Jonathan Skinner

Summary

Affiliation: Dartmouth Medical School
Country: USA

Publications

  1. pmc Mortality after acute myocardial infarction in hospitals that disproportionately treat black patients
    Jonathan Skinner
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH 03755, USA
    Circulation 112:2634-41. 2005
  2. ncbi request reprint Exceptionalism or extravagance? What's different about health care in South Florida
    Jonathan Skinner
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2003
  3. pmc Measuring racial disparities in the quality of ambulatory diabetes care
    Julie P W Bynum
    Dartmouth Institute for Clinical Practice and Health Policy, Dartmouth Medical School, Hanover, NH 03766, USA
    Med Care 48:1057-63. 2010
  4. pmc Regional variations in diagnostic practices
    Yunjie Song
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA
    N Engl J Med 363:45-53. 2010
  5. pmc The influence of income and race on total knee arthroplasty in the United States
    Jonathan Skinner
    Center for Evaluative Clinical Sciences, HB 7152 Dartmouth Medical School, Hanover, NH 03755, USA
    J Bone Joint Surg Am 88:2159-66. 2006
  6. pmc What explains the diffusion of treatments for mental illness?
    Robert Drake
    Psychiatric Research Center, Lebanon, NH 03766, USA
    Am J Psychiatry 165:1385-92. 2008
  7. pmc Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort
    James N Weinstein
    Dartmouth Medical School, Hanover, NH, USA
    JAMA 296:2451-9. 2006
  8. pmc How much do patients' preferences contribute to resource use?
    Denise L Anthony
    Dartmouth College in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:864-73. 2009
  9. pmc Social security and mental illness: reducing disability with supported employment
    Robert E Drake
    Dartmouth Medical School in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:761-70. 2009
  10. pmc Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically ill
    John E Wennberg
    Dartmouth Institute for Health Policy and Clinical Practice, USA
    Health Aff (Millwood) 26:1575-85. 2007

Research Grants

  1. Causes and Consequences of Health Care Efficiency
    Jonathan Skinner; Fiscal Year: 2007

Collaborators

Detail Information

Publications31

  1. pmc Mortality after acute myocardial infarction in hospitals that disproportionately treat black patients
    Jonathan Skinner
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH 03755, USA
    Circulation 112:2634-41. 2005
    ..Less is known about differences in health outcomes. This report compares risk-adjusted mortality after acute myocardial infarction (AMI) between US hospitals with high and low fractions of elderly black AMI patients...
  2. ncbi request reprint Exceptionalism or extravagance? What's different about health care in South Florida
    Jonathan Skinner
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2003
    ..Instead, end-of-life care makes Miami truly exceptional: Patients in their last six months of life see more physicians and spend more time in intensive care than is the case virtually anywhere else in the world...
  3. pmc Measuring racial disparities in the quality of ambulatory diabetes care
    Julie P W Bynum
    Dartmouth Institute for Clinical Practice and Health Policy, Dartmouth Medical School, Hanover, NH 03766, USA
    Med Care 48:1057-63. 2010
    ..Improving the health of minority patients who have diabetes depends in part on improving quality and reducing disparities in ambulatory care. It has been difficult to measure these components at the level of actionable units...
  4. pmc Regional variations in diagnostic practices
    Yunjie Song
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA
    N Engl J Med 363:45-53. 2010
    ..Current methods of risk adjustment rely on diagnoses recorded in clinical and administrative records. Differences among providers in diagnostic practices could lead to bias...
  5. pmc The influence of income and race on total knee arthroplasty in the United States
    Jonathan Skinner
    Center for Evaluative Clinical Sciences, HB 7152 Dartmouth Medical School, Hanover, NH 03755, USA
    J Bone Joint Surg Am 88:2159-66. 2006
    ..We studied whether high-income Medicare recipients are more likely to have a knee arthroplasty and less likely to suffer from knee osteoarthritis...
  6. pmc What explains the diffusion of treatments for mental illness?
    Robert Drake
    Psychiatric Research Center, Lebanon, NH 03766, USA
    Am J Psychiatry 165:1385-92. 2008
  7. pmc Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort
    James N Weinstein
    Dartmouth Medical School, Hanover, NH, USA
    JAMA 296:2451-9. 2006
    ..However, the large numbers of patients who crossed over between assigned groups precluded any conclusions about the comparative effectiveness of operative therapy vs usual care...
  8. pmc How much do patients' preferences contribute to resource use?
    Denise L Anthony
    Dartmouth College in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:864-73. 2009
    ..However, we find that patients' preferences for seeking primary and specialty medical care do not play a significant role in explaining regional variation in health care use...
  9. pmc Social security and mental illness: reducing disability with supported employment
    Robert E Drake
    Dartmouth Medical School in Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:761-70. 2009
    ....
  10. pmc Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically ill
    John E Wennberg
    Dartmouth Institute for Health Policy and Clinical Practice, USA
    Health Aff (Millwood) 26:1575-85. 2007
    ..This paper recommends a strategy for achieving this goal...
  11. pmc Inpatient care intensity and patients' ratings of their hospital experiences
    John E Wennberg
    Evaluative Clinical Sciences and Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA
    Health Aff (Millwood) 28:103-12. 2009
    ..The common thread linking greater care intensity with lower quality and less favorable patient experiences may be poorly coordinated care...
  12. pmc Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries
    H Gilbert Welch
    Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA
    JAMA 305:1113-8. 2011
    ..Because diagnosis is typically thought of as purely a patient attribute, it is considered a critical factor in risk-adjustment policies designed to reward efficient and high-quality care...
  13. pmc Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United States
    John E Wennberg
    Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755 3863, USA
    BMJ 328:607. 2004
    ..To evaluate the use of healthcare resources during the last six months of life among patients of US hospitals with strong reputations for high quality care in managing chronic illness...
  14. ncbi request reprint Geography and the debate over Medicare reform
    John E Wennberg
    Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2002
    ..We suggest that our proposal be tested in a major demonstration project..
  15. ncbi request reprint Who you are and where you live: how race and geography affect the treatment of medicare beneficiaries
    Katherine Baicker
    Dartmouth College, Hanover, New Hampshire, USA
    Health Aff (Millwood) . 2004
    ..Differences in end-of-life care are driven more by residence than by race. Policies should focus on getting the rates right, rather than solely on racial differences...
  16. pmc Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial
    James N Weinstein
    Dartmouth Medical School, Hanover, NH, USA
    JAMA 296:2441-50. 2006
    ..Lumbar diskectomy is the most common surgical procedure performed for back and leg symptoms in US patients, but the efficacy of the procedure relative to nonoperative care remains controversial...
  17. pmc Prices don't drive regional Medicare spending variations
    Daniel J Gottlieb
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA
    Health Aff (Millwood) 29:537-43. 2010
    ..The findings suggest that utilization-not local price differences-drives Medicare regional payment variations, along with special payments for medical education and care for the poor...
  18. pmc Fostering accountable health care: moving forward in medicare
    Elliott S Fisher
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA
    Health Aff (Millwood) 28:w219-31. 2009
    ..We simulate the potential expenditure impact and show that significant Medicare savings are possible...
  19. pmc The cost effectiveness of surgical versus nonoperative treatment for lumbar disc herniation over two years: evidence from the Spine Patient Outcomes Research Trial (SPORT)
    Anna N A Tosteson
    Dartmouth Medical School, Hanover, NH 03756, USA anna tosteson dartmouth edu
    Spine (Phila Pa 1976) 33:2108-15. 2008
    ....
  20. ncbi request reprint Geographic variation in health care and the problem of measuring racial disparities
    Katherine Baicker
    Department of Economics, Dartmouth College, Hanover, NH 03755, USA
    Perspect Biol Med 48:S42-53. 2005
    ....
  21. pmc The elusive connection between health care spending and quality
    Jonathan Skinner
    Department of Economics, Dartmouth College, Hanover, New Hampshire, USA
    Health Aff (Millwood) 28:w119-23. 2009
    ..Cooper may believe that this result challenges three decades of research by the Dartmouth group. Instead, it supports the group's view that improved efficiency-and not more doctors and hospital beds-is central to improving quality...
  22. ncbi request reprint Racial, ethnic, and geographic disparities in rates of knee arthroplasty among Medicare patients
    Jonathan Skinner
    Center for the Evaluative Clinical Sciences and Community and Family Medicine, Dartmouth Medical School, Lebanon, NH, USA
    N Engl J Med 349:1350-9. 2003
    ..There are large variations in the use of knee arthroplasty among Medicare enrollees according to race or ethnic group and sex. Are racial and ethnic disparities more pronounced in some regions than in others, and if so, why?..
  23. doi request reprint State spending on dual eligibles under age 65 shows variations, evidence of cost shifting from Medicaid to Medicare
    Thomas Bubolz
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA
    Health Aff (Millwood) 31:939-47. 2012
    ..Such inefficiency exposes patients to unnecessary risk, drives costs up unnecessarily, and highlights the large potential gains arising from improved care coordination for dual eligibles...
  24. ncbi request reprint Medicare upcoding and hospital ownership
    Elaine Silverman
    Dartmouth Medical School, Hanover, NH 03755, USA
    J Health Econ 23:369-89. 2004
    ..Upcoding appears to reflect both risk-taking by administrators and a closer alignment between the goals of the administration and the behavior of the clinical staff...
  25. pmc Surgical treatment of spinal stenosis with and without degenerative spondylolisthesis: cost-effectiveness after 2 years
    Anna N A Tosteson
    Multidisciplinary Clinical Research Center in Musculoskeletal Diseases, Dartmouth Medical School, Hanover, New Hampshire 03756, USA
    Ann Intern Med 149:845-53. 2008
    ..The SPORT (Spine Patient Outcomes Research Trial) reported favorable surgery outcomes over 2 years among patients with stenosis with and without degenerative spondylolisthesis, but the economic value of these surgeries is uncertain...
  26. pmc Outcomes following coronary stenting in the era of bare-metal vs the era of drug-eluting stents
    David J Malenka
    Section of Cardiology, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
    JAMA 299:2868-76. 2008
    ..Our study focused on the effect of stent type on population-based interventional outcomes...
  27. pmc Relationship between regional per capita Medicare expenditures and patient perceptions of quality of care
    Floyd J Fowler
    Center for Survey Research, University of Massachusetts Boston, Boston, MA 02125, USA
    JAMA 299:2406-12. 2008
    ..Wide variations in Medicare expenditures exist across regions, but little is known about whether beneficiaries residing in low-expenditure regions perceive receiving lower-quality care than those in high-expenditure regions...
  28. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
    Med Care 45:386-93. 2007
    ..We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care...
  29. pmc Is technological change in medicine always worth it? The case of acute myocardial infarction
    Jonathan S Skinner
    Dartmouth Medical College
    Health Aff (Millwood) 25:w34-47. 2006
    ..Regions experiencing the largest spending gains were not those realizing the greatest improvements in survival. Factors yielding the greatest benefits to health were not the factors that drove up costs, and vice versa...
  30. ncbi request reprint Geography and the debate over medicare reform
    John E Wennberg
    Health Aff (Millwood) . 2004
    ..We suggest that our proposal be tested in a major demonstration project...
  31. ncbi request reprint Will volume-based referral strategies reduce costs or just save lives?
    John D Birkmeyer
    Health Aff (Millwood) 21:234-41. 2002
    ..For these reasons, the primary argument for volume-based referral strategies should be improving quality, not reducing costs...

Research Grants2

  1. Causes and Consequences of Health Care Efficiency
    Jonathan Skinner; Fiscal Year: 2007
    ..S. health care system: 30% of health care spending is wasted, and quality of care is seriously lacking. We also explore several approaches to improving quality and reducing unwarranted variations in expenditures. ..