Research Topics
| Steven M AschSummaryCountry: USA Publications
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Publications
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...
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...
Patterns and predictors of short-term death after emergency department dischargeGelareh Z Gabayan
Department of Medicine, University of California Los Angeles, USA
Ann Emerg Med 58:551-558.e2. 2011..Using administrative data from an integrated health system, we describe characteristics and predictors of patients who experienced 7-day death after ED discharge...
A provider participatory implementation model for HIV testing in an EDJennifer C Chen
Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA
Am J Emerg Med 29:418-26. 2011..The Centers for Disease Control and Prevention recommends routine HIV screening for adults...
Evaluation of human immunodeficiency virus and hepatitis C telemedicine clinicsHemen N Saifu
Department of Medicine, VA Greater Los Angeles Health, Los Angeles, CA 90073, USA
Am J Manag Care 18:207-12. 2012..We assess the impact of human immunodeficiency virus (HIV) and hepatitis C telemedicine consultation on patient-oriented outcomes in a rural Veterans Affairs population...
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...
A system-wide intervention to improve HIV testing in the Veterans Health AdministrationMatthew Bidwell Goetz
Infectious Diseases Section 111 F, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA
J Gen Intern Med 23:1200-7. 2008..Although the benefits of identifying and treating asymptomatic HIV-infected individuals are firmly established, health care providers often miss opportunities to offer HIV-testing...
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...
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...
The quality of supportive care among inpatients dying with advanced cancerAnne 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
Support Care Cancer 20:2189-94. 2012..The purpose of this study is to apply novel quality indicators to measure the quality of supportive care provided to patients with advanced cancer who died in a large university medical center...
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...
Feasibility of discussing end-of-life care goals with inpatients using a structured, conversational approach: the go wish card gameAzadeh Lankarani-Fard
VA Greater Los Angeles Healthcare System, Los Angeles, California 90403, USA
J Pain Symptom Manage 39:637-43. 2010..Our results suggest that it is feasible to use the Go Wish card game even in the chaotic inpatient setting to obtain an accurate portrayal of the patient's goals of care in a time-efficient manner...
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...
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...
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...
Quality of supportive care for patients with advanced cancer in a VA medical centerJennifer L Malin
VA Greater Los Angeles Healthcare System, RAND Health, David Geffen School of Medicine, University of California, Los Angeles, USA
J Palliat Med 14:573-7. 2011....
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....
Potential impact of a verbal prehospital DNR policyCorita R Grudzen
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, California, USA
Prehosp Emerg Care 13:169-72. 2009..The impact of a verbal DNR policy is unclear, given the absence of information about how often cardiac arrest occurs at home, or in the presence of a family member...
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...
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...
Exportability of an intervention to increase HIV testing in the Veterans Health AdministrationMatthew Bidwell Goetz
VA Greater Los Angeles Healthcare System, Los Angeles, USA
Jt Comm J Qual Patient Saf 37:553-9. 2011..Exportability, or the dissemination of successful health services interventions from one site to another, must be demonstrated before systemwide implementation...
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...
The effect of automated telephone appointment reminders on HIV primary care no-shows by veteransStephen Randal Henry
Quality Enhancement Research Initiative for HIV AIDS Hepatitis C, VA Greater Los Angeles Health Care System, Los Angeles, California, USA
J Assoc Nurses AIDS Care 23:409-18. 2012..The intervention was not effective in reducing no-shows among homeless patients, racial/ethnic minorities, and patients with mental health disorders...
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 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...
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...
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...
Predictors of treatment in patients with chronic hepatitis C infection - role of patient versus nonpatient factorsFasiha Kanwal
John Cochran VA Medical Center, St Louis, MO, USA
Hepatology 46:1741-9. 2007..These potentially modifiable provider-level factors may serve as high-yield targets for future quality improvement initiatives in HCV...
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....
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...
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...
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...
Body mass index, neighborhood fast food and restaurant concentration, and car ownershipSanae Inagami
General Internal Medicine, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System and University of Pittsburgh, Pittsburgh, PA, USA
J Urban Health 86:683-95. 2009..5 in. Higher restaurant density is associated with higher BMI among local residents. The local fast food environment has a stronger association with BMI for local residents who do not have access to cars...
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...
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...
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...
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...
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...
Quality of care in patients with chronic hepatitis C virus infection: a cohort studyFasiha Kanwal
John Cochran Veterans Affairs Medical Center, St Louis, Missouri 63106, USA
Ann Intern Med 153:231-9. 2010..Medicare has proposed quality-of-care indicators for chronic hepatitis C virus (HCV) infection. The extent to which these standards are met in practice is largely unknown...
Program characteristics associated with testing for HIV and hepatitis C in veterans substance use disorder clinicsD Keith McInnes
Center for Health Quality Outcomes and Economic Research CHQOER, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA 01730, USA
Psychiatr Serv 61:90-4. 2010..This study examined whether organizational characteristics and quality improvement initiatives were related to HIV and hepatitis C (HCV) testing rates in veterans' substance use disorders programs...
Barriers and facilitators to routine HIV testing in VA primary careBarbara G Bokhour
Center for Health Quality, Outcomes and Economic Research, Edith Nourse Rogers Veterans Affairs Medical Center, 200 Springs Road, Bedford, MA 01730, USA
J Gen Intern Med 24:1109-14. 2009..The Centers for Disease Control (CDC) recommend routine opt-out HIV testing for all patients aged 13-64. Yet little is known about patient and provider perspectives on routine HIV testing...
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...
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...
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..To determine the sociodemographic and service delivery correlates of depression underdiagnosis in HIV...
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...
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...
Provider stakeholders' perceived benefit from a nascent health information exchange: a qualitative analysisJoshua M Pevnick
Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
J Med Syst 36:601-13. 2012..Early HIE development and promotional efforts should not only focus on potential benefits, but should also address organizational concerns...
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...
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...
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...
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...
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...
Negotiating end-of-life decision making: a comparison of Japanese and U.S. residents' approachesBaback B Gabbay
Veteran s Integrated Palliative Program, 11301 Wilshire Boulevard, Mail Code 111G, Los Angeles, CA 90073, USA
Acad Med 80:617-21. 2005..To compare Japanese and U.S. resident physicians' attitudes, clinical experiences, and emotional responses regarding making disclosures to patients facing incurable illnesses...
Predictors of short-term (seven-day) cardiac outcomes after emergency department visit for syncopeGelareh Z Gabayan
Department of Medicine, Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, USA
Am J Cardiol 105:82-6. 2010..In conclusion, ED decision-making should focus on risk of cardiac event in the first 7 days after syncope and special attention should be given to younger patients with cardiac co-morbidities...
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)...
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...
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...
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...
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...
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...
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...
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...
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)...
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...
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...
Evidence-based standards for cancer pain managementSydney M Dy
Health Policy and Management, Oncology, and Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
J Clin Oncol 26:3879-85. 2008..These standards provide an initial framework for high-quality evidence-based management of general cancer pain and pain syndromes...
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....
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...
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...
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...
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...
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...
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...
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....
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...
Impact of clinical reminder redesign on learnability, efficiency, usability, and workload for ambulatory clinic nursesJason J Saleem
Veterans Association Getting at Patient Safety GAPS Center, VAMC, Cincinnati, OH, USA
J Am Med Inform Assoc 14:632-40. 2007..These modifications were included in a redesign primarily to address barriers to effective CR use identified during a previous field study...
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...
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...
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..American adults frequently do not receive recommended health care. The extent to which the quality of health care varies among sociodemographic groups is unknown...
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...
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...
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...
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...
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..Many organizations participate in quality collaboratives, yet the return on investment of the associated time and costs is unclear...
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...
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...
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...
Evidence-based recommendations for cancer fatigue, anorexia, depression, and dyspneaSydney M Dy
Health Policy and Management, Oncology, and Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
J Clin Oncol 26:3886-95. 2008..CONCLUSION These standards provide a framework for evidence-based screening, assessment, treatment, and follow-up for cancer-associated symptoms...
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...
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...
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
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...
Consumer knowledge of over-the-counter phenazopyridineChih Wen Shi
Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Dr, Mailcode 0807, La Jolla, CA 92093, USA
Ann Fam Med 2:240-4. 2004..This study examines consumer knowledge regarding the urinary tract analgesic phenazopyridine, which recently became available without prescription...
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...
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....
