Research Topics
| E C SchneiderSummaryAffiliation: Harvard University Country: USA Publications
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Detail Information
Publications
National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical careE C Schneider
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Med Care 39:1313-25. 2001..The clinical quality of health plans varies. The associations between different measures of health plan quality are incompletely understood...
Enhancing performance measurement: NCQA's road map for a health information framework. National Committee for Quality AssuranceE C Schneider
Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women s Hospital, Boston, Mass 02115, USA
JAMA 282:1184-90. 1999..Health care purchasers can provide the impetus for implementing the information framework if they demand detailed, accurate data on the quality of care...
Quality oversight in medicaid primary care case management programsEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, Cambridge, MA, USA
Health Aff (Millwood) 23:235-42. 2004..Reporting states tended to emphasize utilization results over quality-measure results. Despite growing enrollment, PCCM programs appear less likely to use the quality-oversight strategies employed by Medicaid health plans...
Use of high-cost operative procedures by Medicare beneficiaries enrolled in for-profit and not-for-profit health plansEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
N Engl J Med 350:143-50. 2004..Until recently, data to address this question have been limited...
Is the type of Medicare insurance associated with colorectal cancer screening prevalence and selection of screening strategy?Eric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Med Care 46:S84-90. 2008..We assessed whether beneficiaries in MMC plans were more likely than those in traditional FFS insurance to receive colorectal cancer (CRC) screening and whether type of insurance was associated with use of specific screening strategies...
Racial disparities in the quality of care for enrollees in medicare managed careEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
JAMA 287:1288-94. 2002..Substantial racial disparities in the use of some health services exist; however, much less is known about racial disparities in the quality of care...
Surviving colorectal cancer : patient-reported symptoms 4 years after diagnosisEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, Section on Health Policy, Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Cancer 110:2075-82. 2007..The number of long-term survivors after a cancer diagnosis is increasing, yet relatively few studies have addressed survivors' reported symptoms beyond the initial year after diagnosis...
Racial disparity in influenza vaccination: does managed care narrow the gap between African Americans and whites?E C Schneider
Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Fourth Floor, Boston, MA 02115, USA
JAMA 286:1455-60. 2001..Substantial racial disparities exist in use of some health services. Whether managed care could reduce racial disparities in the use of preventive services is not known...
Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiariesEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, USA
Am J Med 118:1392-400. 2005..For-profit health plans now enroll the majority of Medicare beneficiaries who select managed care. Prior research has produced conflicting results about whether for-profit health plans provide lower quality of care...
Assessment of the scientific soundness of clinical performance measures: a field test of the National Committee for Quality Assurance's colorectal cancer screening measureEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, and Division of General Medicine, Brigham and Women s Hospital, 677 Huntington Ave, Room 406, Boston, Massachusetts 02115, USA
Arch Intern Med 168:876-82. 2008..This study evaluated quality measures by describing a field test of the colorectal cancer screening measure included in the Health Plan Employer Data and Information Set of the National Committee for Quality Assurance...
Impact of sociodemographic case mix on the HEDIS measures of health plan qualityA M Zaslavsky
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Care 38:981-92. 2000..The widely used Health Plan Employer Data and Information Set (HEDIS) measures may be affected by differences among plans in sociodemographic characteristics of members...
Trends in the quality of care and racial disparities in Medicare managed careAmal 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..Future research should examine factors that contributed to the narrowing of racial disparities on some measures and focus on interventions to eliminate persistent disparities in the quality of care...
The relationship between managed care insurance and use of lower-mortality hospitals for CABG surgeryL C Erickson
Department of Cardiology, Children s Hospital, Harvard Medical School, Boston, Mass 02115, USA
JAMA 283:1976-82. 2000....
Unmet health needs of uninsured adults in the United StatesJ 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...
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...
Quality of care in Medicaid managed care and commercial health plansBruce E Landon
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
JAMA 298:1674-81. 2007..In contrast to the commercially insured population, the proportion of Medicaid beneficiaries enrolling in health maintenance organizations continues to increase...
Social disparities across the continuum of colorectal cancer: a systematic reviewRichard C Palmer
Department of Society, Human Development, and Health, Boston, MA 02115, USA
Cancer Causes Control 16:55-61. 2005..The purpose of this review is to evaluate the published literature to assess social inequalities in colorectal cancer using the 'cancer disparities grid.'..
Can quality reports help address health care disparities? Use and awareness of comparative quality information by African AmericansGillian K Steelfisher
Department of Health Policy and Management, Harvard School of Public Health, USA
J Health Care Poor Underserved 20:884-95. 2009..Findings suggest a demand for CQInfo among African Americans, and support the idea that such information could help ameliorate racial disparities, if efforts also address educational and other related barriers...
The evolution of quality management in Medicaid managed careBruce E Landon
Department of Health Care Policy, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, USA
Health Aff (Millwood) 23:245-54. 2004....
Adherence to practice guidelines: the role of specialty society guidelinesLucian L Leape
Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
Am Heart J 145:19-26. 2003..We investigated whether physician adherence to guidelines for percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) varied by source, development methods, or the extent of their evidence-base...
Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care?Arnold M Epstein
Division of General Medicine Section on Health Services and Policy Research, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Med Care 41:1240-55. 2003..However, few studies have examined whether these differences reflect problems in quality of care...
Undiagnosed hypertension and hypercholesterolemia among uninsured and insured adults in the Third National Health and Nutrition Examination SurveyJohn 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
Colorectal cancer screening disparities related to obesity and genderAllison B Rosen
Department of Health and Management, Harvard School of Public Health, Beth Israel Deaconess Medical Center, Brigham and Womens Hospital, Boston, Massachusetts 02215, USA
J Gen Intern Med 19:332-8. 2004..Obese women are less likely to undergo breast and cervical cancer screening than nonobese women. It is not known whether obesity is associated with a lower likelihood of colorectal cancer screening...
Hospitalized patients' participation and its impact on quality of care and patient safetySaul N Weingart
Center for Patient Safety, Dana Farber Cancer Institute, Boston, MA 02115, USA
Int J Qual Health Care 23:269-77. 2011..To understand the extent to which hospitalized patients participate in their care, and the association of patient participation with quality of care and patient safety...
Use of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in high-risk clinical and ethnic groups with diabetesAllison B Rosen
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
J Gen Intern Med 19:669-75. 2004..Angiotensin-converting enzyme inhibitors (ACE) and angiotensin receptor blockers (ARB) slow the progression of diabetic nephropathy, yet little is known about their use among patients at high risk for progression to ESRD...
Racial differences in cardiac revascularization rates: does "overuse" explain higher rates among white patients?E C Schneider
Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115
Ann Intern Med 135:328-37. 2001..Other studies suggest that these procedures are overused: that is, they are done for patients with clinically inappropriate indications...
Social disparities in cancer: lessons from a multidisciplinary workshopJoel S Weissman
Institute for Health Policy, Massachusetts General Hospital, and, Department of Health Care Policy, Harvard Medical School, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA
Cancer Causes Control 16:71-4. 2005..Noting the heterogeneous patterns of inequality across cancer types, the multiple underlying causes of disparities, and the role of the health care system itself, the authors call for an organized program of multidisciplinary research...
Associations between structural capabilities of primary care practices and performance on selected quality measuresMark W Friedberg
Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Ann Intern Med 151:456-63. 2009..Whether practices with these capabilities have higher performance on measures of primary care quality is unknown...
Disclosure of hospital adverse events and its association with patients' ratings of the quality of careLenny Lopez
MDiv, Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
Arch Intern Med 169:1888-94. 2009..Little is known about how the characteristics of adverse events (AEs) affect the likelihood of disclosure or how the disclosure of an AE relates to patients' perception of quality of care...
Publicly disclosed information about the quality of health care: response of the US publicE C Schneider
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
Qual Health Care 10:96-103. 2001..Efforts to measure and report information about quality should remain public, but may be most effective if they are targeted to the needs of institutional and individual providers of care...
Addressing racial and ethnic disparities in health care: using federal data to support local programs to eliminate disparitiesThomas D Sequist
Brigham and Women's Hospital, Division of General Medicine, 1620 Tremont Street, Boston, MA 02120, USA
Health Serv Res 41:1451-68. 2006..We describe recent developments that are likely to influence how these data can be used in the future and discuss how local programs could make use of these data...
Developing a system to assess the quality of cancer care: ASCO's national initiative on cancer care qualityEric C Schneider
Department of Health Policy Management, Harvard School of Public Health, Harvard University; Brigham and Women's Hospital, Boston, MA, USA
J Clin Oncol 22:2985-91. 2004
Do variations in provider discussions explain socioeconomic disparities in postmastectomy breast reconstruction?Caprice C Greenberg
Center for Surgery and Public Health, Division of Surgical Oncology, Brigham and Women s Hospital, Boston, MA 02115, USA
J Am Coll Surg 206:605-15. 2008..We investigated whether these differences reflect variations in the rate or qualitative aspects of the provider's discussion of reconstruction as an option...
Adverse events during hospitalization: results of a patient surveyFloyd J Fowler
Center for Survey Research, University of Massachusetts, Boston, USA
Jt Comm J Qual Patient Saf 34:583-90. 2008....
Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoodsMark W Friedberg
Division of General Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
Arch Intern Med 170:938-44. 2010..Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care...
The impact of pay-for-performance on health care quality in Massachusetts, 2001-2003Steven D Pearson
Clinical and Economic Review, Massachusetts General Hospital, Boston, USA
Health Aff (Millwood) 27:1167-76. 2008..Future research is required to determine whether changes to the magnitude, structure, or alignment of P4P incentives can lead to improved quality...
Readiness for the Patient-Centered Medical Home: structural capabilities of Massachusetts primary care practicesMark W Friedberg
Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
J Gen Intern Med 24:162-9. 2009..The extent to which different types of primary care practices have adopted these capabilities has not been previously studied...
Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?Joel S Weissman
Institute for Health Policy, Massachusetts General Hospital, Harvard School of Public Health, Dana Farber Cancer Institute, Boston, Massachusetts, USA
Ann Intern Med 149:100-8. 2008..Hospitals routinely survey patients about the quality of care they receive, but little is known about whether patient interviews can detect adverse events that medical record reviews do not...
Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomesThomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 23:1784-90. 2008..Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care...
Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen useKatherine L Kahn
RAND, Santa Monica, California 90407 2138, USA
Med Care 45:431-9. 2007..Among breast cancer patients, tamoxifen use is associated with reduced risk of disease relapse and death, but it is often difficult for women to sustain therapy during the 5 years required to obtain maximum benefit...
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...
Relationship between quality of care and racial disparities in Medicare health plansAmal N Trivedi
Department of Community Health, Brown University, Providence, RI, USA
JAMA 296:1998-2004. 2006..Therefore, plan-specific performance reports of racial disparities on outcome measures would provide useful information not currently conveyed by standard HEDIS reports...
Results of the National Initiative for Cancer Care Quality: how can we improve the quality of cancer care in the United States?Jennifer L Malin
RAND Corporation, Santa Monica, CA, USA
J Clin Oncol 24:626-34. 2006....
American Society of Clinical Oncology/National Comprehensive Cancer Network Quality MeasuresChristopher E Desch
National Comprehensive Cancer Network, Fort Washington, PA, USA
J Clin Oncol 26:3631-7. 2008..Representatives from the American Society of Clinical Oncology (ASCO) and the National Comprehensive Cancer Network (NCCN) collaborated to create metrics suitable for national performance measurement...
Measuring mortality outcomes to improve health care: rational use of ratings and rankingsEric C Schneider
Med Care 40:1-3. 2002
From motives to results: improving the effectiveness of quality improvementAshish K Jha
Am J Med 117:359-61. 2004
Research Grants
- Coverage, Organization of Care, and Colorectal ScreeningEric Schneider; Fiscal Year: 2004..Results of this study can guide the enactment of health policies that will increase rates of colorectal cancer screening and thereby reduce the incidence of colorectal cancer and its associated morbidity and mortality. ..
- Massachusetts Quality E-Measure Validation StudyEric Schneider; Fiscal Year: 2007....
