Ambulatory specialist use by nonhospitalized patients in us health plans: correlates and consequencesBarbara Starfield
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
J Ambul Care Manage 32:216-25. 2009
..Controlling for differences in the degree of morbidity, receiving care from multiple specialists is associated with higher costs, more procedures, and more medications, independent of the number of visits and age of the patient...
The Child Report Form of the CHIP-Child Edition: reliability and validityAnne W Riley
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Med Care 42:221-31. 2004
..There is increasing recognition of the importance of obtaining children's reports of their health, but significant challenges must be overcome to do so in a systematic, population-based manner...
- Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012
Barbara Starfield
University Distinguished Professor, Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
Gac Sanit 26:20-6. 2012
..Primary health care can now be measured and assessed; all innovations and enhancements in it must serve its essential features in order to be useful...
- Predictors of children's healthcare use: the value of child versus parental perspectives on healthcare needs
Christopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Med Care 42:232-8. 2004
..The objective of this study was to examine the relationship between healthcare use and children's healthcare needs as assessed from the perspectives of children themselves, parents, and healthcare practitioners...
The primary care physician workforce: ethical and policy implicationsBarbara Starfield
Johns Hopkins School of Public Health, Baltimore, MD, USA
Ann Fam Med 5:486-91. 2007
..We undertook a study to examine the characteristics of countries exporting physicians to the United States according to their relative contribution to the primary care supply in the United States...
- Primary care, race, and mortality in US states
Leiyu Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Soc Sci Med 61:65-75. 2005
..The study provides evidence that primary care resources are associated with population health and could aid in reducing socioeconomic disparities in health...
- Contribution of primary care to health systems and health
Barbara Starfield
Johns Hopkins University, Baltimore, MD, USA
Milbank Q 83:457-502. 2005
..The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups...
- Comorbidity and the use of primary care and specialist care in the elderly
Barbara Starfield
Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MD 21205, USA
Ann Fam Med 3:215-22. 2005
..The purpose of this study was to determine the relationship between morbidity burden, comorbid conditions, and use of primary care and specialist services..
- Primary care physician specialty referral decision making: patient, physician, and health care system determinants
Christopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Med Decis Making 26:76-85. 2006
..To examine the effects of patient, physician, and health care system characteristics on primary care physicians' (PCPs') specialty referral decision making...
- Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990
Leiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 406, Baltimore, MD 21205, USA
Am J Public Health 95:674-80. 2005
..We tested the association between the availability of primary care and income inequality on several categories of mortality in US counties...
- The impact of primary care and what States can do
Barbara Starfield
Johns Hopkins University, Baltimore, MD 21205, USA
N C Med J 68:204-7. 2007
- Income redistribution is not enough: income inequality, social welfare programs, and achieving equity in health
Barbara Starfield
Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, Maryland, USA
J Epidemiol Community Health 61:1038-41. 2007
..A health system oriented around a strong primary care base is an example of such a strategy...
- Commentary: primary care and health outcomes: a health services research challenge
Barbara Starfield
Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Health Serv Res 42:2252-6; discussion 2294-323. 2007
- Access, primary care, and the medical home: rights of passage
Barbara Starfield
Johns Hopkins University, Baltimore, Maryland 21205, USA
Med Care 46:1015-6. 2008
- William Pickles Lecture. Primary and specialty care interfaces: the imperative of disease continuity
Barbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Br J Gen Pract 53:723-9. 2003
- The medical home, access to care, and insurance: a review of evidence
Barbara Starfield
Department of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, Maryland, USA
Pediatrics 113:1493-8. 2004
..A concerted attempt to provide a means of universal financial access as well as a medical home should be of high priority for the United States...
- Equity, social determinants, and children's rights: coming to grips with the challenges
Barbara Starfield
Johns Hopkins School of Public Health, Baltimore, MD 21205, USA
Ambul Pediatr 5:134-7. 2005
- The effects of specialist supply on populations' health: assessing the evidence
Barbara Starfield
Johns Hopkins School of Public Health, Baltimore, Maryland, USA
Health Aff (Millwood) . 2005
..Adverse effects from inappropriate or unnecessary specialist use may be responsible for the absence of relationship between specialist supply and mortality...
- Global health, equity, and primary care
Barbara Starfield
Johns Hopkins University and Medical Institutions, Baltimore, MD 21205, USA
J Am Board Fam Med 20:511-3. 2007
..World organizations of primary care physicians need to take up the challenge before it becomes a crisis...
- An international perspective on the basis for payment for performance
Barbara Starfield
Department of Health Policy and Management, Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Qual Prim Care 18:399-404. 2010
..Attention to resolution of patients' problems is an important aim of quality improvement activities. Alternative modes of improving patient care may be better than the QOF...
- Quality and outcomes framework: patient-centred?
Barbara Starfield
Department of Health Policy and Management, School of Hygiene and Public Health, Baltimore, MD 21205, USA
Lancet 372:692-4. 2008
- Why is the grass greener?
Barbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Baltimore, MD 21205, USA
BMJ 330:727-9. 2005
- Pathways of influence on equity in health
Barbara Starfield
Johns Hopkins School of Hygiene and Public Health, Baltimore, USA
Soc Sci Med 64:1355-62. 2007
..It makes the case for a conceptualization of influences on equity that explicitly includes distribution of health as an outcome as well as characteristics of the society as influences...
- The Parent Report Form of the CHIP-Child Edition: reliability and validity
Anne W Riley
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Med Care 42:210-20. 2004
....
- [Primary health care and responsibilities of public health in 6 countries of Europe and North America: a pilot study]
Barbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Rev Esp Salud Publica 78:17-26. 2004
..In order to know the locus of responsibility for various types of preventive activities, we undertook an inquiry on eight areas in six countries from Europe and North America...
- On continuity of care in pediatric training
Barbara Starfield
Department of Health Policy, Johns Hopkins School of Public Health, 624 N Broadway, Room 452, Baltimore, MD 21205, USA
Pediatrics 114:1082. 2004
- Comorbidity: implications for the importance of primary care in 'case' management
Barbara Starfield
Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD 21205, USA
Ann Fam Med 1:8-14. 2003
..Although comorbidity is very common in the population, little is known about the types of health service that are used by people with comorbid conditions...
