Research Topics
| Carol M AshtonSummaryCountry: USA Publications
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Publications
Hospital use and survival among Veterans Affairs beneficiariesCarol M Ashton
Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, and Baylor College of Medicine, Houston, TX 77030, USA
N Engl J Med 349:1637-46. 2003..We postulated that if access to hospital care was reduced too much, or if decreased hospital use was not offset by improvements in ambulatory care, urgent care visits would increase or survival rates would fall...
Process of care and outcomes in patients with peripheral arterial diseaseTracie C Collins
Houston Center for Quality of Care and Utilization Studies, and Section of Health Services Research, Baylor College of Medicine, Houston, Texas, USA
J Gen Intern Med 22:942-8. 2007..We investigated the association of process of care measures with adverse limb and systemic events in patients with peripheral arterial disease (PAD)...- Treatable comorbid conditions and use of VA health care services among patients with dementiaMark E Kunik
Houston Center for Quality of Care and Utilization Studies, DeBakey Veterans Affairs Medical Center, 2002 Holcombe, Houston, TX 77030, USA
Psychiatr Serv 56:70-5. 2005..This prospective study examined the longitudinal relationship between use of health care services and treatable comorbid conditions among patients with dementia... - Impact of race on health care utilization and outcomes in veterans with congestive heart failureAnita Deswal
Houston Center for Quality of Care and Utilization Studies, Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas 77030, USA
J Am Coll Cardiol 43:778-84. 2004.... - Comorbid psychosocial symptoms and quality of life in patients with dementiaA Lynn Snow
Houston Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, Houston, TX, USA
Am J Geriatr Psychiatry 13:393-401. 2005..In an effort to develop a more comprehensive understanding of this relationship, this study included both patient reports of their QOL and caregiver reports of patient QOL... - Healthcare use by veterans treated for diabetes mellitus in the Veterans Affairs medical care systemCarol M Ashton
Houston Center for Quality of Care and Utilization Studies, Houston VA Medical Center, and Department of Medicine, Baylor College of Medicine, Houston, Tex 77030, USA
Am J Manag Care 9:145-50. 2003..To estimate the burden of comorbid conditions and to describe patterns of inpatient and outpatient service use by veterans with diabetes mellitus... - Health care utilization in dementia patients with psychiatric comorbidityMark E Kunik
VAMC, Houston, TX 77030, USA
Gerontologist 43:86-91. 2003..The purpose of this research was to determine if differences in service use exist between dementia patients with and without psychiatric comorbidity... - A qualitative approach to developing a patient-derived intervention to increase exercise in peripheral arterial diseaseTracie C Collins
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey VA Medical Center, and Section for Health Services Research, Baylor College of Medicine, Houston, TX, USA
J Cardiopulm Rehabil 26:92-100. 2006..In designing a patient-physician communication intervention, we explored patients' perceptions of the role of exercise in the treatment of peripheral arterial disease (PAD)... 
A patient self-assessment tool to measure communication behaviors during doctor visits about hypertensionCarol M Ashton
The Methodist Hospital Research Institute, 6550 Fannin Street, Houston, TX 77030, USA
Patient Educ Couns 81:275-314. 2010..Patients' communicative behaviors such as asking questions influence those of doctors, but most existing measurement tools assess doctors' behaviors rather than patients'...- A randomized trial of self-management and psychoeducational group therapies for comorbid chronic posttraumatic stress disorder and depressive disorderNancy Jo Dunn
Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
J Trauma Stress 20:221-37. 2007..Despite success in other depressed populations, self-management therapy produced no clinically significant effect in depression with chronic PTSD... - Ethnicity and peripheral arterial diseaseTracie C Collins
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, Tex 77030, USA
Mayo Clin Proc 80:48-54. 2005..To determine whether race/ethnicity is an independent risk factor for peripheral arterial disease (PAD)... - The prevalence of peripheral arterial disease in a racially diverse populationTracie C Collins
Houston Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas 77030, USA
Arch Intern Med 163:1469-74. 2003..The purpose of this study was to determine the prevalence of peripheral arterial disease (PAD) in white, African American, and English- and Spanish-speaking Hispanic patients... - A conceptual model of pain assessment for noncommunicative persons with dementiaA Lynn Snow
VAMC, 2002 Holcombe, HSR and D152, Houston, TX 77030, USA
Gerontologist 44:807-17. 2004..Our objectives are to present a conceptual model of the pain assessment process in persons with dementia and discuss methods for validating our model within this population... - Familial aggregation of prostate cancer in African-Americans and white AmericansGlenn R Cunningham
Department of Medicine, Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas 77030, USA
Prostate 56:256-62. 2003..We compared the incidence of prostate cancer in first-degree family members of African-Americans with that in white Americans... - Open versus endovascular abdominal aortic aneurysm repair in VA hospitalsRuth L Bush
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, and Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
J Am Coll Surg 202:577-87. 2006.... - Associations between the impact of terrorism and health perceptions of patientsPaul Haidet
Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas, USA
Int J Psychiatry Med 35:249-58. 2005..The objective of this study was to explore associations between the personal impact of the September 11th attacks and patients' perceptions of health and illness... - Predicting healthcare costs in a population of veterans affairs beneficiaries using diagnosis-based risk adjustment and self-reported health statusKenneth Pietz
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas 77030, USA
Med Care 42:1027-35. 2004..Many healthcare organizations use diagnosis-based risk adjustment systems for predicting costs. Health self-report may add information not contained in a diagnosis-based system but is subject to incomplete response... - Short-term, intermediate-term, and long-term mortality in patients hospitalized for strokeTracie C Collins
Houston Center for Quality Care and Utilization Studies, 2002 Holcombe Blvd 152, Houston, TX 77030, USA
J Clin Epidemiol 56:81-7. 2003..Further work is needed to assess the impact of actual care patterns, for the above identified risk factors, on stroke prognosis over varying time periods... - A stories-based interactive DVD intended to help people with hypertension achieve blood pressure control through improved communication with their doctorsCarol M Ashton
The Methodist Hospital Research Institute, Houston, TX 77030, USA
Patient Educ Couns 79:245-50. 2010..Material was to be presented in several formats, including patients' narratives (stories)... - Trials and tribulations: the professional development of surgical trialistsAnna F Jarman
Department of Surgery, The Methodist Hospital, Houston, TX, USA
Am J Surg 204:339-346.e5. 2012..We interviewed aspiring and accomplished surgical trialists to understand how they use guidance documents and other resources in their work... - Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication?Carol M Ashton
Baylor College of Medicine, Houston, Tex, USA
J Gen Intern Med 18:146-52. 2003..We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences... - Measurement in Veterans Affairs Health Services Research: veterans as a special populationRobert O Morgan
Houston Center for Quality of Care and Utilization Studies, Veterans Affairs Medical Center, Holocombe Blvd, Houston, TX 77030, USA
Health Serv Res 40:1573-83. 2005..It is our hope that they stimulate a broad discussion of the measurement challenges posed by conducting "state-of-the-art" health services research... - Are surgical trials with negative results being interpreted correctly?Baruch A Brody
Department of Philosophy, Rice University, Houston, TX 77251, USA
J Am Coll Surg 216:158-66. 2013..Many published accounts of clinical trials report no differences between the treatment arms, while being underpowered to find differences. This study determined how the authors of these reports interpreted their findings... - A taxonomy of multinational ethical and methodological standards for clinical trials of therapeutic interventionsCarol M Ashton
Department of Surgery, The Methodist Hospital Research Institute, The Methodist Hospital, Houston, TX 77030, USA
J Med Ethics 37:368-73. 2011..The authors set out to develop a clinical-trials compendium in which standards for the ethical treatment of human subjects are integrated with standards for research methods... - A controlled trial of arthroscopic surgery for osteoarthritis of the kneeJ Bruce Moseley
Houston Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX 77030, USA
N Engl J Med 347:81-8. 2002..CONCLUSIONS: In this controlled trial involving patients with osteoarthritis of the knee, the outcomes after arthroscopic lavage or arthroscopic débridement were no better than those after a placebo procedure... - Strategic opportunities in the oversight of the U.S. hospital accreditation systemMaurice L Moffett
Michael E DeBakey Veterans Affairs Medical Center, 152, Houston Center for Quality of Care and Utilization Studies, Baylor College of Medicine, 2002 Holcombe Boulevard, TX 77030, USA
Health Policy 75:109-15. 2005.... - Process of care in Hispanic, black, and white VA beneficiariesHoward S Gordon
Houston Center for Quality of Care and Utilization Studies, Section of General Medicine, Veterans Affairs Medical Center, TX, USA
Med Care 40:824-33. 2002..To examine whether process of hospital care differs among Hispanic, black, and white VA beneficiaries... - Setting a new standard for studies of geographic variation in hospital utilization ratesCarol M Ashton
Med Care 43:1-3. 2005