Research Topics
| Barbara StarfieldSummaryAffiliation: Johns Hopkins Bloomberg School of Public Health Country: USA Publications
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Publications
Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012Barbara Starfield
University Distinguished Professor, Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
Gac Sanit 26:20-6. 2012..Primary health care can now be measured and assessed; all innovations and enhancements in it must serve its essential features in order to be useful...- What role for public health in genetics and vice versa?Neil A Holtzman
Genetics and Public Policy Studies, Institute of Genetic Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21209, USA
Community Genet 9:8-20. 2006..Some epidemiologists and geneticists claim that integrating genetics into public health policies and programs is necessary and unavoidable... - The quality of media reports on discoveries related to human genetic diseasesNeil A Holtzman
Genetics and Public Policy Studies, Institute of Genetic Medicine, The Johns Hopkins Medical Institutions, Baltimore, MD 21209, USA
Community Genet 8:133-44. 2005..To examine (1) the quality of media reports (newspapers, television and public radio) of genetic discoveries with medical relevance and (2) factors related to the completeness and balance of the stories... - Management of hyperbilirubinemia: quality of evidence and costNeil A Holtzman
Department of Pediatrics and Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
Pediatrics 114:1086-8. 2004 - Ethical aspects of genetic testing in the workplaceNeil A Holtzman
Genetics and Public Policy Studies, Institute of Genetic Medicine, The Johns Hopkins Medical Institutions, Baltimore, MD 21205, USA
Community Genet 6:136-8. 2003..Workers or their representatives should be involved in deciding when and how genetic testing in the workplace is done... - The strange malady of Alessandro's uncleNeil A Tony Holtzman
McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21205, USA
BMJ 335:1306-7. 2007 - The Child Report Form of the CHIP-Child Edition: reliability and validityAnne W Riley
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Med Care 42:221-31. 2004..There is increasing recognition of the importance of obtaining children's reports of their health, but significant challenges must be overcome to do so in a systematic, population-based manner... - Predictors of children's healthcare use: the value of child versus parental perspectives on healthcare needsChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Med Care 42:232-8. 2004..The objective of this study was to examine the relationship between healthcare use and children's healthcare needs as assessed from the perspectives of children themselves, parents, and healthcare practitioners... - 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... - 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... - Primary care physician specialty referral decision making: patient, physician, and health care system determinantsChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Med Decis Making 26:76-85. 2006..To examine the effects of patient, physician, and health care system characteristics on primary care physicians' (PCPs') specialty referral decision making... - 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.... - 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 primary care physician workforce: ethical and policy implicationsBarbara Starfield
Johns Hopkins School of Public Health, Baltimore, MD, USA
Ann Fam Med 5:486-91. 2007..We undertook a study to examine the characteristics of countries exporting physicians to the United States according to their relative contribution to the primary care supply in the United States... - 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 Parent Report Form of the CHIP-Child Edition: reliability and validityAnne W Riley
Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Med Care 42:210-20. 2004.... - Comorbidity and the use of primary care and specialist care in the elderlyBarbara Starfield
Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, MD 21205, USA
Ann Fam Med 3:215-22. 2005..The purpose of this study was to determine the relationship between morbidity burden, comorbid conditions, and use of primary care and specialist services.. - 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... - Equity, social determinants, and children's rights: coming to grips with the challengesBarbara Starfield
Johns Hopkins School of Public Health, Baltimore, MD 21205, USA
Ambul Pediatr 5:134-7. 2005 - Comorbidity: implications for the importance of primary care in 'case' managementBarbara Starfield
Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD 21205, USA
Ann Fam Med 1:8-14. 2003..Although comorbidity is very common in the population, little is known about the types of health service that are used by people with comorbid conditions... - 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... - William Pickles Lecture. Primary and specialty care interfaces: the imperative of disease continuityBarbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Br J Gen Pract 53:723-9. 2003 - Multimorbidity and its measurementBarbara Starfield
Department of Health Policy and Management, Johns Hopkins University, 624 North Broadway, Baltimore, MD 21205, United States
Health Policy 103:3-8. 2011..In addition to its research uses, it is being employed in many countries in various applications as a policy to better understand health needs of populations and tailor health services resources to health needs... - Variability in physician referral decisionsBarbara Starfield
School of Public Health, Johns Hopkins University, Baltimore, USA
J Am Board Fam Pract 15:473-80. 2002..The impact of this variability on costs and outcome could be considerable and deserves more intensive study... - Ambulatory specialist use by nonhospitalized patients in us health plans: correlates and consequencesBarbara Starfield
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
J Ambul Care Manage 32:216-25. 2009..Controlling for differences in the degree of morbidity, receiving care from multiple specialists is associated with higher costs, more procedures, and more medications, independent of the number of visits and age of the patient... - U.S. child health: what's amiss, and what should be done about it?Barbara Starfield
Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, USA
Health Aff (Millwood) 23:165-70. 2004.... - 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... - 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 - Why is the grass greener?Barbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Baltimore, MD 21205, USA
BMJ 330:727-9. 2005 - 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 - Income redistribution is not enough: income inequality, social welfare programs, and achieving equity in healthBarbara Starfield
Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, Maryland, USA
J Epidemiol Community Health 61:1038-41. 2007..A health system oriented around a strong primary care base is an example of such a strategy... - Access, primary care, and the medical home: rights of passageBarbara Starfield
Johns Hopkins University, Baltimore, Maryland 21205, USA
Med Care 46:1015-6. 2008 - [Primary health care and responsibilities of public health in 6 countries of Europe and North America: a pilot study]Barbara Starfield
Johns Hopkins School of Public Health, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Rev Esp Salud Publica 78:17-26. 2004..In order to know the locus of responsibility for various types of preventive activities, we undertook an inquiry on eight areas in six countries from Europe and North America... - Managed health plan effects on the specialty referral process: results from the Ambulatory Sentinel Practice Network referral studyChristopher B Forrest
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Med Care 41:242-53. 2003..This study examines the influence of gatekeeping arrangements and capitated primary care physician (PCP) payment on the specialty referral process in primary care settings... - Prevalence, expenditures, and complications of multiple chronic conditions in the elderlyJennifer L Wolff
Department of Health Policy and Management, The Johns Hopkins University Bloomberg School of Public Health, 624 N Broadway, Room 304, Baltimore, MD 21205, USA
Arch Intern Med 162:2269-76. 2002..Better primary care, especially coordination of care, could reduce avoidable hospitalization rates, especially for individuals with multiple chronic conditions... - Global health, equity, and primary careBarbara Starfield
Johns Hopkins University and Medical Institutions, Baltimore, MD 21205, USA
J Am Board Fam Med 20:511-3. 2007..World organizations of primary care physicians need to take up the challenge before it becomes a crisis... - Pathways of influence on equity in healthBarbara Starfield
Johns Hopkins School of Hygiene and Public Health, Baltimore, USA
Soc Sci Med 64:1355-62. 2007..It makes the case for a conceptualization of influences on equity that explicitly includes distribution of health as an outcome as well as characteristics of the society as influences... - Primary care and specialty care: a role reversal?Barbara Starfield
Johns Hopkins School of Public Health, Baltimore, Maryland 21205, USA
Med Educ 37:756-7. 2003 - Houseofficers' reactions to media coverage about the sequencing of the human genomeGail Geller
Genetics and Public Policy Studies, School of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
Soc Sci Med 56:2211-20. 2003..However, this will require that physicians develop an appreciation of the newsmaking process, and how subtle interactions between politics, the media and science influence the "framing" of media coverage... - On continuity of care in pediatric trainingBarbara Starfield
Department of Health Policy, Johns Hopkins School of Public Health, 624 N Broadway, Room 452, Baltimore, MD 21205, USA
Pediatrics 114:1082. 2004 - An international perspective on the basis for payment for performanceBarbara Starfield
Department of Health Policy and Management, Johns Hopkins University, 624 North Broadway, Room 452, Baltimore, MD 21205, USA
Qual Prim Care 18:399-404. 2010..Attention to resolution of patients' problems is an important aim of quality improvement activities. Alternative modes of improving patient care may be better than the QOF... - Quality and outcomes framework: patient-centred?Barbara Starfield
Department of Health Policy and Management, School of Hygiene and Public Health, Baltimore, MD 21205, USA
Lancet 372:692-4. 2008 - A case for government ownership of primary care services in New Zealand: weighing the argumentsPeter Crampton
Johns Hopkins University, USA
Int J Health Serv 34:709-27. 2004..The authors argue that private organizations that lack community governance have a lesser role... - Family physicians' referral decisions: results from the ASPN referral studyChristopher B Forrest
Health Services Research and Development Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
J Fam Pract 51:215-22. 2002..To examine family physicians' referral decisions, which we conceptualized as having 2 phases: whether to refer followed by to whom to refer... - Equity and health: a perspective on nonrandom distribution of health in the populationBarbara Starfield
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
Rev Panam Salud Publica 12:384-7. 2002.... - Primary care and genetic services. Health care in evolutionBarbara Starfield
Johns Hopkins University, Baltimore, USA
Eur J Public Health 12:51-6. 2002..Several models for dealing with these challenges are presented, including algorithms that aid in recognizing genetic problems... - Foreward. Improving children's health. How population-based research can inform policy--the Manitoba experienceBarbara Starfield
Johns Hopkins Bloomberg School of Public Health and School of Medicine, Baltimore, Maryland, USA
Can J Public Health 93:S7. 2002 - 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... - Scientists' and science writers' experiences reporting genetic discoveries: toward an ethic of trust in science journalismGail Geller
Phoebe Berman Bioethics Institute, Johns Hopkins University, Baltimore, Maryland 21205, USA
Genet Med 7:198-205. 2005..Future research should systematically explore ways to cultivate such relationships and assess their impact on the quality of science journalism... - The media and public reaction to genetic researchGail Geller
Johns Hopkins University, Baltimore, MD, USA
JAMA 287:773. 2002 - Perceptions of reproductive risk and carrier testing among adolescent sisters of males with chronic granulomatous diseaseCynthia A James
Division of Cardiology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287 0409, USA
Am J Med Genet C Semin Med Genet 119:60-9. 2003..Published 2003 Wiley-Liss, Inc... - Mapping the human genome: an assessment of media coverage and public reactionEllen S Tambor
Department of Health Policy and Management, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Genet Med 4:31-6. 2002..CONCLUSIONS: These findings highlight the need for continued public discourse, including through the media, to address concerns regarding the Human Genome Project... - How does the mode of inheritance of a genetic condition influence families? A study of guilt, blame, stigma, and understanding of inheritance and reproductive risks in families with X-linked and autosomal recessive diseasesCynthia A James
Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA
Genet Med 8:234-42. 2006..05). CONCLUSION: When providing genetic counseling, attention should be given to guilt and blame in X-linked families and understanding reproductive risks in autosomal recessive families... - Physicians' propensity to offer genetic testing for Alzheimer's disease: results from a surveyGary A Chase
Department of Biostatistics and Research Epidemiology, Henry Ford Health Sciences Center, Johns Hopkins University School of Mediicne, Baltimore, MD, USA
Genet Med 4:297-303. 2002..However, insufficient knowledge of disease risk, etiology, genetic susceptibility, and use of existing tests indicated a need for further physician education in this area... - Adoption of liquid-based cervical cancer screening tests by family physicians and gynecologistsKaren M Rappaport
Department of Pediatrics, Johns Hopkins Medical Institutions, Genetics and Public Policy Studies, Baltimore, MD 21205, USA
Health Serv Res 39:927-47. 2004..Commercial marketing campaigns appear to contribute to the more rapid rate of diffusion of technology among specialists compared with generalists...