Research Topics
| S D PearsonSummaryAffiliation: Harvard Medical School and Harvard Pilgrim Health Care Country: USA Publications
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Detail Information
Publications
Patients' trust in physicians: many theories, few measures, and little dataS D Pearson
Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Gen Intern Med 15:509-13. 2000..The gaps identified in our knowledge about trust can help target new efforts to strengthen the methodological basis of work to understand this vital element of medical relationships...
Caring for patients within a budget: physicians' tales from the front lines of managed careSteven D Pearson
Center for Ethics and Population Health, Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, USA
J Clin Ethics 13:115-23. 2002- Patient reports of coverage denial: association with ratings of health plan quality and trust in physicianSteven D Pearson
Center for Ethics in Managed Care and the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
Am J Manag Care 9:238-44. 2003..To evaluate whether HMO patients' reports of denial of coverage were associated with their ratings of health plan quality and trust in their physician. Study.. - Talking about money: how primary care physicians respond to a patient's question about financial incentivesSteven D Pearson
Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
J Gen Intern Med 17:75-8. 2002..Adopting a broad spectrum of attitudes and approaches, nearly every physician avoided discussing the role of incentives and stressed instead that he or she could be trusted under any circumstance... - Payer-hospital collaboration to improve patient satisfaction with hospital dischargeM L Hickey
Department of Quality Measurement and Improvement, Brigham and Women s Hospital, Boston, MA, USA
Jt Comm J Qual Improv 22:336-44. 1996..CONCLUSIONS: Implications of hospitalwide implementation of discharge planning-related services attempted on one unit are being considered... - Patient attitudes toward physician financial incentivesA G Pereira
Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Arch Intern Med 161:1313-7. 2001..Discomfort was highest with capitation and was more likely among wealthier, well-educated, white patients. With capitation increasing nationally, patients' concerns should be considered in the design of compensation agreements... - The impact of an inpatient physician program on quality, utilization, and satisfactionA P Halpert
Harvard Vanguard Medical Associates Division of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
Am J Manag Care 6:549-55. 2000..In the new program, attending physician duties were transferred from the patient's own general internist to another internist serving on a hospital-based rotation... - An outpatient program to treat deep venous thrombosis with low-molecular-weight heparinS D Pearson
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care, Boston, Mass, USA
Eff Clin Pract 2:210-7. 1999..Although recent trials have demonstrated the safety and efficacy of low-molecular-weight (LMW) heparin, clinicians may need help incorporating this drug into routine practice... - Leaving gatekeeping behind--effects of opening access to specialists for adults in a health maintenance organizationT G Ferris
Institute for Health Policy, Division of General Internal Medicine, Massachusetts General Hospital Partners Health Care System and Harvard Medical School, Boston, USA
N Engl J Med 345:1312-7. 2001..9 percent (P=0.01). CONCLUSIONS: In a capitated, multispecialty group practice, we found little evidence of substantial changes in the use of specialty services by adults in the first 18 months after the elimination of gatekeeping... - Communication problems for patients hospitalized with chest painS R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Gen Intern Med 13:836-8. 1998..New models of inpatient care delivery can maintain patient satisfaction but to do so must focus attention on improving physician-patient communication... - Depression among high utilizers of medical careS D Pearson
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Gen Intern Med 14:461-8. 1999..Patients who had not made visits for nonspecific complaints were at significantly lower risk of depression. Depression among high utilizers was associated with higher resource utilization... - Informal consultations provided to general internists by the gastroenterology department of an HMOS D Pearson
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Mass, USA
J Gen Intern Med 13:435-8. 1998..The role informal consultation plays in the workload of physicians and in the clinical care of populations is an important question for health care system design, policy, and research... - Patient attitudes toward continuity of careAnne G Pereira
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 163:909-12. 2003..Nevertheless, an important subset of older and more vulnerable patients reported being more willing to pay to maintain continuity... - Does affiliation of physician groups with one another produce higher quality primary care?Mark W Friedberg
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Gen Intern Med 22:1385-92. 2007..We examined whether larger physician group size and affiliation with networks of multiple groups are associated with higher quality of care... - The response of physician groups to P4P incentivesAteev Mehrotra
RAND Health, Santa Monica, CA, USA
Am J Manag Care 13:249-55. 2007..To assess the scope and magnitude of pay-for-performance (P4P) incentives among physician groups and to examine whether such incentives are associated with quality improvement initiatives... - A trial of disclosing physicians' financial incentives to patientsSteven D Pearson
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 166:623-8. 2006..Concern regarding financial conflict of interest for physicians has led to calls for disclosure of financial incentives to patients. However, limited data on the outcomes of disclosure exist to guide policy... - Getting the innovation we wantSteven D Pearson
Health Aff (Millwood) 26:1505-6; author reply 1506-7. 2007 - Medicare's requirement for research participation as a condition of coverage: is it ethical?Steven D Pearson
Department of Clinical Bioethics, National Institutes of Health, Bethesda, MD 20892, USA
JAMA 296:988-91. 2006 - Quality, innovation, and value for money: NICE and the British National Health ServiceSteven D Pearson
National Institute for Clinical Excellence, London, England
JAMA 294:2618-22. 2005..This article describes how NICE has responded to the challenge and considers whether its experience of balancing quality, innovation, and value for money holds policy lessons for the United States... - Use of an electronic medical record to profile the continuity clinic experiences of primary care residentsThomas D Sequist
Division of General Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
Acad Med 80:390-4. 2005..Such information may help target curricular adjustments to ensure an appropriate diversity and depth of clinical training... - Leaving the practice: effects of primary care physician departure on patient careAnne G Pereira
Center for Ethics in Managed Care and the Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Mass 02446, USA
Arch Intern Med 163:2733-6. 2003.... - Effects of removing gatekeeping on specialist utilization by children in a health maintenance organizationTimothy G Ferris
Insititute for Health Policy, Division of General Internal Medicine, Massachusetts General Hospital Partners Healthcare System and Harvard Medical School, Boston, MA 02114, USA
Arch Pediatr Adolesc Med 156:574-9. 2002..The "gatekeeping" model of access to specialty care has been an essential managed care tool, intended to control costs of care and promote coordination between generalists and specialists... 
Coverage with evidence development: ethical issues and policy implicationsFranklin G Miller
Department of Bioethics, National Institutes of Health, Bethesda, Maryland 20892 1156, USA
Med Care 46:746-51. 2008..In this article we review the policy rationale for CED and present a normative analysis that addresses ethical concerns and policy implications...