Research Topics
| John A FleishmanSummaryAffiliation: Agency for Healthcare Research and Quality Country: USA Publications
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Detail Information
Publications
Trends in HIV-related inpatient admissions from 1993 to 1997: a seven-state studyJ A Fleishman
Agency for Healthcare Research and Quality, Rockville, Maryland 20852, USA
J Acquir Immune Defic Syndr 28:73-80. 2001..Using comprehensive hospital discharge data from seven states, this study examines trends in HIV-related inpatient admission rates and lengths of stay from 1993 through 1997...
Using the SF-12 health status measure to improve predictions of medical expendituresJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
Med Care 44:I54-63. 2006..Relatively few studies have used self-reported health status in models to predict medical expenditures, and many of these have used the SF-36...
Global self-rated mental health: associations with other mental health measures and with role functioningJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
Med Care 45:602-9. 2007..A large body of research shows that global self-rated health is related to important outcome variables. Increasingly, studies also obtain a single global self-rating of mental health, but understanding of what this item measures is limited...
Impact of differential item functioning on age and gender differences in functional disabilityJohn A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, 2101 East Jefferson Street, Rockville, MD 20852, USA
J Gerontol B Psychol Sci Soc Sci 57:S275-84. 2002..This study examines the extent to which DIF affects estimates of age and gender group differences in disability severity among adults with some functional disability...
Patterns of coping among persons with HIV infection: configurations, correlates, and changeJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20852, USA
Am J Community Psychol 32:187-204. 2003..Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping...
Demographic variation in SF-12 scores: true differences or differential item functioning?John A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, Maryland 20852, USA
Med Care 41:III75-III86. 2003..Demographic differences have been reported in summary measures of physical and mental health based on the SF-12 instrument...
Establishment, retention, and loss to follow-up in outpatient HIV careJohn A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
J Acquir Immune Defic Syndr 60:249-59. 2012..However, initially establishing HIV care and subsequent retention in care are problematic. This study examines establishment, retention, and loss to follow-up (LTFU) in a large multi-site cohort over a 2-8 year period...
Associations between outpatient and inpatient service use among persons with HIV infection: a positive or negative relationship?John A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
Health Serv Res 43:76-95. 2008..To examine the prospective association between frequency of outpatient visits and subsequent inpatient admissions...
Disparities in receipt of antiretroviral therapy among HIV-infected adults (2002-2008)John A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
Med Care 50:419-27. 2012..Recent therapeutic developments and changing epidemiological profiles may have altered such disparities. We examine the extent to which sociodemographic differences in prescribed ART have changed between 2002 and 2008...
Deriving SF-12v2 physical and mental health summary scores: a comparison of different scoring algorithmsJohn A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
Qual Life Res 19:231-41. 2010..S. sample and compares the new summary scores to the standard ones. Due to controversy regarding methods for developing scoring coefficients for the summary score, we compare summary scores produced by different methods...
Hospital and outpatient health services utilization among HIV-infected adults in care 2000-2002John A Fleishman
Agency for Healthcare Research and Quality, Rockville, Maryland, USA
Med Care 43:III40-52. 2005..Combined inpatient and outpatient costs for patients on HAART were not significantly lower than for patients not on HAART...
Self-rated mental health and racial/ethnic disparities in mental health service useSamuel H Zuvekas
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
Med Care 46:915-23. 2008..In addition, mental health service use is lower among members of minority communities, compared with non-Hispanic whites...
Using information on clinical conditions to predict high-cost patientsJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
Health Serv Res 45:532-52. 2010..To compare the ability of different models to predict prospectively whether someone will incur high medical expenditures...
The economic burden of late entry into medical care for patients with HIV infectionJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
Med Care 48:1071-9. 2010..A large proportion of people with human immunodeficiency virus (HIV) infection enter care late in the HIV disease course. Late entry can increase expenditures for care...
Recent trends in HIV-related inpatient admissions 1996-2000: a 7-state studyJohn A Fleishman
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
J Acquir Immune Defic Syndr 34:102-10. 2003..Using comprehensive hospital discharge data from 7 states, this study examines trends in HIV-related inpatient admissions and length of stay (LOS) from 1996 through 2000...
Estimating the national cost of treating people with HIV disease: patient, payer, and provider dataF J Hellinger
Agency for Healthcare Research and Quality, Rockville, Maryland 20852, USA
J Acquir Immune Defic Syndr 24:182-8. 2000..This study derives estimates using two novel approaches (i.e., payer-based and provider-based) and compares these with existing estimates...
Rural-urban differences in usual source of care and ambulatory service use: analyses of national data using Urban Influence CodesSharon L Larson
Agency for Healthcare Research and Quality, Rockville, Maryland, USA
Med Care 41:III65-III74. 2003..Rural-urban disparities in access to and utilization of medical care have been a long-standing focus of concern...
Predicting EuroQoL EQ-5D preference scores from the SF-12 Health Survey in a nationally representative sampleWilliam F Lawrence
Center for Outcomes and Evidence, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
Med Decis Making 24:160-9. 2004..To predict the EuroQoL EQ-5D utility index from the SF-12 Health Survey for a US national sample of adults...
Location, race, and hospital care for AIDS patients: an analysis of 10 statesF J Hellinger
AHRQ, 2101 East Jefferson St, Suite 605, Rockville, MD 20852, USA
Inquiry 38:319-30. 2001..State-level policies, such as home and community-based waiver programs and enhanced HIV reimbursement rates, significantly affected hospital use...
Is outpatient care associated with lower use of inpatient and emergency care? An analysis of persons with HIV diseaseLiliana E Pezzin
Medical College of Wisconsin, Milwaukee, WI 53226, USA
Acad Emerg Med 10:1228-38. 2003..The authors use data from the AIDS Costs and Service Utilization Survey (ACSUS) to investigate the extent to which use of ambulatory medical care is associated with inpatient and emergency department use among HIV-infected persons...
Assessing and understanding measurement equivalence in health outcome measures. Issues for further quantitative and qualitative inquiryColleen A McHorney
Outcomes Research and Management, Merck and Co, Inc, West Point, Pennsylvania 19486, USA
Med Care 44:S205-10. 2006
Use of alternative therapists among people in care for HIV in the United StatesAndrew S London
Department of Sociology and Center for Policy Research, Syracuse University, Syracuse, NY 13244 1020, USA
Am J Public Health 93:980-7. 2003..This study examined the influence of sociodemographic, clinical, and attitudinal variables on the use of alternative therapists by people in care for HIV...
Re-estimating the prevalence of psychiatric disorders in a nationally representative sample of persons receiving care for HIV: results from the HIV Cost and Services Utilization StudyMaria Orlando
RAND Health Division, Santa Monica, CA, USA
Int J Methods Psychiatr Res 11:75-82. 2002..Prevalence rates reported in this study are as much as 16% lower than rates estimated using the CIDI-SF alone, but are still considerably higher than estimates for the general community population...
The prevalence of alcohol consumption and heavy drinking among people with HIV in the United States: results from the HIV Cost and Services Utilization StudyFrank H Galvan
Collaborative Alcohol Research Center, Charles R. Drew University of Medicine and Science, Los Angeles, California 90059, USA
J Stud Alcohol 63:179-86. 2002..Heavy drinking is especially higher among individuals with lower educational levels and users of cocaine or heroin...
Hospital and outpatient health services utilization among HIV-infected children in care 2000-2001Richard M Rutstein
Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
Med Care 43:III31-9. 2005..Compared with prior studies, utilization rates appear to be declining over time. Unlike adults, racial/ethnic or gender disparities in healthcare utilization are less pronounced for HIV-infected children...
Immunologic function and virologic suppression among children with perinatally acquired HIV Infection on highly active antiretroviral therapyRichard M Rutstein
Division of General Pediatrics, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Med Care 43:III15-22. 2005..Limited data are available on the level of virologic suppression and immune function of pediatric patients followed in clinical settings in the HAART era...
Patterns of diagnoses in hospital admissions in a multistate cohort of HIV-positive adults in 2001Marian E Betz
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Med Care 43:III3-14. 2005..Data from this cohort of patients with HIV may help guide the allocation of healthcare resources by enhancing our understanding of factors associated with variation in inpatient utilization rates...
The diverse older HIV-positive population: a national profile of economic circumstances, social support, and quality of lifeStephen Crystal
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey 08901, USA
J Acquir Immune Defic Syndr 33:S76-83. 2003..Interventions need to be tailored to the needs of these distinct subpopulations, with an emphasis on development of supportive care interventions for older IDUs...
Access to HAART and utilization of inpatient medical hospital services among HIV-infected patients with co-occurring serious mental illness and injection drug useSeth Himelhoch
Division of Services Research, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21212, USA
Gen Hosp Psychiatry 29:518-25. 2007....
Effect of dysthymia on receipt of HAART by minority HIV-infected womenBarbara J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
J Gen Intern Med 21:1235-41. 2006..Receipt of highly active antiretroviral therapy (HAART) differs by gender and racial/ethnic group and may reflect an effect of mood disorders...
Insurance status of HIV-infected adults in the post-HAART era: evidence from the United StatesDana P Goldman
RAND, 1700 Main Street, Santa Monica, CA 90407 2138, USA
Appl Health Econ Health Policy 2:85-90. 2003..More speculatively, it suggests that the United States system for financing health care is not well-equipped to deal with epidemics that afflict a population in its prime work years...
Hospitalizations for metabolic conditions, opportunistic infections, and injection drug use among HIV patients: trends between 1996 and 2000 in 12 statesKelly A Gebo
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
J Acquir Immune Defic Syndr 40:609-16. 2005..Rapid changes in HIV epidemiology and highly active antiretroviral therapy (HAART) may have resulted in recent changes in patterns of inpatient utilization...
The HIV Research Network: a unique opportunity for real time clinical utilization analysis in HIVKelly A Gebo
Hopkins HIV Rep 15:5-6. 2003
High rates of primary Mycobacterium avium complex and Pneumocystis jiroveci prophylaxis in the United StatesKelly A Gebo
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Med Care 43:III23-30. 2005..National data from the mid-1990s demonstrated that many eligible patients with HIV infection do not receive prophylaxis for opportunistic infections (OIs) and that racial and gender disparities existed in OI prophylaxis receipt...
Racial and gender disparities in receipt of highly active antiretroviral therapy persist in a multistate sample of HIV patients in 2001Kelly A Gebo
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
J Acquir Immune Defic Syndr 38:96-103. 2005..We examined whether demographic disparities in the use of HAART persist in 2001 and if outpatient care is associated with HAART utilization...
