Research Topics
| David H HowardSummaryAffiliation: Emory University Country: USA Publications
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Detail Information
Publications
Prostate cancer screening in men ages 75 and older fell by 8 percentage points after Task Force recommendationDavid 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...- Evidence of no benefit from knee surgery for osteoarthritis led to coverage changes and is linked to decline in proceduresDavid 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... - Mammography rates after the 2009 US Preventive Services Task Force breast cancer screening recommendationDavid H Howard
Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
Prev Med 55:485-7. 2012.... 
Hospitalization rates among dialysis patients during Hurricane KatrinaDavid 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...- Serious health events and discontinuation of routine cancer screeningDavid 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..Approximately one-third of patients and physicians discontinue or temporarily suspend screening for breast and prostate cancer following serious health events. Findings suggest that not all patients persist with screening until they die... 
Do report cards influence hospital choice? The case of kidney transplantationDavid 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...- 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... - Use of cost-effectiveness analysis to determine inventory size for a national cord blood bankDavid 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... - The impact of detection and treatment on lifetime medical costs for patients with precancerous polyps and colorectal cancerDavid 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... - Cancer screening and age in the United States and EuropeDavid 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... - The value of new chemotherapeutic agents for metastatic colorectal cancerDavid 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... - The impact of a national program to provide free mammograms to low-income, uninsured women on breast cancer mortality ratesDavid 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... - 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... - Abandonment of high-dose chemotherapy/hematopoietic cell transplants for breast cancer following negative trial resultsDavid 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... - Impact of health literacy on socioeconomic and racial differences in health in an elderly populationDavid 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... - The relationship between ex ante mortality risk and end-of-life medical costsDavid 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... - Life expectancy and the value of early detectionDavid 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... - The economic burden of drug resistanceDavid 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... - 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)... - National estimates of medical costs incurred by nonelderly cancer patientsDavid H Howard
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
Cancer 100:883-91. 2004 - An evaluation of the influence of primary care team functioning on the health of Medicare beneficiariesDouglas 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... - The rising prevalence of treated disease: effects on private health insurance spendingKenneth 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... - The rise in spending among Medicare beneficiaries: the role of chronic disease prevalence and changes in treatment intensityKenneth 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... - San Diego's area coordinator system: a disaster preparedness model for US Nursing homesSarah 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... - The global impact of drug resistanceDavid 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... - Differences in disease prevalence as a source of the U.S.-European health care spending gapKenneth 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... - The impact of obesity on rising medical spendingKenneth 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... - Why do transplant surgeons turn down organs? A model of the accept/reject decisionDavid 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... - The impact of low health literacy on the medical costs of Medicare managed care enrolleesDavid 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... - Initial and follow-up costs by treatment outcome for children with respiratory infectionsDavid 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... - Does quality improvement work? Evaluation of the Organ Donation Breakthrough CollaborativeDavid 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... - Resistance-induced antibiotic substitutionDavid 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.... - Nursing homes' preparedness plans and capabilitiesHilary 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... - Use of midlevel practitioners to achieve labor cost savings in the primary care practice of an MCODouglas W Roblin
Research Department, Kaiser Permanente, 3495 Piedmont Road NE, Building 9, Atlanta, GA 30305, USA
Health Serv Res 39:607-26. 2004..Future research should investigate the cost savings and cost-effectiveness potential of delivery designs that change staffing mix and division of labor among clinical disciplines... - Comparative effectiveness research, technological abandonment, and health care spendingDavid 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... - Adherence to infectious diseases society of America guidelines for empiric therapy for patients with community-acquired pneumonia in a commercially insured cohortJasmanda 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... - 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 pneumoniaJasmanda 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... - 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...
Research Grants
- The Impact of Outcomes on Transplant Center ChoiceDavid 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. ..