Yu Chu Shen

Summary

Affiliation: Naval Postgraduate School
Country: USA

Publications

  1. doi request reprint Can major systematic reviews influence practice patterns? A case study of episiotomy trends
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, 555 Dyer Road, Code GB, Monterey, CA, 93943, USA
    Arch Gynecol Obstet 288:1285-93. 2013
  2. pmc Effects of Iraq/Afghanistan deployments on major depression and substance use disorder: analysis of active duty personnel in the US military
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Am J Public Health 102:S80-7. 2012
  3. pmc Does decreased access to emergency departments affect patient outcomes? Analysis of acute myocardial infarction population 1996-2005
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, National Bureau of Economic Research, 555 Dyer Road, Monterey, CA 93943, USA
    Health Serv Res 47:188-210. 2012
  4. doi request reprint The effect of soft budget constraints on access and quality in hospital care
    Yu Chu Shen
    Naval Postgraduate School, Monterey, CA, USA
    Int J Health Care Finance Econ 9:211-32. 2009
  5. doi request reprint Do HMO and its for-profit expansion jeopardize the survival of hospital safety net services?
    Yu Chu Shen
    Naval Postgraduate School, Monterey, CA, USA
    Health Econ 18:305-20. 2009
  6. pmc Understanding the risk factors of trauma center closures: do financial pressure and community characteristics matter?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Med Care 47:968-78. 2009
  7. ncbi request reprint Hospital ownership and financial performance: what explains the different findings in the empirical literature?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Code GB, 555 Dyer Road, Monterey, CA 93943, USA
    Inquiry 44:41-68. 2007
  8. pmc Trends in hospital cost and revenue, 1994-2005: how are they related to HMO penetration, concentration, and for-profit ownership?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Naval Postgraduate School, 555 Dyer Road, Monterey, CA 93943, USA
    Health Serv Res 45:42-61. 2010
  9. ncbi request reprint Out-of-pocket health spending between low-and higher-income populations: who is at risk of having high expenses and high burdens?
    Yu Chu Shen
    National Bureau of Economic Research and Naval Postgraduate School, Monterey, CA 93943, USA
    Med Care 44:200-9. 2006
  10. pmc Changes in emergency department access between 2001 and 2005 among general and vulnerable populations
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Am J Public Health 100:1462-9. 2010

Detail Information

Publications28

  1. doi request reprint Can major systematic reviews influence practice patterns? A case study of episiotomy trends
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, 555 Dyer Road, Code GB, Monterey, CA, 93943, USA
    Arch Gynecol Obstet 288:1285-93. 2013
    ..In 2005, a major systematic review conducted by Hartmann and colleagues recommended against routine use of episiotomy and was widely covered in the media. We assessed the impact of the Hartman et al. study on episiotomy trend...
  2. pmc Effects of Iraq/Afghanistan deployments on major depression and substance use disorder: analysis of active duty personnel in the US military
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Am J Public Health 102:S80-7. 2012
    ..Our objective was to analyze the association between deployment characteristics and diagnostic rates for major depression and substance use disorder among active duty personnel...
  3. pmc Does decreased access to emergency departments affect patient outcomes? Analysis of acute myocardial infarction population 1996-2005
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, National Bureau of Economic Research, 555 Dyer Road, Monterey, CA 93943, USA
    Health Serv Res 47:188-210. 2012
    ..We analyze whether decreased emergency department (ED) access results in adverse patient outcomes or changes in the patient health profile for patients with acute myocardial infarction (AMI)...
  4. doi request reprint The effect of soft budget constraints on access and quality in hospital care
    Yu Chu Shen
    Naval Postgraduate School, Monterey, CA, USA
    Int J Health Care Finance Econ 9:211-32. 2009
    ..We find that hospitals with softer budget constraints are less likely to shut down safety net services. In addition, hospitals with softer budget constraints appear to have better mortality outcomes for elderly heart attack patients...
  5. doi request reprint Do HMO and its for-profit expansion jeopardize the survival of hospital safety net services?
    Yu Chu Shen
    Naval Postgraduate School, Monterey, CA, USA
    Health Econ 18:305-20. 2009
    ..Policies evaluating the for-profit expansion or ownership conversion of health plans should take this potential adverse effect into consideration...
  6. pmc Understanding the risk factors of trauma center closures: do financial pressure and community characteristics matter?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Med Care 47:968-78. 2009
    ..We analyze whether hazard rates of shutting down trauma centers are higher due to financial pressures or in areas with vulnerable populations (such as minorities or the poor)...
  7. ncbi request reprint Hospital ownership and financial performance: what explains the different findings in the empirical literature?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Code GB, 555 Dyer Road, Monterey, CA 93943, USA
    Inquiry 44:41-68. 2007
    ..Studies with fewer than 200 observations also produce larger point estimates and wide confidence intervals...
  8. pmc Trends in hospital cost and revenue, 1994-2005: how are they related to HMO penetration, concentration, and for-profit ownership?
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Naval Postgraduate School, 555 Dyer Road, Monterey, CA 93943, USA
    Health Serv Res 45:42-61. 2010
    ..Analyze trends in hospital cost and revenue, as well as price and quantity (1994-2005) as a function of health maintenance organization (HMO) penetration, HMO concentration, and for-profit (FP) HMO market share...
  9. ncbi request reprint Out-of-pocket health spending between low-and higher-income populations: who is at risk of having high expenses and high burdens?
    Yu Chu Shen
    National Bureau of Economic Research and Naval Postgraduate School, Monterey, CA 93943, USA
    Med Care 44:200-9. 2006
    ..We studied the effects of health insurance, health care needs, and demographic and area characteristics on out-of-pocket health care spending for low and higher income insured populations...
  10. pmc Changes in emergency department access between 2001 and 2005 among general and vulnerable populations
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA 93943, USA
    Am J Public Health 100:1462-9. 2010
    ..We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities...
  11. doi request reprint Association between ambulance diversion and survival among patients with acute myocardial infarction
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, 555 Dyer Rd, Code GB, Monterey, CA 93943, USA
    JAMA 305:2440-7. 2011
    ..However, there is little empirical evidence to show whether diversion is associated with worse patient outcomes...
  12. ncbi request reprint The effects of HMO ownership on hospital costs and revenues: is there a difference between for-profit and nonprofit plans?
    Yu Chu Shen
    Health Policy Center, Urban Institute, USA
    Inquiry 41:255-67. 2004
    ....
  13. pmc Rising closures of hospital trauma centers disproportionately burden vulnerable populations
    Renee Yuen Jan Hsia
    San Francisco General Hospital, CA, USA
    Health Aff (Millwood) 30:1912-20. 2011
    ....
  14. ncbi request reprint The effect of hospital ownership choice on patient outcomes after treatment for acute myocardial infarction
    Yu Chu Shen
    Health Policy Center, The Urban Institute, Washington, DC 20037, USA
    J Health Econ 21:901-22. 2002
    ..The findings are robust, whether I use the entire sample or subsamples of hospitals that share similar hospital and market characteristics...
  15. doi request reprint Reductions in Medicare payments and patient outcomes: an analysis of 5 leading Medicare conditions
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA National Bureau of Economic Research, Cambridge, MA Sol Price School of Public Policy, University of Southern California, Los Angeles, CA
    Med Care 51:970-7. 2013
    ..We used the Balanced Budget Act (BBA) of 1997 as a natural experiment to study the long-term consequence of major payment reductions on patient outcomes...
  16. ncbi request reprint The effect of financial pressure on the quality of care in hospitals
    Yu Chu Shen
    Health Policy Center, The Urban Institute, 2100 M Street NW, Washington, DC 20037, USA
    J Health Econ 22:243-69. 2003
    ..Furthermore, the impact of HMO penetration appears to differ from that of Medicare payment changes for certain hospitals because HMO penetration encourages price competition...
  17. pmc Factors associated with closures of emergency departments in the United States
    Renee Y Hsia
    Department of Emergency Medicine, University of California, San Francisco, CA, USA
    JAMA 305:1978-85. 2011
    ..Federal law requiring EDs to treat all in need regardless of a patient's ability to pay may make EDs more vulnerable to the market forces that govern US health care...
  18. doi request reprint Hospital ownership and quality of care: what explains the different results in the literature?
    Karen Eggleston
    Walter H Shorenstein Asia Pacific Research Center, Stanford University, Stanford, CA, USA
    Health Econ 17:1345-62. 2008
    ..The 'true' effect of ownership appears to depend on institutional context, including differences across regions, markets, and over time...
  19. ncbi request reprint Changes in hospital performance after ownership conversions
    Yu Chu Shen
    Health Policy Center, Urban Institute, Washington DC 20037, USA
    Inquiry 40:217-34. 2003
    ..No conversion of any kind led to a reduced amount of unprofitable care, but conversion to private ownership (nonprofit and for-profit) increased the probability of trauma center closures...
  20. pmc What's driving the downward trend in employer-sponsored health insurance?
    Yu Chu Shen
    Naval Postgraduate School, Code GB, Monterey, CA 93943, USA
    Health Serv Res 41:2074-96. 2006
    ..We investigate the factors driving the downward trend in employer sponsored health insurance (ESI) coverage between 1999 and 2002 for low- and middle-income workers, and assess their insurance options in the absence of ESI coverage...
  21. pmc The effect of Medicaid payment generosity on access and use among beneficiaries
    Yu Chu Shen
    Code GB, Naval Postgraduate School, 555 Dyer Road, Monterey, CA 93943, USA
    Health Serv Res 40:723-44. 2005
    ..This study examines the effects of Medicaid payment generosity on access and care for adult and child Medicaid beneficiaries...
  22. ncbi request reprint Characteristics of occasional and frequent emergency department users: do insurance coverage and access to care matter?
    Stephen Zuckerman
    Health Policy Center, The Urban Institute, Washington, DC 20037, USA
    Med Care 42:176-82. 2004
    ..The objective of this study was to explore how insurance coverage, access to care, and other individual characteristics are related to the large differences in emergency department (ED) use among the general population...
  23. ncbi request reprint Effects of Iraq/Afghanistan deployments on PTSD diagnoses for still active personnel in all four services
    Yu Chu Shen
    Naval Postgraduate School, Graduate School of Business and Public Policy, 555 Dyer Road, Code GB, Monterey, CA 93943, USA
    Mil Med 175:763-9. 2010
    ..25, p < 0.01). A deployment longer than 180 days increases the odds of PTSD by 1.11 to 2.84 times compared to a short tour. For Army and Navy, a deployment to Iraq/Afghanistan further exacerbates the adverse effect of tour length...
  24. ncbi request reprint The effects of deployment intensity on post-traumatic stress disorder: 2002-2006
    Yu Chu Shen
    Graduate School of Business and Public Policy, Naval Postgraduate School, 555 Dyer Road, Code GB, Monterey, CA 93943, USA
    Mil Med 174:217-23. 2009
    ..This study examines whether deployment location and the duration of deployment affects the likelihood of being screened positive for PTSD...
  25. pmc Decomposition of the drivers of the U.S. hospital spending growth, 2001-2009
    Vivian Y Wu
    Sol Price School of Public Policy, University of Southern California, Los Angeles, CA, USA
    BMC Health Serv Res 14:230. 2014
    ..This study investigates how well historical hospital cost/revenue drivers explain the recent hospital spending trend in the 2000s, and how important each of these drivers is...
  26. ncbi request reprint Assessing access to care under Medicaid: evidence for the nation and thirteen states
    Teresa A Coughlin
    Urban Institute, Washington, DC, USA
    Health Aff (Millwood) 24:1073-83. 2005
    ..State-level analyses revealed some variation in the access gap...
  27. doi request reprint The increased concentration of health plan markets can benefit consumers through lower hospital prices
    Glenn A Melnick
    School of Policy, Planning, and Development at the University of Southern California, Los Angeles, CA, USA
    Health Aff (Millwood) 30:1728-33. 2011
    ..Our findings also suggest that consumers would benefit from policies that maintained competition in hospital markets or that would restore competition to hospital markets that are uncompetitive...
  28. ncbi request reprint Why is there state variation in employer-sponsored insurance?
    Yu Chu Shen
    Urban Institute s Health Policy Center, Washington, DC, USA
    Health Aff (Millwood) 22:241-51. 2003
    ..Income plays a smaller role in explaining the state variation but is still an important determinant, especially among states whose average income is far from the national average...