David H Howard

Summary

Affiliation: Emory University
Country: USA

Publications

  1. doi request reprint Prostate cancer screening in men ages 75 and older fell by 8 percentage points after Task Force recommendation
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) 32:596-602. 2013
  2. doi request reprint Evidence of no benefit from knee surgery for osteoarthritis led to coverage changes and is linked to decline in procedures
    David Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) 31:2242-9. 2012
  3. doi request reprint Mammography rates after the 2009 US Preventive Services Task Force breast cancer screening recommendation
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Prev Med 55:485-7. 2012
  4. ncbi request reprint Hospitalization rates among dialysis patients during Hurricane Katrina
    David Howard
    Department of Health Policy and Management, Department of Economics, Emory University, Atlanta, Georgia 30322, USA
    Prehosp Disaster Med 27:325-9. 2012
  5. doi request reprint Serious health events and discontinuation of routine cancer screening
    David H Howard
    Department of Health Policy and Management, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Med Decis Making 32:627-35. 2012
  6. pmc Do report cards influence hospital choice? The case of kidney transplantation
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Inquiry 43:150-9. 2006
  7. ncbi request reprint Should we promote organ donor registries when so few registrants will end up being donors?
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Med Decis Making 27:243-9. 2007
  8. doi request reprint Understanding recent increases in chronic disease treatment rates: more disease or more detection?
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Health Econ Policy Law 5:411-35. 2010
  9. doi request reprint The value of new chemotherapeutic agents for metastatic colorectal cancer
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30030, USA
    Arch Intern Med 170:537-42. 2010
  10. doi request reprint The impact of a national program to provide free mammograms to low-income, uninsured women on breast cancer mortality rates
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia 30322, USA
    Cancer 116:4456-62. 2010

Research Grants

Detail Information

Publications40

  1. doi request reprint Prostate cancer screening in men ages 75 and older fell by 8 percentage points after Task Force recommendation
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) 32:596-602. 2013
    ..Although 42 percent of men in this age group continue to receive PSA tests, our results highlight the potential of guidelines with negative recommendations to reduce the use of low-value medical care...
  2. doi request reprint Evidence of no benefit from knee surgery for osteoarthritis led to coverage changes and is linked to decline in procedures
    David Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) 31:2242-9. 2012
    ..These reductions may be offset by increases in the use of other procedures. The results indicate that clinical trials of widely used therapies can lead to cost-saving changes in practice patterns...
  3. doi request reprint Mammography rates after the 2009 US Preventive Services Task Force breast cancer screening recommendation
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Prev Med 55:485-7. 2012
    ....
  4. ncbi request reprint Hospitalization rates among dialysis patients during Hurricane Katrina
    David Howard
    Department of Health Policy and Management, Department of Economics, Emory University, Atlanta, Georgia 30322, USA
    Prehosp Disaster Med 27:325-9. 2012
    ..However, the impact on patient health and service use is unclear...
  5. doi request reprint Serious health events and discontinuation of routine cancer screening
    David H Howard
    Department of Health Policy and Management, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Med Decis Making 32:627-35. 2012
    ..Using Surveillance, Epidemiology, and End..
  6. pmc Do report cards influence hospital choice? The case of kidney transplantation
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Inquiry 43:150-9. 2006
    ..We find some evidence that report cards influence younger and college-educated patients, but, overall, report cards do not affect demand...
  7. ncbi request reprint Should we promote organ donor registries when so few registrants will end up being donors?
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Med Decis Making 27:243-9. 2007
    ..Such policies make sense only if the resources used to sign up an additional donor are proportional to the expected benefits...
  8. doi request reprint Understanding recent increases in chronic disease treatment rates: more disease or more detection?
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Health Econ Policy Law 5:411-35. 2010
    ..g. diabetes). We provide some evidence that increases in treated prevalence unexplained by changes in the underlying clinical incidence of disease are driven by increased detection and treatment of patients with 'subclinical' illness...
  9. doi request reprint The value of new chemotherapeutic agents for metastatic colorectal cancer
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30030, USA
    Arch Intern Med 170:537-42. 2010
    ..We measure trends in life expectancy and lifetime medical costs in this patient population between January 1, 1995, and December 31, 2005...
  10. doi request reprint The impact of a national program to provide free mammograms to low-income, uninsured women on breast cancer mortality rates
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia 30322, USA
    Cancer 116:4456-62. 2010
    ..The authors analyzed the impact of the NBCCEDP on breast cancer mortality rates...
  11. doi request reprint Use of cost-effectiveness analysis to determine inventory size for a national cord blood bank
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Atlanta, Georgia, USA
    Med Decis Making 28:243-53. 2008
    ..They emphasize the unique challenges of undertaking cost-effectiveness analysis in this field and the contribution of the analysis to policy...
  12. doi request reprint The impact of detection and treatment on lifetime medical costs for patients with precancerous polyps and colorectal cancer
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Health Econ 18:1381-93. 2009
    ..For younger patients, polyp removal is cost saving. Treatment of early-stage cancer is cost increasing...
  13. doi request reprint Cancer screening and age in the United States and Europe
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, at Emory University in Atlanta, Georgia, USA
    Health Aff (Millwood) 28:1838-47. 2009
    ..S. rates. U.S. residents are more likely to be screened at younger ages, when the expected benefit from early detection is the greatest, but also at older ages, when the expected benefit is declining...
  14. pmc Impact of health literacy on socioeconomic and racial differences in health in an elderly population
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    J Gen Intern Med 21:857-61. 2006
    ..Differences in health literacy levels by race and education are widely hypothesized to contribute to health disparities, but there is little direct evidence...
  15. ncbi request reprint The relationship between ex ante mortality risk and end-of-life medical costs
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, Georgia 30322, USA
    Appl Health Econ Health Policy 5:37-44. 2006
    ..While the magnitude of spending on end-of-life care is striking, it is difficult to determine if expenditures are wasteful or simply reflect the inherent uncertainty facing physicians...
  16. ncbi request reprint Life expectancy and the value of early detection
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Room 610, Atlanta, GA 30322, USA
    J Health Econ 24:891-906. 2005
    ..Application of the model to prostate cancer screening suggests that early detection above age 70 or so is not cost-effective...
  17. pmc Abandonment of high-dose chemotherapy/hematopoietic cell transplants for breast cancer following negative trial results
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Health Serv Res 46:1762-77. 2011
    ..This study documents the impact of the trials on use of HDC/HCT and describes how hospitals reacted to the trials...
  18. ncbi request reprint The economic burden of drug resistance
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    Clin Infect Dis 41:S283-6. 2005
    ..Understanding to what degree prescribing patterns are driven by real versus perceived limitations of first-line drugs is important for assessing the ability of public health campaigns to change the behavior of patients and providers...
  19. ncbi request reprint Patient satisfaction with primary care: does type of practitioner matter?
    Douglas W Roblin
    Research Department, Kaiser Permanente, Atlanta, Georgia 30305, USA
    Med Care 42:579-90. 2004
    ..The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO)...
  20. doi request reprint An evaluation of the influence of primary care team functioning on the health of Medicare beneficiaries
    Douglas W Roblin
    Kaiser Permanente Georgia, Atlanta, GA 30305, USA
    Med Care Res Rev 68:177-201. 2011
    ..Medicare beneficiaries empanelled to relatively high functioning PCTs had significantly better physical and emotional health at 2 years following baseline assessment than those empanelled to relatively low functioning PCTs...
  21. ncbi request reprint National estimates of medical costs incurred by nonelderly cancer patients
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    Cancer 100:883-91. 2004
  22. ncbi request reprint The rising prevalence of treated disease: effects on private health insurance spending
    Kenneth E Thorpe
    Department of Health Policy and Management, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) . 2005
    ..A rise in population risk factors and the introduction of new technologies underlie these trends...
  23. ncbi request reprint The rise in spending among Medicare beneficiaries: the role of chronic disease prevalence and changes in treatment intensity
    Kenneth E Thorpe
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, in Atlanta, Georgia, USA
    Health Aff (Millwood) 25:w378-88. 2006
    ..5 percentage points in less than ten years. This raises important questions about the "fit" of how Medicare pays for services for complex medical management...
  24. doi request reprint San Diego's area coordinator system: a disaster preparedness model for US Nursing homes
    Sarah C Blake
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia Dr Howard and Mss Blake and Eiring and Elmcroft Senior Living, San Diego, California Mr Tarde
    Disaster Med Public Health Prep 6:424-7. 2012
    ..This report describes the model, known as the area coordinator system, and discusses its strengths and limitations, and whether it ought to be replicated in other areas of the country...
  25. ncbi request reprint The global impact of drug resistance
    David H Howard
    Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Clin Infect Dis 36:S4-10. 2003
    ..In some instances, these costs may exceed those attributable to treatment failure...
  26. ncbi request reprint Differences in disease prevalence as a source of the U.S.-European health care spending gap
    Kenneth E Thorpe
    Department of Health Policy and Management, Rollins School of Public Health, at Emory University, in Atlanta, Georgia, USA
    Health Aff (Millwood) 26:w678-86. 2007
    ..Disease prevalence and rates of medication treatment are much higher in the United States than in these European countries. Efforts to reduce the U.S. prevalence of chronic illness should remain a key policy goal...
  27. ncbi request reprint The impact of obesity on rising medical spending
    Kenneth E Thorpe
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
    Health Aff (Millwood) . 2004
    ..Increases in obesity prevalence alone account for 12 percent of the growth in health spending...
  28. ncbi request reprint Why do transplant surgeons turn down organs? A model of the accept/reject decision
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
    J Health Econ 21:957-69. 2002
    ..I discuss trends in organ procurement in light of this finding...
  29. ncbi request reprint The impact of low health literacy on the medical costs of Medicare managed care enrollees
    David H Howard
    Department of Health Policy and Management, Emory Center on Health Outcomes and Quality, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA
    Am J Med 118:371-7. 2005
    ..To examine the impact of low health literacy on medical care use and costs...
  30. doi request reprint Trends in PCI volume after negative results from the COURAGE trial
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA
    Health Serv Res 49:153-70. 2014
    ..To describe trends in the use of percutaneous coronary intervention (PCI) following the COURAGE trial, which found that medical therapy is as effective as PCI for patients with stable angina...
  31. ncbi request reprint Initial and follow-up costs by treatment outcome for children with respiratory infections
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    Pediatrics 113:1352-6. 2004
    ..To estimate the initial and follow-up costs of treatment of respiratory infections among pediatric patients and the relationship between costs and outcomes...
  32. ncbi request reprint Resistance-induced antibiotic substitution
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Health Econ 13:585-95. 2004
    ....
  33. pmc Does quality improvement work? Evaluation of the Organ Donation Breakthrough Collaborative
    David H Howard
    Department of Health Policy and Management, Emory University, 1518 Clifton Road NE, Room 610, Atlanta, GA 30030, USA
    Health Serv Res 42:2160-73; discussion 2294-323. 2007
    ..We evaluate the impact of the first phase on organ donation rates...
  34. ncbi request reprint Nursing homes' preparedness plans and capabilities
    Hilary Eiring
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
    Am J Disaster Med 7:127-35. 2012
    ..To assess nursing homes' capabilities to evacuate or shelter-in-place during a disaster and to determine their actual preparedness-related capacity...
  35. pmc Use of midlevel practitioners to achieve labor cost savings in the primary care practice of an MCO
    Douglas W Roblin
    Research Department, Kaiser Permanente, 3495 Piedmont Road NE, Building 9, Atlanta, GA 30305, USA
    Health Serv Res 39:607-26. 2004
    ..To estimate the savings in labor costs per primary care visit that might be realized from increased use of physician assistants (PAs) and nurse practitioners (NPs) in the primary care practices of a managed care organization (MCO)...
  36. doi request reprint Value drivers: an approach for estimating health and disease management program savings
    V L Phillips
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia
    Popul Health Manag 16:356-63. 2013
    ..The savings estimates derived from the Value Driver method are generally reasonable to conservative and provide a valuable framework for estimating financial impacts from evidence-based interventions...
  37. ncbi request reprint Comparative effectiveness research, technological abandonment, and health care spending
    David H Howard
    Department of Health Policy and Management, Emory University, Atlanta, GA, USA
    Adv Health Econ Health Serv Res 23:103-21. 2012
    ..Comparative effectiveness research is unlikely to reduce spending if physicians are quick to adopt effective treatments but slow to abandon ineffective ones...
  38. ncbi request reprint Adherence to infectious diseases society of America guidelines for empiric therapy for patients with community-acquired pneumonia in a commercially insured cohort
    Jasmanda H Wu
    Department of Outcomes Research and Management, Division of US Human Health, Merck and Co, Inc, West Point, Pennsylvania 19486, USA
    Clin Ther 28:1451-61. 2006
    ..There is little published research addressing how the 2003 Infectious Diseases Society of America (IDSA) guidelines for empiric therapy of community-acquired pneumonia (CAP) are implemented in clinical practice...
  39. pmc Private care and public health: do vaccination and prenatal care rates differ between users of private versus public sector care in India?
    David H Howard
    Health Serv Res 39:2013-26. 2004
    ..To determine whether patients who use private sector providers for curative services have lower vaccination rates and are less likely to receive prenatal care...
  40. ncbi request reprint Patterns of health care resource utilization after macrolide treatment failure: results from a large, population-based cohort with acute sinusitis, acute bronchitis, and community-acquired pneumonia
    Jasmanda H Wu
    Global Pharmacovigilance and Epidemiology, Aventis Pharmaceuticals, 200 Crossing Boulevard, Mailcode BWX 400 406E, Bridgewater, NJ 08807, USA
    Clin Ther 26:2153-62. 2004
    ..Macrolide antibiotics are used as first-line therapy for the treatment of respiratory tract infections. The recent emergence of macrolide-resistant pathogens is a major concern...

Research Grants1

  1. The Impact of Outcomes on Transplant Center Choice
    David Howard; Fiscal Year: 2004
    ..Using these estimates, we will simulate the impact of changes in survival rates on market shares for the groups of patients mentioned above. ..