Research Topics
| Ann S O'MalleySummaryAffiliation: Center for Studying Health System Change Country: USA Publications
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Detail Information
Publications
After-hours access to primary care practices linked with lower emergency department use and less unmet medical needAnn S O'Malley
Center for Studying Health System Change, Washington, D C, USA
Health Aff (Millwood) 32:175-83. 2013..Increasing support to primary care practices to offer or coordinate after-hours care may help reduce rates of emergency department use and unmet medical need...
After-hours care and its coordination with primary care in the U.SAnn S O'Malley
Center for Studying Health System Change, 1100 1st ST SE 12th Floor, Washington, DC, 20002 4221, USA
J Gen Intern Med 27:1406-15. 2012..Despite expectations that medical homes provide "24 × 7 coverage" there is little to guide primary care practices in developing sustainable models for accessible and coordinated after-hours care...- Patient experiences with coordination of care: the benefit of continuity and primary care physician as referral sourceAnn S O'Malley
Center for Studying Health System Change, 600 Maryland Ave, S W Suite 550, Washington, DC, 20024 2512, USA
J Gen Intern Med 24:170-7. 2009..Coordination across a patient's health needs and providers is important to improving the quality of care... 
Immunization disparities in older Americans: determinants and future research needsAnn S O'Malley
Center for Studying Health System Change, Washington, DC 20024 2512, USA
Am J Prev Med 31:150-8. 2006..This study sought to assess the contribution that patient, physician, health system, and area-level characteristics make to these racial disparities in immunization...- Coverage expansion needs cost containment - but States cannot do it aloneHoangmai H Pham
Center for Studying Health Systems Change, Washington, DC 20024, USA
J Ambul Care Manage 30:202. 2007 - Potentially avoidable hospitalizations for COPD and pneumonia: the role of physician and practice characteristicsAnn S O'Malley
Center for Studying Health System Change, Washington, DC 20024 2512, USA
Med Care 45:562-70. 2007..Hospitalizations for bacterial pneumonia and chronic obstructive pulmonary disease (COPD) occur frequently, but many are potentially avoidable... - Are electronic medical records helpful for care coordination? Experiences of physician practicesAnn S O'Malley
Center for Studying Health System Change, 600 Maryland Ave, SW, Suite 550, Washington, DC 20024 2512, USA
J Gen Intern Med 25:177-85. 2010..Yet little is known about whether and how physician practices use current EMRs to facilitate coordination... - Disparities despite coverage: gaps in colorectal cancer screening among Medicare beneficiariesAnn S O'Malley
Cancer Control Program, Georgetown University Medical Center, Washington, DC, USA
Arch Intern Med 165:2129-35. 2005..Despite its effectiveness in reducing mortality, colorectal cancer (CRC) screening rates are low, especially among low-income and minority groups; however, physician recommendation can increase screening rates... - Predictors of the growing influence of clinical practice guidelinesAnn S O'Malley
Center for Studying Health System Change, 600 Maryland Avenue, Southwest Suite 550, Washington, DC, 20024 2512, USA
J Gen Intern Med 22:742-8. 2007..Despite the proliferation of clinical practice guidelines (CPGs), physicians have been slow to adopt them... - Referral and consultation communication between primary care and specialist physicians: finding common groundAnn S O'Malley
Center for Studying Health System Change, Washington, DC 20024 2512, USA
Arch Intern Med 171:56-65. 2011..We examined PCPs' and specialists' perceptions of communication regarding referrals and consultations. We then identified practice characteristics associated with reported communication... - Health center trends, 1994-2001: what do they portend for the federal growth initiative?Ann S O'Malley
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 24:465-72. 2005..There were no disparities in visit-based preventive services delivery by race/ethnicity or insurance status. Continued growth under the initiative is likely to help reduce health disparities and improve care for the underserved... - Beyond the examination room: primary care performance and the patient-physician relationship for low-income womenAnn S O'Malley
Georgetown University Medical Center, Cancer Control Program, Lombardi Cancer Center, Washington, DC, USA
J Gen Intern Med 17:66-74. 2002..To assess whether primary care performance of low-income women's primary care delivery sites is associated with the strength of their relationships with their physicians... - The role of trust in use of preventive services among low-income African-American womenAnn S O'Malley
Cancer Control Program, Departments of Oncology and Internal Medicine, Georgetown University Medical Center, Washington, DC 20007, USA
Prev Med 38:777-85. 2004..This study explored factors that predict higher trust in primary care providers, and examined the role of patient trust on the use of preventive services for low-income African-American women... - Primary care attributes and care for depression among low-income African American womenAnn S O'Malley
Department of Medicine, Georgetown University Medical Center, Washington, DC, USA
Am J Public Health 93:1328-34. 2003..We examined the association between attributes of primary care providers and care for depression, from a patients' perspective, among a sample of predominantly low-income African American women... - Primary care physicians' links to other physicians through Medicare patients: the scope of care coordinationHoangmai H Pham
Center for Studying Health System Change, Washington, DC 20024, USA
Ann Intern Med 150:236-42. 2009..Primary care physicians are expected to coordinate care for their patients... - Patient and provider priorities for cancer prevention and control: a qualitative study in Mid-Atlantic LatinosAnn S O'Malley
Lombardi Cancer Center, Department of Oncology, Georgetown University Medical Center, Washington DC, USA
Ethn Dis 12:383-91. 2002..C. Patient and provider priorities are compared to identify common ground for future interventions in resource constrained primary care settings... - Care patterns in Medicare and their implications for pay for performanceHoangmai H Pham
Center for Studying Health System Change, Washington, DC 20024, USA
N Engl J Med 356:1130-9. 2007.... - Do primary care physicians treating minority patients report problems delivering high-quality care?James D Reschovsky
Center for Studying Health System Change in Washington, DC, USA
Health Aff (Millwood) 27:w222-31. 2008.... - Delivery of preventive services for low-income persons over age 50: a comparison of community health clinics to private doctors' officesAnn S O'Malley
Department of Oncology, Georgetown University Medical Center, Lombardi Cancer Center, Cancer Control Program, Washington, DC, USA
J Community Health 28:185-97. 2003..02). Despite the severe resource constraints under which they operate, and the greater vulnerability of the population they serve, community clinics deliver preventive services at rates comparable to private doctors' offices and HMOs... - Adherence of low-income women to cancer screening recommendationsAnn S O'Malley
Department of Oncology, Georgetown University Medical Center, 2233 Wisconsin Ave NW, Suite 440, Washington, D C 20007, USA
J Gen Intern Med 17:144-54. 2002..African-American and low-income women have lower rates of cancer screening and higher rates of late-stage disease than do their counterparts... - Primary care physicians' perceptions of the effect of insurance status on clinical decision makingDavid S Meyers
Capital Area Primary Care Research Network, Georgetown University Medical Center, Washington, DC, USA
Ann Fam Med 4:399-402. 2006..To better understand this disparity, in this study we characterize primary care physician's perceptions of what effect, if any, patients' insurance status has on their clinical decision making during office visits... - Why employer-sponsored insurance coverage changed, 1997-2003James D Reschovsky
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 25:774-82. 2006..Coverage among low-income people was most affected by economic conditions and premium costs... - The effect of tax credits for nongroup insurance on health spending by the uninsuredJames D Reschovsky
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) . 2004.... - Medicare fees and physicians' medicare service volume: beneficiaries treated and services per beneficiaryJack Hadley
The Urban Institute, and Senior Fellow, Center for Studying Health System Change, 600 Maryland Ave, SW Suite 500, Washington DC 20024, USA
Int J Health Care Finance Econ 6:131-50. 2006..Finally, several market factors appear to influence the quantity of Medicare services physicians provide. Results highlight limitations of the present system for compensating physicians in Medicare's fee-for-service program... - Health and the cost of nongroup insuranceJack Hadley
Urban Institute, Center for Studying Health System Change, Washington DC 20024 2512, USA
Inquiry 40:235-53. 2003..We use the selection-corrected premiums to simulate the effects on the price and affordability of nongroup insurance for the uninsured under two recent tax credit proposals... - Consumer beliefs and health plan performance: it's not whether you are in an HMO but whether you think you areJames D Reschovsky
Center for Studying Health System Change, Washington, DC, USA
J Health Polit Policy Law 27:353-77. 2002..Results suggest that researchers and policy makers should be cautious about using consumer surveys to assess the relative quality of care provided under different types of health insurance... - Why do Hispanics have so little employer-sponsored health insurance?James D Reschovsky
Center for Studying Health System Change, Washington, DC 20024, USA
Inquiry 44:257-79. 2007..Results suggest that language and job training may be the most effective way to bolster Hispanics' insurance coverage... - Rapidity and modality of imaging for acute low back pain in elderly patientsHoangmai H Pham
Center for Studying Health System Change, 600 Maryland Ave SW, Ste 550, Washington, DC 20024, USA
Arch Intern Med 169:972-81. 2009..Most quality metrics focus on underuse of services, leaving unclear what factors are associated with potential overuse... - Are HMO enrollees healthier than others? Results from the community tracking studyElizabeth Schaefer
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 21:249-58. 2002..To help understand that result, we present evidence suggesting that other factors, including cost considerations, may be more important than health when people are deciding whether to enroll in an HMO... - Physicians' fears of malpractice lawsuits are not assuaged by tort reformsEmily R Carrier
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 29:1585-92. 2010..These results suggest that many policies aimed at controlling malpractice costs may have a limited effect on physicians' malpractice concerns... - Assessments of medical care by enrollees in for-profit and nonprofit health maintenance organizationsHa T Tu
Center for Studying Health System Change, Washington, DC 20024, USA
N Engl J Med 346:1288-93. 2002..It is uncertain how assessments of medical care differ between enrollees in for-profit and nonprofit health maintenance organizations (HMOs)... - Access and quality: does rural America lag behind?James D Reschovsky
Center for Studying Health System Change in Washington, DC, USA
Health Aff (Millwood) 24:1128-39. 2005..However, rural residents have greater difficulty obtaining mental health services and generally face greater financial barriers to care... - Do reimbursement delays discourage Medicaid participation by physicians?Peter J Cunningham
Center for Studying Health System Change in Washington, DC, USA
Health Aff (Millwood) 28:w17-28. 2009..Increasing these rates may be insufficient to increase physicians' participation unless accompanied by reductions in administrative burden... - Small firms' demand for health insurance: the decision to offer insuranceJack Hadley
Center for Studying Health System Change, Washington DC 20024-2512, USA
Inquiry 39:118-37. 2002..This suggests that premium subsidies to employers would be an inefficient means of increasing insurance coverage. Greater availability of public insurance and safety net care has a small negative effect on offer decisions... - Effects of compensation methods and physician group structure on physicians' perceived incentives to alter services to patientsJames D Reschovsky
Center for Studying Health System Change, 600 Maryland Ave, SW Suite 550, Washington, DC 20024, USA
Health Serv Res 41:1200-20. 2006..In the latter case, this adversely affects perceived quality of care and satisfaction, although incentives to increase services may also have adverse implications for quality, cost, and insurance coverage... - Current evidence on the impact of continuity of careAnn S O'Malley
Georgetown University Medical Center, Washington, DC, USA
Curr Opin Pediatr 16:693-9. 2004..The latest evidence of the effectiveness of continuity of care on outcomes for children and adolescents will be presented and placed into the context of prior literature... - Primary care cancer control interventions including Latinos: a reviewAnn S O'Malley
Georgetown University Medical Center, Lombardi Cancer Center, Cancer Control Program, Washington, District of Columbia, USA
Am J Prev Med 25:264-71. 2003..This systematic review examines published primary care-based cancer control interventions that included Latinos... - The impact of quality-reporting programs on hospital operationsHoangmai H Pham
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 25:1412-22. 2006..Policy should be directed at encouraging formal assessments of how individual and combinations of programs affect quality outcomes, and the development of adaptable information systems... - Clinical practice guidelines and performance indicators as related--but often misunderstood--toolsAnn S O'Malley
Georgetown University Medical Center, Departments of Oncology and Internal Medicine, Washington, DC, USA
Jt Comm J Qual Saf 30:163-71. 2004.... - Physician consideration of patients' out-of-pocket costs in making common clinical decisionsHoangmai H Pham
Center for Studying Health System Change, 600 Maryland Avenue SW, Washington, DC 20024, USA
Arch Intern Med 167:663-8. 2007..Patients face growing cost-sharing through higher deductibles and other out-of-pocket (OP) expenses, with uncertain effects on clinical decision making... - Insurance premiums and insurance coverage of near-poor childrenJack Hadley
Urban Institute, Washington, DC 20037, USA
Inquiry 43:362-77. 2006..Sustained increases in private insurance premiums will continue to create enrollment pressures on state insurance programs for children... - Managed care, primary care, and the patient-practitioner relationshipChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
J Gen Intern Med 17:270-7. 2002.... - The mismatch between urban women's preferences for and experiences with primary careChristopher B Forrest
Georgetown University Medical Center, Division of Cancer Prevention, Lombardi Cancer Center, Washington, DC, USA
Womens Health Issues 12:191-203. 2002..Differences in primary care attainment are not solely a matter of personal preferences; rather, they appear to be more strongly related to barriers to obtaining care... - Adjusting for case mix and social class in examining variation in home visits between practicesCaoimhe O Sullivan
Public Health Policy Unit, School of Public Policy, University College London, UK
Fam Pract 21:355-63. 2004..The purpose of this study was to investigate whether adjusting for clinical case mix and social class explains more of the variation in home visits between general practices than adjusting for age and sex alone... - Vulnerability and the patient-practitioner relationship: the roles of gatekeeping and primary care performanceLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Am J Public Health 93:138-44. 2003.... - Does community-governed nonprofit primary care improve access to services? Cross-sectional survey of practice characteristicsPeter Crampton
Department of Public Health, Wellington School of Medicine and Health Sciences, New Zealand
Int J Health Serv 35:465-78. 2005..The findings support the shift to nonprofit community governance occurring in New Zealand and elsewhere... - Specialty referral completion among primary care patients: results from the ASPN Referral StudyChristopher B Forrest
Department of Pediatrics, Children s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Ann Fam Med 5:361-7. 2007..This study describes referral completion from the perspectives of patients and primary care physicians and identifies predictors of adherence to the referral recommendation... - Adoption of liquid-based cervical cancer screening tests by family physicians and gynecologistsKaren M Rappaport
Department of Pediatrics, Johns Hopkins Medical Institutions, Genetics and Public Policy Studies, Baltimore, MD 21205, USA
Health Serv Res 39:927-47. 2004..Commercial marketing campaigns appear to contribute to the more rapid rate of diffusion of technology among specialists compared with generalists... - Correlates of behavioral care management strategies used by primary care pediatric providersJames P Guevara
Division of General Pediatrics, The Children s Hospital of Philadelphia, Philadelphia, PA 19104, USA
Ambul Pediatr 7:160-6. 2007..To identify correlates of behavioral management strategies and to test whether children with more severe behavioral problems have care transferred to mental health specialists... - Predictors of children's healthcare use: the value of child versus parental perspectives on healthcare needsChristopher 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... - Family physicians' referral decisions: results from the ASPN referral studyChristopher B Forrest
Health Services Research and Development Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
J Fam Pract 51:215-22. 2002..To examine family physicians' referral decisions, which we conceptualized as having 2 phases: whether to refer followed by to whom to refer... - Appendicitis-pediatric surgeons versus general surgeonsScott A Shipman
Pediatrics 109:988-9. 2002 - Comparing apples with apples in clinical populations: applications of the adjusted Clinical Group System in British ColumbiaRobert J Reid
Department of Healthcare and Epidemiology, University of British Columbia, Vancouver, British Columbia
Healthc Manage Forum 15:11-6. 2002..The article describes how adjusted clinical groups are being applied to adjust capitation payments for physician groups in British Columbia's Primary Care Demonstration Project and profiles of physician practice activity... - Perceptions of physician shortagesBarbara Starfield
JAMA 291:1696; author reply 1696. 2004 - Perceived health status and use of healthcare services among children and adolescentsSilvina Berra
Catalan Agency for Health Technology Assessment and Research CAHTA, Barcelona, Spain
Eur J Public Health 16:405-14. 2006.... - Strengthening primary care to bolster the health care safety netChristopher B Forrest
JAMA 295:1062-4. 2006 - 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... - Managed health plan effects on the specialty referral process: results from the Ambulatory Sentinel Practice Network referral studyChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Med Care 41:242-53. 2003..This study examines the influence of gatekeeping arrangements and capitated primary care physician (PCP) payment on the specialty referral process in primary care settings... - Primary care in the United States: primary care gatekeeping and referrals: effective filter or failed experiment?Christopher B Forrest
Health Services Research and Development Center, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
BMJ 326:692-5. 2003 - Modernizing pediatric primary care to better manage children's behavioral healthJames P Guevara
Curr Opin Pediatr 18:639-40. 2006 - Managing the metric vs managing the patient: the physician's view of pay for performanceChristopher B Forrest
Department of Health Policy and Managemen, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 689, Baltimore, MD 21205, USA
Am J Manag Care 12:83-5. 2006 - The Parent 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 42:210-20. 2004.... - Predictors of voluntary disenrollment from Medicare managed careJudy H Ng
National Committee for Quality Assurance, Washington, District of Columbia 20036, USA
Med Care 45:513-20. 2007..However, total selection bias depends not only on who enrolls, but also on who disenrolls. Few studies examine selectivity in disenrollment; it is unclear how those who leave plans differ from those who remain... - Diagnostic scope of and exposure to primary care physicians in Australia, New Zealand, and the United States: cross sectional analysis of results from three national surveysAndrew B Bindman
Division of General Internal Medicine, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA
BMJ 334:1261. 2007..To compare mix of patients, scope of practice, and duration of visit in primary care physicians in Australia, New Zealand, and the United States... - Primary care physician specialty referral decision making: patient, physician, and health care system determinantsChristopher 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... - Comorbidity: implications for the importance of primary care in 'case' managementBarbara 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... - Counting child health care professionals: will the United States ever have a coherent workforce policy for children's health care?Christopher B Forrest
Arch Pediatr Adolesc Med 158:13-4. 2004