collaborative for HF was associated with better communication, education, and knowledge, and lower health care use. Collaboratives may be a useful method for disseminating quality improvement strategies...
Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methodsEmily S Patterson
VA Getting at Patient Safety Center, VAMC Cincinnati, University of Cincinnati School of Medicine, USA
J Biomed Inform 38:189-99. 2005..We discuss potential implications regarding the similarities and differences in study findings for factors to consider in planning interventions to improve clinical reminder use...
Early adoption of human immunodeficiency virus quality improvement in Veterans Affairs medical centers: use of organizational surveys to measure readiness to change and adapt interventions to local prioritiesHenry D Anaya
VA Greater Los Angeles HSR and D Center of Excellence for the Study of Healthcare Provider Behavior, USA
Am J Med Qual 19:137-44. 2004..The persistence of regional variation should be further explored. Organizational surveys of attitudes toward potential QI interventions can assist in choosing interventions and targeting specific facilities...
Physician-related barriers to the effective management of uncontrolled hypertensionSusan A Oliveria
Department of Public Health, Weill Medical College of Cornell University and Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Ave, Box 99, New York, NY 10021, USA
Arch Intern Med 162:413-20. 2002..The purpose of this study was to identify barriers to primary care physicians' willingness to increase the intensity of treatment among patients with uncontrolled hypertension...
Quality by any other name?: a comparison of three profiling systems for assessing health care qualityEve A Kerr
Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA
Health Serv Res 42:2070-87. 2007..To examine this question, we used three different measurement approaches to assess quality of care delivered in veteran affairs (VA) facilities...
Profiling the quality of care in twelve communities: results from the CQI studyEve A Kerr
Ann Arbor Veterans Affairs Center for Practice Management and Outcomes Research, USA
Health Aff (Millwood) 23:247-56. 2004..Having concrete estimates of the extent of the gap in performance should stimulate community-based quality improvement efforts...
Trends in the use and capacity of California's emergency departments, 1990-1999Susan Lambe
Robert Wood Johnson Clinical Scholars Program
Ann Emerg Med 39:389-96. 2002..Data supporting perceptions of inadequate capacity are sparse and conflicting. We describe changes in the use and capacity of California's EDs between 1990 and 1999, as well as trends in severity of patient illness or injury...
Profiling quality of care: Is there a role for peer review?Timothy P Hofer
Veterans Affairs Health Services Research and Development Center of Excellence, Veterans Affairs Ann Arbor Healthcare System, Michigan, USA
BMC Health Serv Res 4:9. 2004....
Lipid screening in HIV-infected veteransP Todd Korthuis
Oregon Health and Sciences University, Portland 97239 3098, USA
J Acquir Immune Defic Syndr 35:253-60. 2004..Lipid screening is recommended for patients taking protease inhibitors (PIs)...
Human factors barriers to the effective use of ten HIV clinical remindersEmily S Patterson
VA Getting at Patient Safety Center, Cincinatti VAMC, The Ohio State University, Columbus, OH 43210, USA
J Am Med Inform Assoc 11:50-9. 2004..The aim of this study was to identify human factors barriers to the use of these CRs...
Prevalence and predictors of HIV testing among a probability sample of homeless women in Los Angeles CountyBrooke Herndon
General Internal Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Public Health Rep 118:261-9. 2003..To describe the prevalence and predictors of HIV testing in a probability cluster sample of urban homeless women...
Public health quality measurement: concepts and challengesStephen F Derose
Southern California Kaiser Permanente, Pasadena, California 91101, USA
Annu Rev Public Health 23:1-21. 2002..We review several past and present quality measurement-related initiatives designed for public health department use, and discuss current and future challenges in this evolving area of public health practice...
The association of access to medical care with regular source of care and sociodemographic characteristics in patients with HIV and tuberculosisM Rosa Solorio
UCLA Department of Family Medicine, West Los Angeles Veteran's Affairs Medical Center, USA
J Natl Med Assoc 94:581-9. 2002....
Quality of care for gout in the US needs improvementJasvinder A Singh
Minneapolis VA Medical Center, University of Minnesota, Minneapolis 55417, USA
Arthritis Rheum 57:822-9. 2007....
The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processesRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Chest 130:1844-50. 2006..The extent to which patients with obstructive lung disease receive recommended processes of care is largely unknown. We assessed the quality of care delivered to a national sample of the US population...
Predictors of on-call specialist response times in California emergency departmentsSarita A Mohanty
Department of Medicine and Emergency Medicine, Keck School of Medicine, University of Southern California 90033, USA
Acad Emerg Med 13:505-12. 2006..Limited availability of on-call specialists is thought to contribute to ED overcrowding...
Developing indicators of nursing quality to evaluate nurse staffing ratiosMargaret Blakeman Hodge
University of California Davis Medical Center, Center for Nursing Research, Sacramento, Calif 95817, USA
J Nurs Adm 32:338-45. 2002..The results of this project demonstrate that this is a useful method for identifying indicators appropriate for use in outcomes research with a focus on structural predictors of quality in healthcare...
The quality of pharmacologic care for adults in the United StatesWilliam H Shrank
Harvard Medical School, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Boston, MA 02120, USA
Med Care 44:936-45. 2006..We evaluated how frequently appropriate pharmacologic care is ordered in a national sample of U.S. residents...
A longitudinal evaluation of persons with disabilities: does a longitudinal definition help define who receives necessary care?Leighton Chan
Rehabilitation Medicine Department, Clinical Research Center, National Institutes of Health, Bethesda, MD 20892 1604, USA
Arch Phys Med Rehabil 89:1023-30. 2008..To assess, using a longitudinal definition, the impact of disability on a broad range of objective health care quality indicators...
Cash and compassion: profit status and the delivery of hospice servicesKarl A Lorenz
VA Greater Los Angeles Healthcare System, University of California, Los Angeles
J Palliat Med 5:507-14. 2002..Differences in patterns of nursing services among hospices were related to patient characteristics. The potential availability of complex palliative services did not differ by profit status...
The implications of choice: prescribing generic or preferred pharmaceuticals improves medication adherence for chronic conditionsWilliam H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
Arch Intern Med 166:332-7. 2006..We studied whether patients enrolled in such plans who receive generic or preferred brand-name agents when initiating chronic therapy were more adherent to treatment than those who received nonpreferred brand-name medications...
Physicians' perceptions of relevant prescription drug costs: do costs to the individual patient or to the population matter most?William H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Harvard Medical School, 1620 Tremont Street, Ste 3030, Boston, MA 02120, USA
Am J Manag Care 12:545-51. 2006..We evaluated physicians' perceptions about relevant costs for prescription drugs and the importance of communication about these costs...
Relationship between number of medical conditions and quality of careTakahiro Higashi
Kyoto University, Kyoto, Japan
N Engl J Med 356:2496-504. 2007..We therefore sought to study the relationship between the quality of care and the number of medical conditions a patient has...
Developing quality indicators for local health departments: experience in Los Angeles CountyStephen F Derose
Department of Research and Evaluation, Southern California Kaiser Permanente, 393 E Walnut Street 991, Pasadena, CA 91188, USA
Am J Prev Med 25:347-57. 2003..To develop public health quality indicators for local health department (LHD) use...
Measuring pain as the 5th vital sign does not improve quality of pain managementRichard A Mularski
Portland Veterans Affairs Medical Center, USA
J Gen Intern Med 21:607-12. 2006..To improve pain management, the Veterans Health Administration launched the "Pain as the 5th Vital Sign" initiative in 1999, requiring a pain intensity rating (0 to 10) at all clinical encounters...
Organization and management of care for military veterans with human immunodeficiency virus/acquired immunodeficiency syndrome in Department of Veterans Affairs Medical CentersElizabeth M Yano
Center for the Study of Healthcare Provider Behavior, Veterans Affairs Greater Los Angeles Health Services Research and Development Center of Excellence, Veterans Affairs Greater Los Angeles Healthcare System, Sepulveda, CA 91343, USA
Mil Med 170:952-9. 2005..CONCLUSIONS: Understanding the organization and management of VA-based HIV services will help design systematic quality improvement efforts and meet the treatment needs of HIV-infected veterans...
The effect of pharmacy benefit design on patient-physician communication about costsWilliam H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 21:334-9. 2006..The impact of financial incentives on patient awareness of and communication about those costs is unknown...
Exploring barriers and facilitators to the use of computerized clinical remindersJason J Saleem
VA GAPS Center, Cincinnati VAMC, 3200 Vine Street, MDP 111, Cincinnati, OH 45220, USA
J Am Med Inform Assoc 12:438-47. 2005..However, since clinician adherence to CR recommendations is quite variable and declines over time, we conducted observations to determine barriers and facilitators to the effective use of CRs...
Quality of care: where do we go from here?Steven M Asch
Geffen School of Medicine, University of California-Los Angeles, USA
Manag Care 14:38-42; discussion 42-3. 2005
Physicians' perceived knowledge of and responsibility for managing patients' out-of-pocket costs for prescription drugsWilliam H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120 1613, USA
Ann Pharmacother 40:1534-40. 2006..Most insurers in the US have implemented incentive-based formularies that rely on out-of-pocket costs to influence prescription drug utilization. Medicare Part D plans have broadly adopted such benefit designs...
