Research Topics
| Stephen SoumeraiSummaryAffiliation: Harvard University Country: USA Publications
Research Grants
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Detail Information
Publications
Clinical and economic consequences of reference pricing for dihydropyridine calcium channel blockersSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass 02120, USA
Clin Pharmacol Ther 74:388-400. 2003....
Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: a cross sectional studyAlyce S Adams
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 3:6. 2003..The purpose of the current study was to examine the relationship between patient characteristics and self-monitoring in a large health maintenance organization (HMO) using test strips as objective measures of self-monitoring practice...- Racial differences in long-term adherence to oral antidiabetic drug therapy: a longitudinal cohort studyConnie M Trinacty
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 9:24. 2009..Adherence differences may contribute to health disparities for black diabetes patients, including higher microvascular event rates, greater complication-related disability, and earlier mortality... - Timeliness and quality of care for elderly patients with acute myocardial infarction under health maintenance organization vs fee-for-service insuranceS B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
Arch Intern Med 159:2013-20. 1999..A commonly voiced concern is that health maintenance organizations (HMOs) may withhold or delay the provision of urgent, essential care, especially for vulnerable patients like the elderly... - Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefitStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
Arch Intern Med 166:1829-35. 2006..Prior to implementation of the Medicare drug benefit, we estimated the prevalence of cost-related medication nonadherence (CRN) among Medicare enrollees, including elderly and nonelderly disabled beneficiaries... - Effects of health maintenance organization coverage of self-monitoring devices on diabetes self-care and glycemic controlStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 164:645-52. 2004..We evaluated whether a policy providing free blood glucose monitors increased SMBG and whether initiating SMBG was associated with increased regularity of medication use and improved glucose control (hemoglobin A(1c) [HbA(1c)] level)... - Unintended outcomes of medicaid drug cost-containment policies on the chronically mentally illStephen Soumerai
Harvard Medical School and Harvard Pilgrim Healthcare, Boston, Mass 02215, USA
J Clin Psychiatry 64:19-22. 2003..Vulnerable populations are most likely to experience adverse effects from hastily-applied drug cost-containment policies, and resulting compensatory measures may create more expenses than the policy removes... - Lack of relationship between long-term use of benzodiazepines and escalation to high dosagesStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Psychiatr Serv 54:1006-11. 2003..The objective of this study was to determine whether long-term benzodiazepine use is associated with dose escalation... - Effectiveness of thrombolytic therapy for acute myocardial infarction in the elderly: cause for concern in the old-oldStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Intern Med 162:561-8. 2002.... - Racial disparities in access after regulatory surveillance of benzodiazepinesSallie-Anne Pearson
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Arch Intern Med 166:572-9. 2006..The policy may have resulted in an unintended decrease in nonproblematic use that disproportionately affects black populations... - Reduced risk of neonatal respiratory infections among breastfed girls but not boysAnushua Sinha
Channing Laboratory, Department of Medicine, Harvard Medical School and Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Pediatrics 112:e303. 2003..We therefore chose respiratory tract infections diagnosed after nursery discharge as representative of neonatal community-acquired infection and studied the impact of breastfeeding on this neonatal infection syndrome... - Interventions designed to improve the quality and efficiency of medication use in managed care: a critical review of the literature - 2001-2007Christine Y Lu
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 8:75. 2008..The objective of this research was to update a previous systematic review of interventions, published between 1966 and 2001, to improve the quality and efficiency of medication use in the US managed care setting... - Patients at-risk for cost-related medication nonadherence: a review of the literatureBecky A Briesacher
Division of Geriatric Medicine and Meyers Primary Care Institute, University of Massachusetts Medical School, Biotech Four, Suite 315, 377 Plantation Street, Worcester, MA 01605, USA
J Gen Intern Med 22:864-71. 2007..This review examined the empirical literature to identify patient-, medication-, and provider-level factors that influence the relationship between medication adherence and medication costs... - Strategies for coping in a complex world: adherence behavior among older adults with chronic illnessRachel A Elliott
School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, United Kingdom
J Gen Intern Med 22:805-10. 2007..Increasing numbers of medicines increase nonadherence. Little is known about how older adults manage multiple medicines for multiple illnesses... - Cost-effectiveness of schizophrenia pharmacotherapyStephen B Soumerai
Am J Psychiatry 164:678; author reply 678-9. 2007 - Emergency department use and subsequent hospitalizations among members of a high-deductible health planJ Frank Wharam
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
JAMA 297:1093-102. 2007..High-deductible health plans have been promoted as a means of reducing overutilization but could also be related to worse outcomes if patients defer necessary care... - Relationship between patient medication adherence and subsequent clinical inertia in type 2 diabetes glycemic managementRichard Grant
General Medicine Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 30:807-12. 2007..We assessed the relationship between patients' initial medication adherence and subsequent regimen intensification among patients with persistently elevated A1C levels... - Effect of New York State regulatory action on benzodiazepine prescribing and hip fracture ratesAnita K Wagner
Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Ann Intern Med 146:96-103. 2007..Medicare Part D excludes benzodiazepines from coverage, and numerous state government policies limit use of benzodiazepines. No data indicate that such policies have decreased the incidence of hip fracture... - Economic analysis of a randomized trial of academic detailing interventions to improve use of antihypertensive medicationsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 9:15-20. 2007..Information on costs of academic detailing could assist with health plan decision making in developing interventions to improve prescribing... - Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older peopleSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics, Harvard Medical School and Harvard Pilgrim Healthcare, Boston, MA 02215, USA
J Am Geriatr Soc 54:963-8. 2006.... - The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluationDavid H Smith
Kaiser Permanente Center for Health Research, Portland, OR 97227, USA
Arch Intern Med 166:1098-104. 2006..The objective of this study was to examine the effects of computerized provider order entry with clinical decision support in reducing the use of potentially contraindicated agents in elderly persons... - Racial differences in impact of coverage on diabetes self-monitoring in a health maintenance organizationConnie A Mah
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 44:392-7. 2006..Insurance coverage of patient self-management devices like self-monitoring blood glucose (SMBG) equipment may help to reduce race-related barriers to effective care... - Depression and cost-related medication nonadherence in Medicare beneficiariesKara Zivin Bambauer
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Arch Gen Psychiatry 64:602-8. 2007.... - Do newer prescription drugs pay for themselves? A reassessment of the evidenceYuting Zhang
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 26:880-6. 2007..More rigorous research on specific drugs and conditions is necessary before one can claim that newer drugs lower total health care costs... - Medicare beneficiaries and free prescription drug samples: a national surveyJennifer Tjia
Meyers Primary Care Institute, Fallon Clinic Foundation, Worcester, MA, USA
J Gen Intern Med 23:709-14. 2008..Little is known about the prevalence of patient activity in requesting or receiving free prescription drug samples, or the characteristics of patients who access drug samples... 
Reliability of new measures of cost-related medication nonadherenceMarsha Pierre-Jacques
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 46:444-8. 2008..Although several national studies have attempted to measure medication nonadherence due to cost in cross-sectional studies of the elderly and disabled, little information exists on the psychometric properties of these measures over time...- Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part DJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, Massachusetts 02215, USA
JAMA 299:1922-8. 2008..Cost-related medication nonadherence (CRN) has been a persistent problem for individuals who are elderly and disabled in the United States. The impact of Medicare prescription drug coverage (Part D) on CRN is unknown... - Effect of prior authorization of second-generation antipsychotic agents on pharmacy utilization and reimbursementsMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Psychiatr Serv 59:540-6. 2008..Twenty-two states restrict particular dosing forms (injections). This study examined the impact of such restrictions... - A longitudinal study of medication nonadherence and hospitalization risk in schizophreniaMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School, and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
J Clin Psychiatry 69:47-53. 2008..However, such analyses typically measure adherence averaged over long time periods. We investigated the temporal relationship between nonadherence and hospitalization risk using a daily measure of medication availability... - Medication adherence and racial differences in A1C controlAlyce S Adams
Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 31:916-21. 2008..The purpose of this study was to examine medication adherence and other self-management practices as potential determinants of higher glycemic risk among black relative to white patients... - Impact of a 16-community trial to promote judicious antibiotic use in MassachusettsJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor Boston, MA 02215, USA
Pediatrics 121:e15-23. 2008..In addition, we sought to compare the intervention's impact on commercially and Medicaid-insured children... - Racial differences in long-term self-monitoring practice among newly drug-treated diabetes patients in an HMOConnie Mah Trinacty
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
J Gen Intern Med 22:1506-13. 2007..However, minority patients may encounter barriers to better self-care even within settings where variations in quality of care and insurance are minimized... - Impact of a hospitalist system on length of stay and cost for children with common conditionsRajendu Srivastava
Department of Pediatrics, University of Utah Health Sciences Center, 100 N Medical Dr, Primary Children s Medical Center, Salt Lake City, UT 84113, USA
Pediatrics 120:267-74. 2007..This study examined mechanisms of efficiency in a managed care hospitalist system on length of stay and total costs for common pediatric conditions... - Medicaid prior authorization and controlled-release oxycodoneNancy E Morden
Department of Community and Family Medicine, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire 03766, USA
Med Care 46:573-80. 2008..To control use and expenditures, many Medicaid programs have implemented CR oxycodone prior authorization (PA) policies. Few studies evaluate Medicaid policies or compare lenient and strict policies in multiple states... - Provider and patient characteristics associated with antidepressant nonadherence: the impact of provider specialtyKara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
J Clin Psychiatry 68:867-73. 2007.... - Effect of illicit direct to consumer advertising on use of etanercept, mometasone, and tegaserod in Canada: controlled longitudinal studyMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
BMJ 337:a1055. 2008..To assess the impact of direct to consumer advertising of prescription drugs in the United States on Canadian prescribing rates for three heavily marketed drugs-etanercept, mometasone, and tegaserod... - Physician alerts to increase antidepressant adherence: fax or fiction?Kara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Arch Intern Med 166:498-504. 2006..However, the efficacy of such interventions for improving adherence among patients treated for depression is unknown... - Benefits and consequences for the poor and the disabledRachel A Elliott
University of Manchester, Manchester, United Kingdom
N Engl J Med 353:2739-41. 2005 - Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Health Serv Res 40:1737-57. 2005..Benefits of practice-level interventions may accrue disproportionately to the subgroup of trial enrollees. The effect of such interventions may be less apparent at the level of practices or health plans... - Chronic acid-related disorders are common and underinvestigatedSumit R Majumdar
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Am J Gastroenterol 98:2409-14. 2003..Nevertheless, according to current practice guidelines, our patients were underinvestigated. Future guidelines should specifically address the management of patients who use acid suppressing medications on a chronic basis... - Changing medication use in managed care: a critical review of the available evidenceSallie-Anne Pearson
Harvard Medical School, Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Am J Manag Care 9:715-31. 2003..Few well-designed, published studies have assessed the efficacy or safety of financial incentives for physicians, tiered copayments for patients, or formularies--despite their widespread use... - Synergy between publication and promotion: comparing adoption of new evidence in Canada and the United StatesSumit R Majumdar
Division of Genral Internal Medicine, Department of Medicine, University of Alberta, Edmonton, Canada
Am J Med 115:467-72. 2003.... - Effects of state surveillance on new post-hospitalization benzodiazepine useAnita K Wagner
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 15:423-31. 2003..Benzodiazepines (BZD) effectively treat anxiety and insomnia accompanying major health events, including hospitalizations. Prescribing regulations to decrease BZD misuse may negatively impact therapeutic uses... - Physician gender and changes in drug prescribing after the implementation of reference pricing in British ColumbiaMargreet S Duetz
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
Clin Ther 25:273-84. 2003..However, these differences are unlikely to have meaningful clinical or economic consequences... - Effects on breastfeeding of changes in maternity length-of-stay policy in a large health maintenance organizationJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Pediatrics 111:519-24. 2003..CONCLUSIONS: Early postpartum discharge with outpatient breastfeeding support and a home visitor program has no adverse effects on initiation or continuation of breastfeeding... - Effects of a law against early postpartum discharge on newborn follow-up, adverse events, and HMO expendituresJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
N Engl J Med 347:2031-8. 2002..After the mandate, newborns were less likely to be examined as recommended on day 3 or 4. Because of changes in hospital prices, the two policies had minimal effects on HMO expenditures for hospital and home-based services... - Quasi-experimental longitudinal designs to evaluate drug benefit policy changes with low policy complianceSebastian Schneeweiss
Divison of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 221 Longwood Ave BLI 341, Boston, MA 02115, USA
J Clin Epidemiol 55:833-41. 2002..Results from nonrandomized comparisons of subgroups defined by their compliance to a policy change should generally be interpreted cautiously, and several biases should be explored... - Impact of a health maintenance organization hospitalist system in academic pediatricsChristopher P Landrigan
Department of Medicine, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Pediatrics 110:720-8. 2002..We wanted to determine whether a health maintenance organization's (HMO's) implementation of a pediatric hospitalist system affected LOS, costs, mortality, readmission rate, follow-up rate, and parents' ratings of care... - Impact of reference-based pricing for angiotensin-converting enzyme inhibitors on drug utilizationSebastian Schneeweiss
Department of Epidemiology, Harvard School of Public Health, Boston, Mass, USA
CMAJ 166:737-45. 2002..The objective of this study was to analyze the effect of reference-based pricing of angiotensin-converting enzyme (ACE) inhibitors on drug utilization, cost savings and potential substitution with other medication classes... - Prescription duration after drug copay changes in older people: methodological aspectsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, 221 Longwood Ave, Boston, MA 02115, USA
J Am Geriatr Soc 50:521-5. 2002..Reference pricing, a copayment for expensive medications above a fixed limit, for angiotensin-converting enzyme(ACE) inhibitors in older British Columbia residents, is used as a case example... - Benefits and risks of increasing restrictions on access to costly drugs in MedicaidStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, USA
Health Aff (Millwood) 23:135-46. 2004..The current exponential growth in such policies and the limited evidence base justifies investment in research to identify which policies can achieve savings without unintended consequences... - A retrospective data analysis of the impact of the New York triplicate prescription program on benzodiazepine use in medicaid patients with chronic psychiatric and neurologic disordersLinda Simoni-Wastila
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Clin Ther 26:322-36. 2004..In January 1989, New York implemented regulations requiring physicians to order benzodiazepines using state-monitored triplicate prescription forms... - Net health plan savings from reference pricing for angiotensin-converting enzyme inhibitors in elderly British Columbia residentsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120, USA
Med Care 42:653-60. 2004..Critics argued that drug plan savings are offset by administrative costs and increased spending on other health services... - FDA drug prescribing warnings: is the black box half empty or half full?Anita K Wagner
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Pharmacoepidemiol Drug Saf 15:369-86. 2006..The purpose of the present study was to assess the frequency of use of BBW medications in ambulatory care and prescribing compliance with BBW recommendations... - Effect of increased cost-sharing on oral hypoglycemic use in five managed care organizations: how much is too much?Douglas W Roblin
Research Department, Kaiser Permanente, Atlanta, Georgia 30305, and the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Med Care 43:951-9. 2005..For patients with a chronic disease, increased cost-sharing for medications may lead to unintended consequences, including reduced use of medications essential for control of their disease... - The exclusion of benzodiazepine coverage in medicare: simple steps for avoiding a public health crisisKara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Psychiatr Serv 56:1143-6. 2005 - Effect of switching antipsychotics on antiparkinsonian medication use in schizophrenia: population-based studySylvia Park
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Br J Psychiatry 187:137-42. 2005..The extent to which atypical antipsychotics have a lower incidence of extrapyramidal symptoms than typical antipsychotics has not been well-evaluated in community practice... - Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: a cluster-randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue 6th Floor, Boston, MA 02215, USA
Am J Med 118:521-8. 2005..To compare group versus individual academic detailing to increase diuretic or beta-blocker use in hypertension... - Failure of Internet-based audit and feedback to improve quality of care delivered by primary care residentsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 17:427-31. 2005..To determine the effectiveness of Internet-based audit and feedback to physicians to improve care for diabetes and hypertension... - Does antidepressant adherence have an effect on glycemic control among diabetic antidepressant users?Kara Z Bambauer
Dept of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Int J Psychiatry Med 34:291-304. 2004..To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting... - Systematic review: the relationship between clinical experience and quality of health careNiteesh K Choudhry
Harvard Medical School and Harvard Pilgrim Health Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
Ann Intern Med 142:260-73. 2005..However, evidence suggests that there is an inverse relationship between the number of years that a physician has been in practice and the quality of care that the physician provides... - Potentially inappropriate medication use by elderly persons in U.S. Health Maintenance Organizations, 2000-2001Steven R Simon
HMO Research Network, Center for Education and Research on Therapeutics, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:227-32. 2005..To determine rates of potentially inappropriate medication use in elderly persons in managed care plans in the United States in 2000-2001... - How to design computerized alerts to safe prescribing practicesAdrianne Feldstein
Center for Health Research, Kaiser Permanente, Portland, Oregon, USA
Jt Comm J Qual Saf 30:602-13. 2004..This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts... - A controlled study of the effects of state surveillance on indicators of problematic and non-problematic benzodiazepine use in a Medicaid populationDennis Ross-Degnan
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Int J Psychiatry Med 34:103-23. 2004..CONCLUSIONS: State-mandated physician surveillance dramatically reduces BZ use with limited substitution of alternative drugs, lowers rates of possible abuse, but may severely limit non-problematic BZ use... - A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II StudyPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 158:875-83. 2004..Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines... - Outcomes of reference pricing for angiotensin-converting-enzyme inhibitorsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 346:822-9. 2002..Although reference pricing may reduce the costs of prescription drugs, there is concern that patients may switch to less effective medications or stop treatment...
Research Grants
- Drug Cost Containment Changes and Quality of Care for Mentally Ill Dual EnrolleesStephen Soumerai; Fiscal Year: 2009..In Aim 3 we will use both designs to examine the impact of the policy changes among at-risk subgroups (defined by somatic comorbidities and minority status) of patients with schizophrenia and bipolar disorder. ..
- Impact of Medicare Drug Benefit on Use and Cost-related Underuse of MedicinesStephen Soumerai; Fiscal Year: 2009..The proposed longitudinal research will measure the impact of the MMA on cost-related barriers in access to appropriate drug therapy among poor, near-poor, and chronically ill seniors. ..
- Impact of Medicare Drug Benefit on Use and Cost-related Underuse of MedicinesStephen Soumerai; Fiscal Year: 2007..The proposed longitudinal research will measure the impact of the MMA on cost-related barriers in access to appropriate drug therapy among poor, near-poor, and chronically ill seniors. ..
- Impact of Prior Approval for Antidepressants in MedicaidStephen Soumerai; Fiscal Year: 2007..All analyses will be stratified by type of disability (mental, physical, developmental). ..
- Cost-Related Underuse of Medications in the ElderlyStephen Soumerai; Fiscal Year: 2006....
- Reducing benzodiazepines and hip fracture in the elderlyStephen Soumerai; Fiscal Year: 2004..Phase II analyses will also contribute a novel method for evaluating health outcomes of changes in medication use in large populations. ..
- Drug Cost Containment Changes and Quality of Care for Mentally Ill Dual EnrolleesStephen B Soumerai; Fiscal Year: 2010..In Aim 3 we will use both designs to examine the impact of the policy changes among at-risk subgroups (defined by somatic comorbidities and minority status) of patients with schizophrenia and bipolar disorder. ..