Research Topics
| Lisa R ShugarmanSummaryAffiliation: RAND Corporation Country: USA Webpages
rand.org/health/centers/archive/endoflife/ ol>Publications Caregiver attitudes and hospitalization risk in michigan residents receiving home- and community-based careLisa R Shugarman RAND Corporation, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407, USA J Am Geriatr Soc 50:1079-85 Age and gender differences in medicare expenditures and service utilization at the end of life for lung cancer decedentsLisa R Shugarman RAND Corporation, Santa Monica, California, USA Womens Health Issues 18:199-209 Evidence for improving palliative care at the end of life: a systematic reviewKarl A Lorenz Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA Ann Intern Med 148:147-59 A systematic review of satisfaction with care at the end of lifeSydney Morss Dy Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA J Am Geriatr Soc 56:124-9 An exploration of urban and rural differences in lung cancer survival among medicare beneficiariesLisa R Shugarman RAND Corporation, Santa Monica, CA 90407 2138, USA Am J Public Health 98:1280-7 Age and gender differences in Medicare expenditures at the end of life for colorectal cancer decedentsLisa R Shugarman RAND Corporation, Santa Monica, California, USA J Womens Health (Larchmt) 16:214-27 The influence of staff and resident immunization rates on influenza-like illness outbreaks in nursing homesLisa R Shugarman RAND Corporation, Santa Monica, CA, USA J Am Med Dir Assoc 7:562-7 Building integrated information systems for chronic care: the California experienceLisa R Shugarman RAND Corporation, Santa Monica, CA 90407 2138, USA Home Health Care Serv Q 25:185-200 Use of postacute care by nursing home residents hospitalized for stroke or hip fracture: how prevalent and to what end?Carrie Hoverman Department of Health Services and Policy Analysis, University of California at Berkeley, Berkeley, California, USA J Am Geriatr Soc 56:1490-6 Health care policy issues in end-of-life careKarl A Lorenz ol>Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA J Palliat Med 9:731-48 | Collaborators |
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- rand | health | the washington home center for palliative care studies
rand.org/health/centers/archive/endoflife/
ol>Publications
Caregiver attitudes and hospitalization risk in michigan residents receiving home- and community-based careLisa R Shugarman
RAND Corporation, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407, USA
J Am Geriatr Soc 50:1079-85
RAND Corporation, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407, USA
J Am Geriatr Soc 50:1079-85
....
Age and gender differences in medicare expenditures and service utilization at the end of life for lung cancer decedentsLisa R Shugarman
RAND Corporation, Santa Monica, California, USA
Womens Health Issues 18:199-209
RAND Corporation, Santa Monica, California, USA
Womens Health Issues 18:199-209
..Higher expenditures for women on social-supportive services may reflect fewer informal supports for older women compared with men...
Evidence for improving palliative care at the end of life: a systematic reviewKarl A Lorenz
Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
Ann Intern Med 148:147-59
Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
Ann Intern Med 148:147-59
..Future research should quantify these effects and address the generalizability of insights across the conditions and settings of the last part of life. Many critical issues lack high-quality evidence...
A systematic review of satisfaction with care at the end of lifeSydney Morss Dy
Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
J Am Geriatr Soc 56:124-9
Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
J Am Geriatr Soc 56:124-9
..More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation...
An exploration of urban and rural differences in lung cancer survival among medicare beneficiariesLisa R Shugarman
RAND Corporation, Santa Monica, CA 90407 2138, USA
Am J Public Health 98:1280-7
RAND Corporation, Santa Monica, CA 90407 2138, USA
Am J Public Health 98:1280-7
..Therefore, we still need to be aware of rural beneficiaries' potential disadvantage when it comes to receiving needed care in a timely fashion...
Age and gender differences in Medicare expenditures at the end of life for colorectal cancer decedentsLisa R Shugarman
RAND Corporation, Santa Monica, California, USA
J Womens Health (Larchmt) 16:214-27
RAND Corporation, Santa Monica, California, USA
J Womens Health (Larchmt) 16:214-27
..Higher expenditures for women on each of the social supportive services (SNF, home health, and hospice), even among those who used a particular type of service, may reflect a lack of informal supports for older women compared with men...
The influence of staff and resident immunization rates on influenza-like illness outbreaks in nursing homesLisa R Shugarman
RAND Corporation, Santa Monica, CA, USA
J Am Med Dir Assoc 7:562-7
RAND Corporation, Santa Monica, CA, USA
J Am Med Dir Assoc 7:562-7
..6%) had 1+ cases positively identified as influenza. CONCLUSION: Both staff and residents must have high rates of vaccination to substantially alter the rate and impact of influenza outbreaks in nursing facilities...
Building integrated information systems for chronic care: the California experienceLisa R Shugarman
RAND Corporation, Santa Monica, CA 90407 2138, USA
Home Health Care Serv Q 25:185-200
RAND Corporation, Santa Monica, CA 90407 2138, USA
Home Health Care Serv Q 25:185-200
..Although much work remains to be done, there is reason to be optimistic that innovative IIS can contribute to the development of more effective chronic-care delivery systems...
Use of postacute care by nursing home residents hospitalized for stroke or hip fracture: how prevalent and to what end?Carrie Hoverman
Department of Health Services and Policy Analysis, University of California at Berkeley, Berkeley, California, USA
J Am Geriatr Soc 56:1490-6
Department of Health Services and Policy Analysis, University of California at Berkeley, Berkeley, California, USA
J Am Geriatr Soc 56:1490-6
..CONCLUSION: NH residents used postacute SNF benefits at high rates yet had similar mortality and institutionalization outcomes as those without SNF care...
Health care policy issues in end-of-life careKarl A Lorenz
Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
J Palliat Med 9:731-48
Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
J Palliat Med 9:731-48
Identifying older people at risk of abuse during routine screening practicesLisa R Shugarman
RAND Corporation, Santa Monica, California 90407, USA
J Am Geriatr Soc 51:24-31
RAND Corporation, Santa Monica, California 90407, USA
J Am Geriatr Soc 51:24-31
..Improved understanding of the link between those characteristics and potential abuse will help healthcare providers, case managers, and others identify older people at high risk of abuse...
Age and gender differences in health care utilization and spending for medicare beneficiaries in their last years of lifeChloe E Bird
RAND Corporation, Santa Monica, California 90407, USA
J Palliat Med 5:705-12
RAND Corporation, Santa Monica, California 90407, USA
J Palliat Med 5:705-12
..The combination of being a Medicare beneficiary and being sick enough to die appears to attenuate gender disparities in health care services utilization...
Medicare program expenditures associated with hospice useDiane E Campbell
Medical Outcomes Research and Evaluation Services, Thetford, Vermont, USA
Ann Intern Med 140:269-77
Medical Outcomes Research and Evaluation Services, Thetford, Vermont, USA
Ann Intern Med 140:269-77
..Future studies should assess the effects of hospice on quality and on expenditures from all payment sources...
Differences in Medicare expenditures during the last 3 years of lifeLisa R Shugarman
RAND, Santa Monica, Calif 90407 2138, USA
J Gen Intern Med 19:127-35
RAND, Santa Monica, Calif 90407 2138, USA
J Gen Intern Med 19:127-35
..The fact that other differences attenuate in the LYOL may reflect having overcome barriers to health care, or reflect an effective ceiling on the opportunities to provide services for persons with overwhelming illness...
Is telephone screening feasible? Accuracy and cost-effectiveness of identifying people medically eligible for home- and community-based servicesBrant E Fries
Institute of Gerontology, University of Michigan, Ann Arbor 48109 2007, USA
Gerontologist 44:680-8
Institute of Gerontology, University of Michigan, Ann Arbor 48109 2007, USA
Gerontologist 44:680-8
..Evidence does not support use of the telephone screen alone to determine either medical eligibility or a specific level of care...
End-of-life care: an agenda for policy improvementLisa R Shugarman
RAND Corporation, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407 2138, USA
Clin Geriatr Med 21:255-72, xi
RAND Corporation, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407 2138, USA
Clin Geriatr Med 21:255-72, xi
..Models of end-of-life care, such as MediCaring, are described along with a research and policy agenda that focuses on modifying the health care system and building on new innovations...
A systematic review of measures of end-of-life care and its outcomesRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Health Serv Res 42:1848-70
Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Health Serv Res 42:1848-70
..Intervention research should use robust measures that adhere to these standards...
A screening system for Michigan's home- and community-based long-term care programsBrant E Fries
Institute of Gerontology and School of Public Health, University of Michigan, Ann Arbor 48109 2007, USA
Gerontologist 42:462-74
Institute of Gerontology and School of Public Health, University of Michigan, Ann Arbor 48109 2007, USA
Gerontologist 42:462-74
..40). IMPLICATIONS: The screening algorithm can be used both over the telephone to identify clients who will not be fully assessed (as they are unlikely to receive services) and in person to recommend the appropriate LOC...
Quality measures for symptoms and advance care planning in cancer: a systematic reviewKarl A Lorenz
Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
J Clin Oncol 24:4933-8
Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
J Clin Oncol 24:4933-8
..Additional testing is needed before the measures are used for accountability, and basic research is required to address measurement when self-report is impaired...
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