J Z Ayanian

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint Medicare beneficiaries more likely to receive appropriate ambulatory services in HMOs than in traditional medicare
    John Z Ayanian
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Health Aff (Millwood) 32:1228-35. 2013
  2. pmc Predictors of health-related quality of life in patients with colorectal cancer
    Kathleen J Yost
    Center on Outcomes, Research and Education, Evanston Northwestern Healthcare, Evanston, IL 60201, USA
    Health Qual Life Outcomes 6:66. 2008
  3. pmc The effect on survival of continuing chemotherapy to near death
    Akiko M Saito
    Health Services Research Program, Cancer Care Ontario and the Ontario Institute for Cancer Research, Toronto, ON, Canada
    BMC Palliat Care 10:14. 2011
  4. pmc Variation in use of surveillance colonoscopy among colorectal cancer survivors in the United States
    Talya Salz
    Health Outcomes Research Group, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 307 E, 63rd St, New York, NY 10065, USA
    BMC Health Serv Res 10:256. 2010
  5. pmc A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study
    Karen E Lasser
    Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
    BMC Fam Pract 10:37. 2009
  6. pmc Barriers to colorectal cancer screening in community health centers: a qualitative study
    Karen E Lasser
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
    BMC Fam Pract 9:15. 2008
  7. pmc Determinants of racial/ethnic differences in blood pressure management among hypertensive patients
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    BMC Cardiovasc Disord 5:16. 2005
  8. pmc Early dissemination of bevacizumab for advanced colorectal cancer: a prospective cohort study
    S Yousuf Zafar
    Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA
    BMC Cancer 11:354. 2011
  9. ncbi request reprint Physicians' beliefs about racial differences in referral for renal transplantation
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Am J Kidney Dis 43:350-7. 2004
  10. pmc Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study
    Selena Jorgensen
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    BMC Health Serv Res 10:352. 2010

Research Grants

Detail Information

Publications90

  1. doi request reprint Medicare beneficiaries more likely to receive appropriate ambulatory services in HMOs than in traditional medicare
    John Z Ayanian
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Health Aff (Millwood) 32:1228-35. 2013
    ..Our results suggest that the positive effects of more-integrated delivery systems on the quality of ambulatory care in Medicare HMOs may outweigh the potential incentives to restrict care under capitated payments. ..
  2. pmc Predictors of health-related quality of life in patients with colorectal cancer
    Kathleen J Yost
    Center on Outcomes, Research and Education, Evanston Northwestern Healthcare, Evanston, IL 60201, USA
    Health Qual Life Outcomes 6:66. 2008
    ..The objectives of this study were to identify predictors of HRQL in patients with colorectal cancer and interpret the clinical importance of the results...
  3. pmc The effect on survival of continuing chemotherapy to near death
    Akiko M Saito
    Health Services Research Program, Cancer Care Ontario and the Ontario Institute for Cancer Research, Toronto, ON, Canada
    BMC Palliat Care 10:14. 2011
    ..abstract:..
  4. pmc Variation in use of surveillance colonoscopy among colorectal cancer survivors in the United States
    Talya Salz
    Health Outcomes Research Group, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 307 E, 63rd St, New York, NY 10065, USA
    BMC Health Serv Res 10:256. 2010
    ..Using data from a large, multi-regional, population-based cohort, we describe the rate of surveillance colonoscopy and its association with geographic, sociodemographic, clinical, and health services characteristics...
  5. pmc A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study
    Karen E Lasser
    Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
    BMC Fam Pract 10:37. 2009
    ..Patient navigation has been shown to increase breast and cervical cancer screening rates, but few studies have looked at the potential of patient navigation to increase colorectal cancer screening rates...
  6. pmc Barriers to colorectal cancer screening in community health centers: a qualitative study
    Karen E Lasser
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
    BMC Fam Pract 9:15. 2008
    ..The purpose of this study was to describe barriers to/facilitators of colorectal cancer screening among diverse patients served by community health centers...
  7. pmc Determinants of racial/ethnic differences in blood pressure management among hypertensive patients
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    BMC Cardiovasc Disord 5:16. 2005
    ..However, to date there are few data available regarding the confounders of racial/ethnic disparities in the intensity of hypertension treatment...
  8. pmc Early dissemination of bevacizumab for advanced colorectal cancer: a prospective cohort study
    S Yousuf Zafar
    Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA
    BMC Cancer 11:354. 2011
    ..We describe early dissemination patterns for first-line bevacizumab given for metastatic colorectal cancer treatment...
  9. ncbi request reprint Physicians' beliefs about racial differences in referral for renal transplantation
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Am J Kidney Dis 43:350-7. 2004
    ..A better understanding of physicians' views about racial differences in access to transplantation may help reduce disparities in care...
  10. pmc Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study
    Selena Jorgensen
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    BMC Health Serv Res 10:352. 2010
    ..This study assessed implementation of the regulation and its impact on the use of race and ethnicity data in performance monitoring and quality improvement within hospitals...
  11. pmc Patients' experiences with care for lung cancer and colorectal cancer: findings from the Cancer Care Outcomes Research and Surveillance Consortium
    John Z Ayanian
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    J Clin Oncol 28:4154-61. 2010
    ..To assess patients' experiences with cancer care, ratings of their quality of care, and correlates of these assessments...
  12. pmc Physician reminders to promote surveillance colonoscopy for colorectal adenomas: a randomized controlled trial
    John Z Ayanian
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:762-7. 2008
    ..Most colorectal cancers develop from adenomatous polyps. National guidelines recommend surveillance colonoscopy within 5 years after such polyps are removed...
  13. doi request reprint Determinants of racial and ethnic disparities in surgical care
    John Z Ayanian
    Department of Medicine, Center for Surgery and Public Health Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, United States
    World J Surg 32:509-15. 2008
    ....
  14. ncbi request reprint Health insurance coverage and mortality among the near-elderly
    J Michael McWilliams
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Health Aff (Millwood) 23:223-33. 2004
    ..Expanding coverage to the near-elderly uninsured may greatly improve health outcomes for these groups...
  15. ncbi request reprint Enhancing research on cancer survivors
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Clin Oncol 24:5149-53. 2006
    ..Research to understand the needs of cancer survivors will provide a foundation for effective programs to meet these needs...
  16. ncbi request reprint Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and language
    John Z Ayanian
    Division of General Medicine and Channing Laboratory, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
    J Clin Oncol 23:6576-86. 2005
    ..To identify opportunities for improving care, we evaluated patients' perceptions of the quality of their cancer care by race, ethnicity, and language...
  17. ncbi request reprint Use of adjuvant chemotherapy and radiation therapy for colorectal cancer in a population-based cohort
    John Z Ayanian
    Division of General Medicine and Channing Laboratory, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    J Clin Oncol 21:1293-300. 2003
    ..This population-based study was designed to assess use of these treatments in clinical practice...
  18. ncbi request reprint Specialty of ambulatory care physicians and mortality among elderly patients after myocardial infarction
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    N Engl J Med 347:1678-86. 2002
    ..The outcome after myocardial infarction may be influenced by the type of physician providing ambulatory care...
  19. pmc Undiagnosed hypertension and hypercholesterolemia among uninsured and insured adults in the Third National Health and Nutrition Examination Survey
    John Z Ayanian
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    Am J Public Health 93:2051-4. 2003
  20. ncbi request reprint Quality of care by race and gender for congestive heart failure and pneumonia
    J Z Ayanian
    Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
    Med Care 37:1260-9. 1999
    ..Variations in the rates of major procedures by race and gender are well described, but few studies have assessed the quality of care by race and gender for basic hospital services...
  21. ncbi request reprint The effect of patients' preferences on racial differences in access to renal transplantation
    J Z Ayanian
    Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    N Engl J Med 341:1661-9. 1999
    ..In the United States, black patients undergo renal transplantation less often than white patients, but few studies have directly assessed the association between race and patients' preferences with respect to transplantation...
  22. ncbi request reprint Unmet health needs of uninsured adults in the United States
    J Z Ayanian
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    JAMA 284:2061-9. 2000
    ..In 1998, 33 million US adults aged 18 to 64 years lacked health insurance. Determining the unmet health needs of this population may aid efforts to improve access to care...
  23. pmc Use of cholesterol-lowering therapy and related beliefs among middle-aged adults after myocardial infarction
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    J Gen Intern Med 17:95-102. 2002
    ..To assess use of cholesterol-lowering therapy and related beliefs among middle-aged adults after myocardial infarction...
  24. ncbi request reprint Perceived risks of heart disease and cancer among cigarette smokers
    J Z Ayanian
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Mass 02115, USA
    JAMA 281:1019-21. 1999
    ..Cigarette smoking causes more preventable deaths from cardiovascular disease and cancer than any other modifiable risk factor, but smokers may discount the increased personal risk they face from continued smoking...
  25. ncbi request reprint Use of cholesterol-lowering therapy by elderly adults after myocardial infarction
    John Z Ayanian
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Arch Intern Med 162:1013-9. 2002
    ..Use of cholesterol-lowering drugs reduces mortality and adverse cardiac events among people aged 65 to 75 years with coronary heart disease, but previous studies have shown that most patients have not received this treatment...
  26. pmc Teaching hospitals and quality of care: a review of the literature
    John Z Ayanian
    Harvard Medical School, USA
    Milbank Q 80:569-93, v. 2002
    ..Some factors related to teaching status, such as organizational culture, staffing, technology, and volume, may lead to higher-quality care...
  27. ncbi request reprint Validating recommendations for coronary angiography following acute myocardial infarction in the elderly: a matched analysis using propensity scores
    S T Normand
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    J Clin Epidemiol 54:387-98. 2001
    ..Because of the magnitude of the benefit and of the number of patients involved, steps should be taken to replicate these findings...
  28. ncbi request reprint Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?
    A M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 343:1537-44, 2 p preceding 1537. 2000
    ..Despite abundant evidence of racial disparities in the use of surgical procedures, it is uncertain whether these disparities reflect racial differences in clinical appropriateness or overuse or underuse of inappropriate care...
  29. ncbi request reprint Quality of ambulatory care after myocardial infarction among Medicare patients by type of insurance and region
    M E Seddon
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
    Am J Med 111:24-32. 2001
    ..Future studies should assess the quality of ambulatory cardiac care in different types of HMOs and the reasons for geographic variations in cardiac drug use...
  30. ncbi request reprint Trends in the quality of care and racial disparities in Medicare managed care
    Amal N Trivedi
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, USA
    N Engl J Med 353:692-700. 2005
    ..In this study, we assessed changes over time in the overall quality of care and in the magnitude of racial disparities in nine measures of clinical performance...
  31. ncbi request reprint Use of health services by previously uninsured Medicare beneficiaries
    J Michael McWilliams
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    N Engl J Med 357:143-53. 2007
    ..Previously uninsured adults who enroll in the Medicare program at the age of 65 years may have greater morbidity, requiring more intensive and costlier care over subsequent years, than they would if they had been previously insured...
  32. ncbi request reprint Access to renal transplantation among American Indians and Hispanics
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Am J Kidney Dis 44:344-52. 2004
    ..African Americans have decreased access to renal transplantation compared with whites. Whether similar barriers exist for American Indians or Hispanics is not well defined...
  33. ncbi request reprint Effect of quality improvement on racial disparities in diabetes care
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
    Arch Intern Med 166:675-81. 2006
    ..Racial disparities in care are well documented; information regarding solutions is limited. We evaluated whether generic quality improvement efforts were associated with changes in racial disparities in diabetes care...
  34. pmc Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Health Serv Res 43:531-51. 2008
    ..To test for discrimination by race/ethnicity arising from clinical uncertainty in treatment for depression, also known as "statistical discrimination."..
  35. ncbi request reprint Profiling providers on use of adjuvant chemotherapy by combining cancer registry and medical record data
    Hui Zheng
    Department of Health Care Policy, Harvard Medical School, and Division of Epidemiology and Outcomes Research, Partners AIDS Research Center, Massachusetts General Hospital, Boston 02115, USA
    Med Care 44:1-7. 2006
    ..Incomplete information may bias comparisons of these rates. We developed statistical methods that combine data from a registry and physicians' records to assess hospital quality...
  36. ncbi request reprint Impact of underuse, overuse, and discretionary use on geographic variation in the use of coronary angiography after acute myocardial infarction
    E Guadagnoli
    Department of Health Care Policy, Harvard Medical School, Boston MA 02115 5899, USA
    Med Care 39:446-58. 2001
    ..Geographic variation in the use of medical procedures has been well documented. However, it is not known whether this variation is due to differences in use when procedures are indicated, discretionary, or contraindicated...
  37. ncbi request reprint Hospital readmissions and quality of care
    J S Weissman
    Department of Medicine, Massachusetts General Hospital, Institute for Health Policy, Harvard Medical School, Boston 02114, USA
    Med Care 37:490-501. 1999
    ..Readmission rates are often proposed as markers for quality of care. However, a consistent link between readmissions and quality has not been established...
  38. ncbi request reprint Impact of hospital volume on racial disparities in cardiovascular procedure mortality
    Amal N Trivedi
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
    J Am Coll Cardiol 47:417-24. 2006
    ..We assessed use of low-volume hospitals by race and ethnicity for major cardiovascular procedures and determined whether hospital volume is an important factor explaining racial and ethnic differences in post-procedure mortality...
  39. doi request reprint Perceptions of cancer-related information among cancer survivors: a report from the American Cancer Society's Studies of Cancer Survivors
    D Keith McInnes
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    Cancer 113:1471-9. 2008
    ..Sources of cancer-related information are rapidly increasing, but little is known about whether the health information available to cancer survivors meets their needs...
  40. ncbi request reprint Is hospital service associated with racial and ethnic disparities in experiences with hospital care?
    LeRoi S Hicks
    Department of Medicine, Division of General Internal Medicine, Brigham and Women s Faulkner Hospitalist Program, Brigham and Women s Hospital Department of Health Care Policy, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
    Am J Med 118:529-35. 2005
    ..Little is known about the influence of processes of hospital care on racial and ethnic differences in experiences with hospital care...
  41. ncbi request reprint Impact of Medicare coverage on basic clinical services for previously uninsured adults
    J Michael McWilliams
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass 02115, USA
    JAMA 290:757-64. 2003
    ..Uninsured adults receive less appropriate care and have more adverse health consequences than insured adults. Longitudinal studies would help to more clearly define the effects of health insurance on health care and health...
  42. pmc Impact of computerized decision support on blood pressure management and control: a randomized controlled trial
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:429-41. 2008
    ..We conducted a cluster randomized controlled trial to examine the effectiveness of computerized decision support (CDS) designed to improve hypertension care and outcomes in a racially diverse sample of primary care patients...
  43. ncbi request reprint Understanding cancer patients' experience and outcomes: development and pilot study of the Cancer Care Outcomes Research and Surveillance patient survey
    Jennifer L Malin
    Division of General Internal Medicine Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
    Support Care Cancer 14:837-48. 2006
    ..The keystone to this effort is the baseline patient survey administered approximately 4 months after diagnosis...
  44. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
    ..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients...
  45. pmc Attitudes about treatment of coronary heart disease among women and men presenting for exercise testing
    J Z Ayanian
    Department of Medicine, Brigham and Women's Hospital, Boston, Mass, USA
    J Gen Intern Med 12:311-4. 1997
    ..5; 95% confidence interval 1.4-4.6). Patients' attitudes about risk should be explored further in studies of gender differences in the use of coronary procedures...
  46. ncbi request reprint The effects of a National Breast and Cervical Cancer Early Detection Program on social disparities in breast cancer diagnosis and treatment in Massachusetts
    Melissa J Liu
    Massachusetts Cancer Registry, Massachusetts Department of Public Health, 250 Washington Street, 6th Floor, Boston, MA 02108, USA
    Cancer Causes Control 16:27-33. 2005
    ....
  47. pmc Measuring the quality of diabetes care using administrative data: is there bias?
    Nancy L Keating
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    Health Serv Res 38:1529-45. 2003
    ..We assessed whether measuring processes of diabetes care using administrative data without medical record data is likely to underdetect compliance with accepted standards for certain groups of patients...
  48. ncbi request reprint Age-related differences in preventive care among adults with diabetes
    Stephen D Persell
    Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Am J Med 116:630-4. 2004
  49. ncbi request reprint Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease
    LeRoi S Hicks
    Department of Medicine, Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    Qual Life Res 13:1129-37. 2004
    ..Relatively little is known about racial differences in health-related quality of life (HRQL) among patients receiving dialysis for end-stage renal disease (ESRD) or how such differences may relate to preferences for renal transplantation...
  50. ncbi request reprint Understanding individual and small area variation in the underuse of coronary angiography following acute myocardial infarction
    Pushkal P Garg
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115 5899, USA
    Med Care 40:614-26. 2002
    ..Underuse of coronary angiography is common among patients with acute myocardial infarction (AMI) and the magnitude of underuse varies across geographic areas...
  51. ncbi request reprint Health of previously uninsured adults after acquiring Medicare coverage
    J Michael McWilliams
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
    JAMA 298:2886-94. 2007
    ..However, the health benefits of providing insurance coverage for uninsured adults have not been clearly demonstrated...
  52. pmc Primary-care clinician perceptions of racial disparities in diabetes care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:678-84. 2008
    ..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care...
  53. ncbi request reprint Patient characteristics and hospital quality for colorectal cancer surgery
    Wei Zhang
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Int J Qual Health Care 19:11-20. 2007
    ....
  54. pmc Aggressiveness of cancer care near the end of life: is it a quality-of-care issue?
    Craig C Earle
    Division of Population Sciences, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA
    J Clin Oncol 26:3860-6. 2008
    ..Whether the concept of overly aggressive treatment represents a quality-of-care issue that is acceptable to all involved stakeholders is an open question...
  55. doi request reprint Physician performance and racial disparities in diabetes mellitus care
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
    Arch Intern Med 168:1145-51. 2008
    ..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...
  56. doi request reprint Randomized trial of $20 versus $50 incentives to increase physician survey response rates
    Nancy L Keating
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Med Care 46:878-81. 2008
    ..Recent experiences of survey researchers suggest that physicians are becoming less willing to complete surveys...
  57. ncbi request reprint Trends in the aggressiveness of cancer care near the end of life
    Craig C Earle
    MSc, Center for Outcomes and Policy Research, Dana Farber Cancer Center, 44 Binney St, 454 STE 21 24, Boston, MA 02115, USA
    J Clin Oncol 22:315-21. 2004
    ..To characterize the aggressiveness of end-of-life cancer treatment for older adults on Medicare, and its relationship to the availability of healthcare resources...
  58. ncbi request reprint Impact of hospital procedure volume on surgical operation and long-term outcomes in high-risk curatively resected rectal cancer: findings from the Intergroup 0114 Study
    Jeffrey A Meyerhardt
    Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
    J Clin Oncol 22:166-74. 2004
    ..However, because these studies often lack detailed information on tumor and treatment characteristics as well as cancer recurrence, the true nature of this relation remains uncertain...
  59. ncbi request reprint Differences in control of cardiovascular disease and diabetes by race, ethnicity, and education: U.S. trends from 1999 to 2006 and effects of medicare coverage
    J Michael McWilliams
    Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue, Boston, MA 02115, USA
    Ann Intern Med 150:505-15. 2009
    ..Efforts to improve the care of cardiovascular disease and diabetes or expand insurance coverage for adults with these conditions may reduce differences in clinical outcomes...
  60. ncbi request reprint Determinants of JNC VI guideline adherence, intensity of drug therapy, and blood pressure control by race and ethnicity
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
    Hypertension 44:429-34. 2004
    ..Interventions to reduce disparities in cardiovascular outcomes should consider the need to intensify drug therapy more aggressively among all high-risk populations...
  61. ncbi request reprint Consultation with a medical oncologist before surgery and type of surgery among elderly women with early-stage breast cancer
    Nancy L Keating
    Department of Medicine, Brigham and Women s Hospital, and Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    J Clin Oncol 21:4532-9. 2003
    ..We assessed whether consultation with a medical oncologist before surgery was associated with use of definitive surgery, axillary node dissection, and type of surgery...
  62. doi request reprint Medicare spending for previously uninsured adults
    J Michael McWilliams
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Ann Intern Med 151:757-66. 2009
    ..Medicare spending after age 65 years may be higher for previously uninsured adults if suboptimal care before this age leads to irreversible complications, persistently elevated clinical risks, or delay of costly elective procedures...
  63. pmc Health risks, chronic diseases, and access to care among US Pacific Islanders
    Asaf Bitton
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
    J Gen Intern Med 25:435-40. 2010
    ..Because Pacific Islanders and Asian Americans have often been aggregated in federal health surveys, we assessed whether they differ substantially in important health measures...
  64. pmc Perspectives of non-Hispanic Black and Latino patients in Boston's urban community health centers on their experiences with diabetes and hypertension
    Beverley E Russell
    The Center for Community Health Education Research and Service CCHERS, 716 Columbus Ave, Suite 398, Boston, MA 02120, USA
    J Gen Intern Med 25:504-9. 2010
    ..S. A better understanding of the health beliefs and experiences of non-Hispanic Blacks and Latinos with these diseases could help to improve their care outcomes...
  65. ncbi request reprint Association of region of residence and immigrant status with hypertension, renal failure, cardiovascular disease, and stroke, among African-American participants in the third National Health and Nutrition Examination Survey (NHANES III)
    LeRoi S Hicks
    Division of General Internal Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Ethn Dis 13:316-23. 2003
    ....
  66. pmc Practice, clinical management, and financial arrangements of practicing generalists
    Nancy L Keating
    Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Gen Intern Med 19:410-8. 2004
    ....
  67. ncbi request reprint Patient characteristics and experiences associated with trust in specialist physicians
    Nancy L Keating
    Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Arch Intern Med 164:1015-20. 2004
    ..Nearly half of all medical visits are to specialist physicians, yet little is known about patients' outpatient experiences with specialists or how patients' characteristics and experiences are related to trust in specialist physicians...
  68. ncbi request reprint Work resumption after newly diagnosed coronary heart disease: findings on the importance of paid leave
    Alison Earle
    Harvard School of Public Health, Boston, Massachusetts 02115, USA
    J Womens Health (Larchmt) 15:430-41. 2006
    ..This study examines if working conditions predict whether women who experience angina or a myocardial infarction (MI) return to work...
  69. pmc Discussions with physicians about hospice among patients with metastatic lung cancer
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Arch Intern Med 169:954-62. 2009
    ..Many terminally ill patients enroll in hospice only in the final days before death or not at all. Discussing hospice with a health care provider could increase awareness of hospice and possibly result in earlier use...
  70. ncbi request reprint Cardiac procedure use following acute myocardial infarction among American Indians
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
    Am Heart J 151:909-14. 2006
    ..We compared rates of cardiac catheterization, percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) surgery between AI and whites with AMI...
  71. ncbi request reprint Variations in hospice use among cancer patients
    Nancy L Keating
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Natl Cancer Inst 98:1053-9. 2006
    ....
  72. ncbi request reprint Factors related to underuse of surveillance mammography among breast cancer survivors
    Nancy L Keating
    Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
    J Clin Oncol 24:85-94. 2006
    ..We identified factors associated with underuse of surveillance mammography and examined whether variation was explained by differences in follow-up care...
  73. ncbi request reprint Creating a state minority health policy report card
    Amal N Trivedi
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 24:388-96. 2005
    ..Future research should be conducted on other predictors of state variation in minority health policy and connections between state policy and health outcomes for minorities...
  74. ncbi request reprint Assessing the accuracy of hospital clinical performance measures
    Sharon Lise T Normand
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    Med Decis Making 27:9-20. 2007
    ..To control costs and improve quality, payers are designing new hospital reimbursement policies that link payment to quality. The authors determine the extent to which quality measures discriminate hospitals into tiers in 2 geographic areas...
  75. ncbi request reprint Evaluating claims-based indicators of the intensity of end-of-life cancer care
    Craig C Earle
    Division of Population Sciences, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA 02115, USA
    Int J Qual Health Care 17:505-9. 2005
    ..To evaluate measures that could use existing administrative data to assess the intensity of end-of-life cancer care...
  76. pmc Factors affecting influential discussions among physicians: a social network analysis of a primary care practice
    Nancy L Keating
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    J Gen Intern Med 22:794-8. 2007
    ..Physicians often rely on colleagues for new information and advice about the care of their patients...
  77. ncbi request reprint Racial inequities in the timing of breast cancer detection, diagnosis, and initiation of treatment
    Joann G Elmore
    Department of Medicine, University of Washington School of Medicine, Seattle, Washington 98104 2499, USA
    Med Care 43:141-8. 2005
    ..Recent studies suggest differences in quality and timeliness of care received may be major contributing sources to the racial disparity in breast cancer detection and related outcomes...
  78. ncbi request reprint Quality of diabetes care among cancer survivors with diabetes
    Nancy L Keating
    Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Med Care 45:869-75. 2007
    ..Among patients with chronic medical conditions, unrelated conditions are often undertreated...
  79. pmc Physicians' reports of focused expertise in clinical practice
    N L Keating
    Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Gen Intern Med 15:417-20. 2000
    ..Learning how focused expertise affects processes and outcomes of care will contribute to decisions about physician training and staffing of medical groups...
  80. ncbi request reprint Supplemental insurance and use of effective cardiovascular drugs among elderly medicare beneficiaries with coronary heart disease
    A D Federman
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    JAMA 286:1732-9. 2001
    ..001). CONCLUSION: Elderly Medicare beneficiaries with CHD who lack drug coverage have disproportionately large drug expenditures and lower use rates of statins, a class of relatively expensive drugs that improve survival...
  81. pmc Measuring population health risks using inpatient diagnoses and outpatient pharmacy data
    Y Zhao
    DxCG Inc, Boston, MA 02111, USA
    Health Serv Res 36:180-93. 2001
    ..Properly organized and in combination these data are promising predictors of future costs...
  82. ncbi request reprint Relation of hospital volume to colostomy rates and survival for patients with rectal cancer
    David C Hodgson
    Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
    J Natl Cancer Inst 95:708-16. 2003
    ..e., hospital volume). This study assessed the association of hospital volume with colostomy rates and survival for patients with rectal cancer in a large representative cohort identified from the California Cancer Registry...
  83. ncbi request reprint Examining the relationship of patients' attitudes and beliefs with their self-reported level of participation in medical decision-making
    Neeraj K Arora
    Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 20892 7344, USA
    Med Care 43:865-72. 2005
    ..We applied constructs from the transtheoretical model (TTM) of behavior change to identify modifiable determinants of patient participation in medical decision-making...
  84. pmc Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomes
    Stephen D Persell
    Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
    J Gen Intern Med 20:123-30. 2005
    ..To determine whether outpatient cholesterol management varies by gender or race among patients with atherosclerosis, and assess factors related to subsequent cholesterol control...
  85. doi request reprint Impact of hospital volume on postoperative morbidity and mortality following a colectomy for ulcerative colitis
    Gilaad G Kaplan
    Inflammatory Bowel Disease Clinic, University of Calgary, Calgary, Alberta, Canada
    Gastroenterology 134:680-7. 2008
    ..We set out to evaluate postoperative morbidity and mortality using a nationally representative database and to determine the factors that influenced outcomes...
  86. ncbi request reprint Relationship between quality of care and racial disparities in Medicare health plans
    Amal N Trivedi
    Department of Community Health, Brown University, Providence, RI, USA
    JAMA 296:1998-2004. 2006
    ..In the Medicare managed care program, broad improvements in quality have been accompanied by reduced racial gaps in processes of care, but substantial disparities in outcomes have persisted...
  87. ncbi request reprint Younger stroke survivors have reduced access to physician care and medications: National Health Interview Survey from years 1998 to 2002
    Deborah A Levine
    Deep South Center on Effectiveness Research, Birmingham Veterans Affairs Medical Center, USA
    Arch Neurol 64:37-42. 2007
    ..Younger stroke survivors may have reduced access to physician care and medications because they are more frequently uninsured...
  88. pmc Risk factors for mortality in lower intestinal bleeding
    Lisa L Strate
    Division of Gastroenterology, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104, USA
    Clin Gastroenterol Hepatol 6:1004-10; quiz 955-. 2008
    ..Previous studies of lower intestinal bleeding (LIB) have limited power to study mortality. We sought to identify characteristics associated with in-hospital mortality in a large cohort of patients with LIB...
  89. doi request reprint Access to care and use of preventive services by Hispanics: state-based variations from 1991 to 2004
    Minah Kang-Kim
    Ewha Womans University, Seoul, Korea
    Med Care 46:507-15. 2008
    ..State-level disparities in access to physicians and preventive services between Hispanics and whites may have changed over time...
  90. ncbi request reprint Completeness of information on adjuvant therapies for colorectal cancer in population-based cancer registries
    Rosemary D Cress
    California Cancer Registry, Sacramento, California 95815, USA
    Med Care 41:1006-12. 2003
    ..Population-based cancer registries represent a potentially valuable tool to evaluate treatment; however, information on the completeness of registry treatment data is sparse...

Research Grants7

  1. Improving Surveillance for Colorectal Polyps
    John Ayanian; Fiscal Year: 2006
    ..This study will provide a model for evaluating how data from electronic medical records can be used to improve screening of patients with prior colorectal polyps who are at increased risk of developing recurrent polyps or cancer. ..
  2. Improving Systems for Colorectal Cancer Screening
    John Ayanian; Fiscal Year: 2007
    ..abstract_text> ..
  3. Cancer Care Outcomes Research & Surveillance Consortium
    John Ayanian; Fiscal Year: 2007
    ..abstract_text> ..
  4. Cancer Care Outcomes Research & Surveillance Consortium
    John Ayanian; Fiscal Year: 2005
    ..abstract_text> ..