Research Topics
| L ShiSummaryAffiliation: Johns Hopkins Bloomberg School of Public Health Country: USA Publications
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Detail Information
Publications
Advancing primary care to promote equitable health: implications for ChinaLi Mei Hung
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 North Broadway, Baltimore, Maryland, USA
Int J Equity Health 11:2. 2012....
Development of the Chinese primary care assessment tool: data quality and measurement propertiesHui Yang
Johns Hopkins Primary Care Policy Center, 624 North Broadway, Room 409, Baltimore, MD 21205, USA
Int J Qual Health Care 25:92-105. 2013....
Income inequality, primary care, and health indicatorsL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
J Fam Pract 48:275-84. 1999....- Primary care, income inequality, and stroke mortality in the United States: a longitudinal analysis, 1985-1995Leiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 409, Baltimore, MD 21205, USA
Stroke 34:1958-64. 2003..The goal of this study was to test whether primary care reduces the impact of income inequality on stroke mortality... - Primary care quality: community health center and health maintenance organizationLeiyu Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
South Med J 96:787-95. 2003.... - The influence of English proficiency on access to careLeiyu Shi
Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD 21205, USA
Ethn Health 14:625-42. 2009..We assessed the impact of English language proficiency on access to medical care, accounting for health and socioeconomic status, using nationally representative data... - Primary care, race, and mortality in US statesLeiyu Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Soc Sci Med 61:65-75. 2005..The study provides evidence that primary care resources are associated with population health and could aid in reducing socioeconomic disparities in health... - Racial/ethnic and socioeconomic disparities in access to care and quality of care for US health center patients compared with non-health center patientsLeiyu Shi
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
J Ambul Care Manage 32:342-50. 2009..This study adds to growing evidence that health centers may also help eliminate racial/ethnic and socioeconomic disparities in access to care and quality of care... - Changes in medical care experiences of racial and ethnic groups in the United States, 1996-2002Leiyu Shi
Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Int J Health Serv 38:653-70. 2008..Disparities in medical care experience have increased for some groups, and efforts must be made to reduce financial and nonfinancial barriers to care for racial/ethnic minority populations... - Enhancing the measurement of health disparities for vulnerable populationsLeiyu Shi
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Maryland 21205, USA
J Public Health Manag Pract 14:S45-52. 2008..This research methodology can strengthen our existing knowledge of health disparities and aid in the recognition of points of intervention to successfully improve health and healthcare for vulnerable populations... - Public-private partnerships in community health centers: addressing the needs of underserved populationsLeiyu Shi
Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA
Organ Ethic 4:35-42. 2007..Finally, this article considers the continuing role of community health center public-private partnerships in the context of political and healthcare market shifts... - Primary care, infant mortality, and low birth weight in the states of the USAL Shi
Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 406, Baltimore, MD 21205, USA
J Epidemiol Community Health 58:374-80. 2004.... - Primary care experience and racial disparities in self-reported health statusLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205 1996, USA
J Am Board Fam Pract 17:443-52. 2004..Despite the well-established connections between good primary care and health, the scientific evidence on whether good primary care can reduce racial disparities in health is sparse... - Health center financial performance: national trends and state variation, 1998-2004Leiyu Shi
Johns Hopkins University Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland 21205, USA
J Public Health Manag Pract 13:133-50. 2007.... - Disparities in access to care and satisfaction among U.S. children: the roles of race/ethnicity and poverty statusLeiyu Shi
Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205 1996, USA
Public Health Rep 120:431-41. 2005..The study assessed the progress made toward reducing racial and ethnic disparities in access to health care among U.S. children between 1996 and 2000... - Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990Leiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 406, Baltimore, MD 21205, USA
Am J Public Health 95:674-80. 2005..We tested the association between the availability of primary care and income inequality on several categories of mortality in US counties... - Vulnerability and unmet health care needs. The influence of multiple risk factorsLeiyu Shi
Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA
J Gen Intern Med 20:148-54. 2005..Most studies have examined the independent effects of these risk factors for poor access, but more practical models are needed to account for the clustering of multiple risks... - Assessing the impact of the Health Center Growth Initiative on health center patientsLeiyu Shi
Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Primary Care Policy Center, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Public Health Rep 125:258-66. 2010..We examined the impact this initiative had on the number and types of patients seen by health centers, as well as the health center characteristics significantly associated with service expansions... - Access to medical care, dental care, and prescription drugs: the roles of race/ethnicity, health insurance, and incomeLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
South Med J 103:509-16. 2010..After accounting for socioeconomic factors and other demographic characteristics, racial/ethnic disparities in access to care were examined... - Vulnerability and the patient-practitioner relationship: the roles of gatekeeping and primary care performanceLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Am J Public Health 93:138-44. 2003.... - Physician practice characteristics and satisfaction: a rural-urban comparison of medical directors at U.S. Community and Migrant Health CentersL Shi
Johns Hopkins University, Health Policy and Management, School of Hygiene and Public Health, Baltimore, MD 21205 1996, USA
J Rural Health 14:346-56. 1998..Improving the working conditions and interactions with administrators would help sustain the high level of satisfaction experienced by medical directors at C/MHCs... - Gastrointestinal symptoms and use of medical care associated with child day care and health care plan among preschool childrenL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Pediatr Infect Dis J 18:596-603. 1999..This study examined whether out-of-home day care increases the risk of gastrointestinal symptoms for children <6 years of age and whether there is an association between gastrointestinal symptoms and medical care utilization... - Experience of primary care by racial and ethnic groups in the United StatesL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Med Care 37:1068-77. 1999..The purpose of this study was to examine the experience of primary care by racial and ethnic groups and identify aspects of primary care where significant disparities in experience exist across racial and ethnic groups... - Vulnerable populations and health insuranceL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Med Care Res Rev 57:110-34. 2000..Expecting managed care to achieve cost containment for services provided to vulnerable populations may be unrealistic... - The Children's Health Insurance Program: expanding the framework to evaluate state goals and performanceL Shi
Johns Hopkins University, USA
Milbank Q 78:403-46, 340-1. 2000..A broader conceptual framework is needed for policy makers, advocates, and researchers to make a full assessment of state goals and SCHIP performance... - Type of health insurance and the quality of primary care experienceL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, MD 21205 1996, USA
Am J Public Health 90:1848-55. 2000..This study examined the association between type of health insurance coverage and quality of primary care as measured by its distinguishing attributes--first contact, longitudinality, comprehensiveness, and coordination... - Primary care, social inequalities and all-cause, heart disease and cancer mortality in US counties: a comparison between urban and non-urban areasL Shi
Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 406, Baltimore, MD 21205, USA
Public Health 119:699-710. 2005.... - Characteristics of ambulatory care patients and services: a comparison of community health centers and physicians' officesLeiyu Shi
Johns Hopkins University, Bloomberg School of Public Health, Dept of Health Policy and Management, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
J Health Care Poor Underserved 21:1169-83. 2010..Results affirmed the significant role of CHCs as safety-net providers for vulnerable populations, and indicated that CHCs provide adequate care compared with POs although there remains room for improvement... - The effect of primary care physician supply and income inequality on mortality among blacks and whites in US metropolitan areasL Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, 624 N Broadway, Room 409, Baltimore, MD 21205 1996, USA
Am J Public Health 91:1246-50. 2001..This study assessed whether income inequality and primary care physician supply have a different effect on mortality among Blacks compared with Whites... - Cancer screening among racial/ethnic and insurance groups in the United States: a comparison of disparities in 2000 and 2008Leiyu Shi
Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD 21205, USA
J Health Care Poor Underserved 22:945-61. 2011..The uninsured continued to be at a disadvantage for all three types of cancer screening, relative to the privately insured, as were publicly insured individuals with respect to colorectal cancer screening... - US primary care delivery after the Health Center Growth Initiative: comparison of health centers, hospital outpatient departments, and physicians' officesLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
J Ambul Care Manage 35:60-74. 2012..Health centers performed processes of care with comparable or higher occurrence, relative to physicians' offices. Health care disparities were also attenuated in health centers, compared with other primary care settings... - The impact of managed care on the mix of vulnerable populations served by community health centersL Shi
Department of Health Policy and Management, School of Public Health and Hygiene, Johns Hopkins Primary Care Policy Center for the Underserved, The Johns Hopkins University, Baltimore, Maryland, USA
J Ambul Care Manage 24:51-66. 2001..The results suggest that the increase in Medicaid managed care patients may lead to a reduced capacity to care for the uninsured, thus hampering CHCs from expanding access to health care for the medically indigent... - The political context of social inequalities and healthV Navarro
Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Soc Sci Med 52:481-91. 2001..The data used in the study are largely from OECD health data for 1997 and 1998; the OECD statistical services; the comparative welfare state data set assembled by Huber, Ragin and Stephens; and the US Bureau of Labor Statistics... - Community Health Centers and racial/ethnic disparities in healthy lifeL Shi
Department of Health Policy and Management, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205-1996, USA
Int J Health Serv 31:567-82. 2001..The results indicate that while racial/ethnic disparities in health persist nationally, these disparities do not exist within CHCs, safety-net providers with an explicit mission to serve vulnerable populations... - The convergence of vulnerable characteristics and health insurance in the USL Shi
Department of Health Policy and Management, Primary Care Policy Center for the Underserved, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205 1996, USA
Soc Sci Med 53:519-29. 2001..A policy implication is to target limited resources on insurance coverage for the more vulnerable groups, those with a convergence or cluster of predisposing, enabling, and need attributes of risk... - Access to care for U.S. health center patients and patients nationally: how do the most vulnerable populations fare?Leiyu Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore, Maryland, USA
Med Care 45:206-13. 2007..Given recent budget cuts to the Medicaid program, health centers remain an important policy option to assure access to care for vulnerable populations... - The role of community health centers in delivering primary care to the underserved: experiences of the uninsured and Medicaid insuredLeiyu Shi
Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
J Ambul Care Manage 30:159-70. 2007..Health centers appear to fill an important gap in primary care for Medicaid and uninsured patients. Nonetheless, this study suggests that Medicaid insurance remains fundamental to accessing high-quality primary care, even within CHCs... - Primary care, self-rated health, and reductions in social disparities in healthLeiyu Shi
Department of Health Policy and Management, Johns Hopkins School of Public Health and Hygiene, Baltimore MD 21205-1996, USA
Health Serv Res 37:529-50. 2002..In conclusion, good primary-care experience is associated not only with improved self-rated overall and mental health but also with reductions in disparities between more- and less-disadvantaged communities in ratings of overall health... - Racial and ethnic disparities in the primary care experiences of children: a review of the literatureGregory D Stevens
Johns Hopkins University, Bloomberg School of Public Health, USA
Med Care Res Rev 60:3-30. 2003..Finally, the article proposes an agenda for further research into the pathways by which racial and ethnic disparities in primary care exist... - The medical home, access to care, and insurance: a review of evidenceBarbara Starfield
Department of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, Maryland, USA
Pediatrics 113:1493-8. 2004..A concerted attempt to provide a means of universal financial access as well as a medical home should be of high priority for the United States... - The relationship between primary care, income inequality, and mortality in US States, 1980-1995Leiyu Shi
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
J Am Board Fam Pract 16:412-22. 2003.... - The impact of primary care and what States can doBarbara Starfield
Johns Hopkins University, Baltimore, MD 21205, USA
N C Med J 68:204-7. 2007 - Racial and ethnic disparities in the quality of primary care for childrenGregory D Stevens
Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
J Fam Pract 51:573. 2002..This study compared the quality of primary care experienced specifically by children of different racial and ethnic groups... - Managed care, primary care, and the patient-practitioner relationshipChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
J Gen Intern Med 17:270-7. 2002.... - Vulnerability and the receipt of recommended preventive services: the influence of multiple risk factorsLeiyu Shi
Johns Hopkins University Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, Maryland, USA
Med Care 43:193-8. 2005..Without attention to such co-occurring risks, it is unlikely that substantial gains will be made in reducing disparities in the incidence of and mortality from the most common preventable diseases in the United States... - Policy relevant determinants of health: an international perspectiveBarbara Starfield
Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University, Room 452, 624 North Broadway, Baltimore, MD 21205 1996, USA
Health Policy 60:201-18. 2002.... - Effect of managed care on children's relationships with their primary care physicians: differences by raceGregory D Stevens
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway St, Room 661, Baltimore, MD 21205, USA
Arch Pediatr Adolesc Med 156:369-77. 2002..Few studies have examined this aspect of primary care quality for children, and none has examined the role of managed care in mediating disparities... - Contribution of primary care to health systems and healthBarbara Starfield
Johns Hopkins University, Baltimore, MD, USA
Milbank Q 83:457-502. 2005..The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups... - The effects of specialist supply on populations' health: assessing the evidenceBarbara Starfield
Johns Hopkins School of Public Health, Baltimore, Maryland, USA
Health Aff (Millwood) . 2005..Adverse effects from inappropriate or unnecessary specialist use may be responsible for the absence of relationship between specialist supply and mortality... - America's Health Centers: reducing racial and ethnic disparities in perinatal care and birth outcomesLeiyu Shi
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Health Serv Res 39:1881-901. 2004..Within CHCs, increasing first-trimester prenatal care use through perinatal care capacity may lead to further improvement in birth outcomes for the underserved... - Level of evidence of the value of care in federally qualified health centers for policy makingKevin Frick
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Prog Community Health Partnersh 1:75-82. 2007..Not all cost-effectiveness studies employ formal peer-reviewed methodologies. A review of the literature on CHCs' cost effectiveness is necessary to assess whether a higher level of evidence is needed to guide future policy... - Commentary: primary care and health outcomes: a health services research challengeBarbara Starfield
Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Health Serv Res 42:2252-6; discussion 2294-323. 2007 - Primary care access and quality: two sides of the same coinGregory D Stevens
Arch Pediatr Adolesc Med 158:185; author reply 185-6. 2004 - Health center trends, 1994-2001: what do they portend for the federal growth initiative?Ann S O'Malley
Center for Studying Health System Change, Washington, DC, USA
Health Aff (Millwood) 24:465-72. 2005..There were no disparities in visit-based preventive services delivery by race/ethnicity or insurance status. Continued growth under the initiative is likely to help reduce health disparities and improve care for the underserved... - Quantifying the health benefits of primary care physician supply in the United StatesJames Macinko
RWJ Health and Society Scholars Program, University of Pennsylavnia, Philadelphia 19104 6218, USA
Int J Health Serv 37:111-26. 2007..Pooled results for all-cause mortality suggest that an increase of one primary care physician per 10,000 population was associated with an average mortality reduction of 5.3 percent, or 49 per 100,000 per year... - Patient-provider racial and ethnic concordance and parent reports of the primary care experiences of childrenGregory D Stevens
Center for Healthier Children, Families and Communities, University of California, Los Angeles, Calif 90095 6939, USA
Ann Fam Med 1:105-12. 2003..It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's primary care experiences... - The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998James Macinko
Department of Health Administration and Planning, , Rio de Janeiro, Brazil
Health Serv Res 38:831-65. 2003..3) The proposed scale can also be used to monitor health reform efforts intended to improve primary care... - Wage inequality, the health system, and infant mortality in wealthy industrialized countries, 1970-1996James A Macinko
Department of Health Administration and Planning, National School of Public Health Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
Soc Sci Med 58:279-92. 2004..Results suggest that improving aspects of the healthcare system may be one way to partially compensate for the negative effects of social inequalities on population health... - Income inequality and health: a critical review of the literatureJames A Macinko
New York University, Steinhardt School of Education, USA
Med Care Res Rev 60:407-52. 2003..Future studies will require a more comprehensive model of health production that includes health system covariates, sufficient sample size, and adjustment for inconsistencies in income inequality data... - The future role of health centers in improving national healthRobert M Politzer
Office of Policy, Evaluation, and Data, Bureau of Primary Health Care, Health Resources and Services Administration, Bethesda, Maryland 20814, USA
J Public Health Policy 24:296-306. 2003..Continued expansion of the health center network to ensure primary care for those who remain underserved is both an effective and politically acceptable strategy to improve national health... - The need for real evidence in physician workforce decision making: a reply to Ed Salsberg (3/15/2005)Barbara Starfield
Health Aff (Millwood) . 2005