Research Topics
| B StuartSummaryAffiliation: University of Maryland Country: USA Publications
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Publications
Trends in the prescription of inappropriate drugs for the elderly between 1995 and 1999Bruce Stuart
School of Pharmacy, University of Maryland, Baltimore, Maryland 21201, USA
Am J Geriatr Pharmacother 1:61-74. 2003..However, it is not known whether the Beers criteria have had a beneficial effect on prescribing practices...
Assessing the impact of coverage gaps in the Medicare Part D drug benefitBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA
Health Aff (Millwood) . 2005..Our findings suggest that discontinuities in drug benefits result in sizable reductions in medication use and spending, which is magnified in people with common chronic illnesses...
Impact of prescription coverage on hospital and physician costs: a case study of medicare beneficiaries with chronic obstructive pulmonary diseaseBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, 515 W Lombard Street, Room 157, Baltimore, MD 21201, USA
Clin Ther 26:1688-99. 2004..Any possible impact would be most apparent in patients with medication-sensitive disease conditions, such as chronic obstructive pulmonary disease (COPD)...
Navigating the new Medicare drug benefitBruce Stuart
The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
Am J Geriatr Pharmacother 2:75-80. 2004..On December 8, 2003, President Bush signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 that will provide at least limited drug coverage to all beneficiaries who sign up for it...
Medicare cost differences between nursing home patients admitted with and without dementiaBruce Stuart
The Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore, 515 W Lombard Street, Suite 157, Baltimore, MD 21201, USA
Gerontologist 45:505-15. 2005..Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings...
Employer-sponsored health insurance and prescription drug coverage for new retirees: dramatic declines in five yearsBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, USA
Health Aff (Millwood) . 2003..Losses among males, the group most affected, would have been even greater had it not been for a slight increase in benefits from spouses' policies...
Coverage and use of prescription drugs in nursing homes: implications for the medicare modernization actBruce Stuart
The Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, MD 21201, USA
Med Care 44:243-9. 2006..Understanding the impact of the MMA requires knowledge of the process by which drugs are prescribed to residents and the effect of coverage on medication use...
Riding the rollercoaster: the ups and downs in out-of-pocket spending under the standard Medicare drug benefitBruce Stuart
University of Maryland, Baltimore, USA
Health Aff (Millwood) 24:1022-31. 2005..Because drug spending is highly persistent over time, beneficiaries who experience the biggest gaps in coverage are likely to do so year after year, with potentially serious financial consequences...
Variation in antidiabetic medication intensity among Medicare beneficiaries with diabetes mellitusBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, Maryland 21201, USA
Am J Geriatr Pharmacother 5:195-208. 2007..However, there are few empirical benchmarks against which clinicians can compare their prescribing practices for patients who have DM and varying levels of comorbidity...
Medication use and adherence among elderly Medicare beneficiaries with diabetes enrolled in Part D and retiree health plansBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, 220 Arch St Baltimore, MD 21230, USA
Med Care 49:511-5. 2011..The question for policy makers is whether beneficiaries enrolled in Part D plans exhibit drug utilization patterns comparable with those seen in retiree plans...
How disease burden influences medication patterns for Medicare beneficiaries: implications for policyBruce C Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, USA
Issue Brief (Commonw Fund) 30:1-12. 2008..A holistic approach to medication management is needed to ensure that Part D plans meet beneficiaries and policymakers' expectations for high-quality care...
Medication patterns for Medicare beneficiaries with SNF/LTC facility staysBruce Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore 21201, USA
Health Care Financ Rev 29:13-25. 2008..01). We found no evidence that prescription coverage influenced medication utilization patterns during non-Medicare qualified LTC facility stays...
Assessing the impact of drug use on hospital costsBruce C Stuart
Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, 220 Arch Street, Room 01 212, Baltimore, MD 21201, USA
Health Serv Res 44:128-44. 2009..To assess whether outpatient prescription drug utilization produces offsets in the cost of hospitalization for Medicare beneficiaries...
Drug use and prescribing problems in four state Medicaid programsB Stuart
University of Maryland School of Pharmacy, Baltimore 21201, USA
Health Care Financ Rev 20:63-78. 1999..Only Iowa showed any population-level reduction in DUR failure rates during the study period, however, rates for community-dwelling elderly fell in most States...
Ability to pay and the decision to medicateB Stuart
Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore 21201 1563, USA
Med Care 36:202-11. 1998..The magnitude of the impact was sufficiently high that it could have major negative consequences on the health of elderly persons who are poor and lack drug coverage...
Community pharmacist knowledge and behavior in collecting drug copayments from Medicaid recipientsC Fahlman
School of Pharmacy, University of Maryland, Baltimore, USA
Am J Health Syst Pharm 58:389-95. 2001..Pharmacists in Maryland, Pennsylvania and West Virginia had highly variable behavior patterns and knowledge with respect to the collection of drug copayments from Medicaid recipients...
Lessons learned: who didn't enroll in Medicare drug coverage in 2006, and why?Amy J Davidoff
Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA
Health Aff (Millwood) 29:1255-63. 2010..Our findings emphasize the need to expand eligibility and improve policies to foster enrollment...
Benzodiazepine use and expenditures for Medicare beneficiaries and the implications of Medicare Part D exclusionsHui wen Keri Yang
Pharmaceutical Health Services Research, University of Maryland Baltimore, Baltimore, MD 21201, USA
Psychiatr Serv 59:384-91. 2008....
Racial and ethnic disparities in the treatment of dementia among Medicare beneficiariesIlene H Zuckerman
Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, Baltimore, MD 21201, USA
J Gerontol B Psychol Sci Soc Sci 63:S328-33. 2008..We investigated differences in anti-dementia medication use between non-Hispanic White and minority community-dwelling Medicare beneficiaries with dementia...
The role of nursing home admission and dementia status on care for diabetes mellitusCharlene C Quinn
Division of Gerontology, Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 57:1628-33. 2009..To study the role of nursing home (NH) admission and dementia status on the provision of five procedures related to diabetes mellitus...
Treatment of dementia in community-dwelling and institutionalized medicare beneficiariesAnn L Gruber-Baldini
Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 55:1508-16. 2007....
Potentially inappropriate prescribing before and after nursing home admission among patients with and without dementiaIlene H Zuckerman
Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
Am J Geriatr Pharmacother 3:246-54. 2005..This paper extends the research on inappropriate medication prescribing among residents entering a nursing home, with the added feature of comparison by dementia status...
Changing patterns in medication use with increasing probability of death for older Medicare beneficiariesThomas Shaffer
Peter Lamy Center on Drug Therapy and Aging, School of Pharmacy, University of Maryland, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 58:1549-55. 2010....
Use of antiparkinson medications among elderly Medicare beneficiaries with Parkinson's diseaseYu Jung Jenny Wei
Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland
Am J Geriatr Pharmacother 8:384-94. 2010..Antiparkinson drugs (APDs) are the mainstay in the management of Parkinson's disease (PD). However, the use of APDs has not been investigated in a nationally representative sample...
Obesity and medicare expenditure: accounting for age-related height lossNneka C Onwudiwe
Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
Obesity (Silver Spring) 19:204-11. 2011..Adjusting for loss-of-height with aging had little affect on cost estimates...
Dynamics in drug coverage of Medicare beneficiaries: finders, losers, switchersB Stuart
Peter Lamy Center on Drug Therapy and Aging, and Parke-Davis, University of Maryland School of Pharmacy, USA
Health Aff (Millwood) 20:86-99. 2001..The results show that fewer than half of all beneficiaries had continuous drug coverage over this period, while nearly a third gained, lost, or had spells without coverage...
Does influenza vaccination of older adult Medicare beneficiaries lower treatment costs for acute and chronic respiratory disease?Bruce Stuart
Pharmaceutical Health Services Research Department, The Peter Lamy Center for Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
Am J Geriatr Pharmacother 8:201-14. 2010..Influenza vaccinations are effective in reducing respiratory infections in younger populations, but it is less certain whether they reduce costs associated with respiratory infections among older adults...
Drug use patterns in severely mentally ill Medicare beneficiaries: impact of discontinuities in drug coverageLinda Simoni-Wastila
Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore School of Pharmacy, 220 Arch Street, 12th Floor, Baltimore, MD 21201, USA
Health Serv Res 43:496-514. 2008....
Obesity, disease burden, and prescription spending by community-dwelling Medicare beneficiariesBruce Stuart
University of Maryland School of Pharmacy, Baltimore, MD 21201, USA
Curr Med Res Opin 24:2377-87. 2008..To assess drug utilization and cost patterns by body mass index (BMI) for Medicare beneficiaries including cohorts diagnosed with diseases resulting from, or aggravated by, obesity...
Medication decisions--right and wrongBruce Stuart
University of Maryland School of Pharmacy, USA
Med Care Res Rev 59:123-45. 2002....
How robust are health plan quality indicators to data loss? A Monte Carlo simulation study of pediatric asthma treatmentBruce Stuart
The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore 21201, USA
Health Serv Res 38:1547-61. 2003....
Financial consequences of rural hospital long-term care strategiesBruce Stuart
University of Maryland School of Pharmacy, Baltimore, USA
Health Care Manage Rev 31:145-55. 2006..Adoption of external and internal LTC strategies (other than swing-beds) was generally, but not unambiguously, associated with higher profits, increased occupancy, and/or lower costs...
Quality of drug treatment of childhood persistent asthma in Maryland medicaid recipients in transition from managed fee for service to managed capitationPuneet K Singhal
University of Maryland at Baltimore, School of Pharmacy, USA
J Manag Care Pharm 13:310-8. 2007..Although research has been conducted on the quality of asthma care among MCOs and in MCOs for Medicaid versus non-Medicaid members, the quality of asthma care has been less well studied for MCO patients than for FFS patients...
Application of regression-discontinuity analysis in pharmaceutical health services researchIlene H Zuckerman
Department of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland, Baltimore, MD, USA
Health Serv Res 41:550-63. 2006....
National trends in and predictors of propoxyphene use in community-dwelling older adultsSachin Kamal-Bahl
Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, Maryland, USA
Am J Geriatr Pharmacother 3:186-95. 2005..Several pain management guidelines and explicit medication-use criteria identify propoxyphene as an inappropriate medication for use in older adults...
Participation and crowd-out in a Medicare drug benefit: simulation estimatesDennis G Shea
Pennsylvania State University, USA
Health Care Financ Rev 25:47-61. 2003....
Predictability of prescription drug expenditures for Medicare beneficiariesMarian V Wrobel
University of Pennsylvania School of Medicine, USA
Health Care Financ Rev 25:37-46. 2003..Adding lagged drug expenditures more than doubled predictive power to 55 percent. These results are discussed in the context of forecasting, and risk adjustment for the proposed new Medicare drug benefit...
Over-the-counter drug use by medicare beneficiaries in nursing homes: implications for practice and policyLinda Simoni-Wastila
Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
J Am Geriatr Soc 54:1543-9. 2006..To examine over-the-counter (OTC) medication use by Medicare beneficiaries in nursing homes and to assess evidence of substitution of OTC medications for prescription (Rx) medications by residents with no Rx coverage and Medicaid...
Propoxyphene use and risk for hip fractures in older adultsSachin J Kamal-Bahl
Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, Maryland, USA
Am J Geriatr Pharmacother 4:219-26. 2006..Nonetheless, US studies have reported widespread use of propoxyphene in the elderly US population...
Estimating the effects of prescription drug coverage for Medicare beneficiariesDennis G Shea
Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA, USA
Health Serv Res 42:933-49. 2007..To identify the effect of insurance coverage on prescription utilization by Medicare beneficiaries...
Propoxyphene use by community-dwelling and institutionalized elderly Medicare beneficiariesSachin J Kamal-Bahl
University of Maryland Baltimore, School of Pharmacy, Maryland 21201, USA
J Am Geriatr Soc 51:1099-104. 2003....
