Dana Gelb Safran

Summary

Publications

  1. pmc Prescription coverage, use and spending before and after Part D implementation: a national longitudinal panel study
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
    J Gen Intern Med 25:10-7. 2010
  2. ncbi request reprint Depression and cost-related medication nonadherence in Medicare beneficiaries
    Kara Zivin Bambauer
    Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    Arch Gen Psychiatry 64:602-8. 2007
  3. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
  4. doi request reprint Reliability of medical group and physician performance measurement in the primary care setting
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston 02120, MA, USA
    Med Care 49:126-31. 2011
  5. ncbi request reprint Prescription drug coverage and seniors: findings from a 2003 national survey
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2005
  6. pmc Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D
    Jeanne M Madden
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, Massachusetts 02215, USA
    JAMA 299:1922-8. 2008
  7. pmc Primary care experiences of medicare beneficiaries, 1998 to 2000
    Jana E Montgomery
    The Health Institute, Division of Clinical Care Research, Tufts New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
    J Gen Intern Med 19:991-8. 2004
  8. doi request reprint Measuring chronic care delivery: patient experiences and clinical performance
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Int J Qual Health Care 24:206-13. 2012
  9. doi request reprint Reliability of new measures of cost-related medication nonadherence
    Marsha Pierre-Jacques
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
    Med Care 46:444-8. 2008
  10. pmc Providing patients web-based data to inform physician choice: if you build it, will they come?
    Gary Fanjiang
    Massachusetts General Hospital for Children, Boston, MA, USA
    J Gen Intern Med 22:1463-6. 2007

Detail Information

Publications33

  1. pmc Prescription coverage, use and spending before and after Part D implementation: a national longitudinal panel study
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
    J Gen Intern Med 25:10-7. 2010
    ..To date, no longitudinal study has afforded information on beneficiaries' prescription coverage transitions and corresponding changes in prescription use and spending...
  2. ncbi request reprint Depression and cost-related medication nonadherence in Medicare beneficiaries
    Kara Zivin Bambauer
    Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    Arch Gen Psychiatry 64:602-8. 2007
    ....
  3. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
    ..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients...
  4. doi request reprint Reliability of medical group and physician performance measurement in the primary care setting
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston 02120, MA, USA
    Med Care 49:126-31. 2011
    ..Performance reporting is increasingly focused on physician practice sites and individual physicians...
  5. ncbi request reprint Prescription drug coverage and seniors: findings from a 2003 national survey
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2005
    ..We discuss MMA's potential to improve quality and the need to monitor performance...
  6. pmc Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D
    Jeanne M Madden
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, Massachusetts 02215, USA
    JAMA 299:1922-8. 2008
    ..Cost-related medication nonadherence (CRN) has been a persistent problem for individuals who are elderly and disabled in the United States. The impact of Medicare prescription drug coverage (Part D) on CRN is unknown...
  7. pmc Primary care experiences of medicare beneficiaries, 1998 to 2000
    Jana E Montgomery
    The Health Institute, Division of Clinical Care Research, Tufts New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
    J Gen Intern Med 19:991-8. 2004
    ..To examine changes in the quality of primary care experienced and reported by Medicare beneficiaries from 1998 to 2000...
  8. doi request reprint Measuring chronic care delivery: patient experiences and clinical performance
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Int J Qual Health Care 24:206-13. 2012
    ..To assess the relationship between clinical care metrics and patient experiences of care among patients with chronic disease...
  9. doi request reprint Reliability of new measures of cost-related medication nonadherence
    Marsha Pierre-Jacques
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
    Med Care 46:444-8. 2008
    ..Although several national studies have attempted to measure medication nonadherence due to cost in cross-sectional studies of the elderly and disabled, little information exists on the psychometric properties of these measures over time...
  10. pmc Providing patients web-based data to inform physician choice: if you build it, will they come?
    Gary Fanjiang
    Massachusetts General Hospital for Children, Boston, MA, USA
    J Gen Intern Med 22:1463-6. 2007
    ..Despite growing emphasis on public reporting of health care quality data, available data are often ignored...
  11. pmc The effects of primary care physician visit continuity on patients' experiences with care
    Hector P Rodriguez
    Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington Street, Box 345, Boston, MA 02111, USA
    J Gen Intern Med 22:787-93. 2007
    ..It remains unclear whether PCP visit discontinuity can be planned in a way that is least disruptive to patients' experiences with care...
  12. pmc Physician-patient communication about prescription medication nonadherence: a 50-state study of America's seniors
    Ira B Wilson
    Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 22:6-12. 2007
    ..Understanding and improving the quality of medication management is particularly important in the context of the Medicare prescription drug benefit that took effect last January 2006...
  13. pmc Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national study
    Ira B Wilson
    The Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 20:715-20. 2005
    ..To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping...
  14. doi request reprint Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods
    Mark W Friedberg
    Division of General Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
    Arch Intern Med 170:938-44. 2010
    ..Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care...
  15. pmc Statewide evaluation of measuring physician delivery of self-management support in chronic disease care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 24:939-45. 2009
    ..Self-management support is an important component of improving chronic care delivery...
  16. pmc Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomes
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:1784-90. 2008
    ..Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care...
  17. pmc Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration project
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, Mass, USA
    J Gen Intern Med 21:13-21. 2006
    ..Measuring and reporting patients' experiences with health plans has been routine for several years. There is now substantial interest in measuring patients' experiences with individual physicians, but numerous concerns remain...
  18. pmc Health care spending and quality in year 1 of the alternative quality contract
    Zirui Song
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    N Engl J Med 365:909-18. 2011
    ..Provider groups in the AQC system assume accountability for spending, similar to accountable care organizations that bear financial risk. Moreover, groups are eligible to receive bonuses for quality...
  19. ncbi request reprint Associations between structural capabilities of primary care practices and performance on selected quality measures
    Mark W Friedberg
    Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    Ann Intern Med 151:456-63. 2009
    ..Whether practices with these capabilities have higher performance on measures of primary care quality is unknown...
  20. doi request reprint Physician performance and racial disparities in diabetes mellitus care
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
    Arch Intern Med 168:1145-51. 2008
    ..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...
  21. pmc Race/ethnicity and nonadherence to prescription medications among seniors: results of a national study
    Walid F Gellad
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120 1613, USA
    J Gen Intern Med 22:1572-8. 2007
    ..Because of significant racial/ethnic disparities in the control of many chronic diseases, differences in the rates of and reasons for medication nonadherence should be studied...
  22. ncbi request reprint Evaluating patients' experiences with individual physicians: a randomized trial of mail, internet, and interactive voice response telephone administration of surveys
    Hector P Rodriguez
    Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, Massachusetts 02111, USA
    Med Care 44:167-74. 2006
    ..Survey modes with the potential to lower costs, such as Internet and interactive voice response (IVR) telephone, are attractive alternatives to mail, but their comparative response rates and data quality have not been tested...
  23. ncbi request reprint Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefit
    Stephen B Soumerai
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
    Arch Intern Med 166:1829-35. 2006
    ..Prior to implementation of the Medicare drug benefit, we estimated the prevalence of cost-related medication nonadherence (CRN) among Medicare enrollees, including elderly and nonelderly disabled beneficiaries...
  24. ncbi request reprint Prescription drug coverage and seniors: how well are states closing the gap?
    Dana Gelb Safran
    Health Institute, Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2002
    ..With erosion of state and private sources of prescription benefits expected, the findings speak to the need for a national policy solution...
  25. pmc Inhaler costs and medication nonadherence among seniors with chronic pulmonary disease
    Peter J Castaldi
    Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA
    Chest 138:614-20. 2010
    ..Here, we examine the relationship between inhaler-specific out-of-pocket costs and CRN in CPD...
  26. pmc Primary care quality and addiction severity: a prospective cohort study
    Theresa W Kim
    Clinical Addiction Research and Education CARE Unit, Section General Internal Medicine, 91 E Concord Street, Suite 200, Boston University Medical Center, Boston, MA 02118, USA
    Health Serv Res 42:755-72. 2007
    ..The aim of this study was to prospectively examine if higher PCQ is associated with lower addiction severity among patients with substance use disorders...
  27. doi request reprint Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience
    Karen Luxford
    1Harkness Fellow, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Int J Qual Health Care 23:510-5. 2011
    ..To investigate organizational facilitators and barriers to patient-centered care in US health care institutions renowned for improving the patient care experience...
  28. ncbi request reprint The effect of item screeners on the quality of patient survey data: a randomized experiment of ambulatory care experience measures
    Hector P Rodriguez
    1 Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA 2 Pacific Business Group on Health, San Francisco, California, USA 3 Blue Cross Blue Shield of Massachusetts, Boston, Massachusetts, USA 4 Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA
    Patient 2:135-41. 2009
    ..However, empirical evidence supporting this view is scant...
  29. pmc Primary-care clinician perceptions of racial disparities in diabetes care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:678-84. 2008
    ..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care...
  30. pmc Organizational dimensions of relationship-centered care. Theory, evidence, and practice
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 21:S9-15. 2006
    ....
  31. ncbi request reprint Defining the future of primary care: what can we learn from patients?
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center and Tufts University, Boston, Massachusetts, USA
    Ann Intern Med 138:248-55. 2003
    ..These three areas involve the use of teams in medicine, the establishment of meaningful primary care partnerships, and integration of care in a delivery system that patients experience as increasingly fragmented...
  32. doi request reprint Private-payer innovation in Massachusetts: the 'alternative quality contract'
    Michael E Chernew
    Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 30:51-61. 2011
    ..This arrangement exemplifies the type of experimentation encouraged by the Affordable Care Act. We describe this unique contract and show how it surmounts hurdles previously encountered with other global-payment models...
  33. ncbi request reprint Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare
    Dana Gelb Safran
    The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
    Arch Intern Med 162:757-65. 2002
    ..Little information exists to inform beneficiaries' choices between the traditional fee-for-service (FFS) Medicare program and an HMO...