DANA SAFRAN

Summary

Affiliation: Tufts-New England Medical Center
Country: USA

Publications

  1. pmc Can teaching agenda-setting skills to physicians improve clinical interaction quality? A controlled intervention
    Hector P Rodriguez
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA
    BMC Med Educ 8:3. 2008
  2. pmc Providing patients web-based data to inform physician choice: if you build it, will they come?
    Gary Fanjiang
    Massachusetts General Hospital for Children, Boston, MA, USA
    J Gen Intern Med 22:1463-6. 2007
  3. ncbi request reprint Prescription drug coverage and seniors: findings from a 2003 national survey
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2005
  4. pmc Organizational dimensions of relationship-centered care. Theory, evidence, and practice
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 21:S9-15. 2006
  5. pmc Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration project
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, Mass, USA
    J Gen Intern Med 21:13-21. 2006
  6. pmc The effects of primary care physician visit continuity on patients' experiences with care
    Hector P Rodriguez
    Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington Street, Box 345, Boston, MA 02111, USA
    J Gen Intern Med 22:787-93. 2007
  7. ncbi request reprint Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare
    Dana Gelb Safran
    The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
    Arch Intern Med 162:757-65. 2002
  8. pmc Race/ethnicity and nonadherence to prescription medications among seniors: results of a national study
    Walid F Gellad
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120 1613, USA
    J Gen Intern Med 22:1572-8. 2007
  9. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
  10. pmc Physician-patient communication about prescription medication nonadherence: a 50-state study of America's seniors
    Ira B Wilson
    Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 22:6-12. 2007

Research Grants

Detail Information

Publications32

  1. pmc Can teaching agenda-setting skills to physicians improve clinical interaction quality? A controlled intervention
    Hector P Rodriguez
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, WA, USA
    BMC Med Educ 8:3. 2008
    ....
  2. pmc Providing patients web-based data to inform physician choice: if you build it, will they come?
    Gary Fanjiang
    Massachusetts General Hospital for Children, Boston, MA, USA
    J Gen Intern Med 22:1463-6. 2007
    ..Despite growing emphasis on public reporting of health care quality data, available data are often ignored...
  3. ncbi request reprint Prescription drug coverage and seniors: findings from a 2003 national survey
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2005
    ..We discuss MMA's potential to improve quality and the need to monitor performance...
  4. pmc Organizational dimensions of relationship-centered care. Theory, evidence, and practice
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 21:S9-15. 2006
    ....
  5. pmc Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration project
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, Mass, USA
    J Gen Intern Med 21:13-21. 2006
    ..Measuring and reporting patients' experiences with health plans has been routine for several years. There is now substantial interest in measuring patients' experiences with individual physicians, but numerous concerns remain...
  6. pmc The effects of primary care physician visit continuity on patients' experiences with care
    Hector P Rodriguez
    Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington Street, Box 345, Boston, MA 02111, USA
    J Gen Intern Med 22:787-93. 2007
    ..It remains unclear whether PCP visit discontinuity can be planned in a way that is least disruptive to patients' experiences with care...
  7. ncbi request reprint Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare
    Dana Gelb Safran
    The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
    Arch Intern Med 162:757-65. 2002
    ..Little information exists to inform beneficiaries' choices between the traditional fee-for-service (FFS) Medicare program and an HMO...
  8. pmc Race/ethnicity and nonadherence to prescription medications among seniors: results of a national study
    Walid F Gellad
    Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120 1613, USA
    J Gen Intern Med 22:1572-8. 2007
    ..Because of significant racial/ethnic disparities in the control of many chronic diseases, differences in the rates of and reasons for medication nonadherence should be studied...
  9. doi request reprint Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trial
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
    Ann Intern Med 152:40-6. 2010
    ..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients...
  10. pmc Physician-patient communication about prescription medication nonadherence: a 50-state study of America's seniors
    Ira B Wilson
    Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 22:6-12. 2007
    ..Understanding and improving the quality of medication management is particularly important in the context of the Medicare prescription drug benefit that took effect last January 2006...
  11. pmc Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national study
    Ira B Wilson
    The Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
    J Gen Intern Med 20:715-20. 2005
    ..To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping...
  12. ncbi request reprint Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefit
    Stephen 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...
  13. ncbi request reprint Defining the future of primary care: what can we learn from patients?
    Dana Gelb Safran
    Health Institute at Tufts New England Medical Center and Tufts University, Boston, Massachusetts, USA
    Ann Intern Med 138:248-55. 2003
    ..These three areas involve the use of teams in medicine, the establishment of meaningful primary care partnerships, and integration of care in a delivery system that patients experience as increasingly fragmented...
  14. pmc Primary care experiences of medicare beneficiaries, 1998 to 2000
    Jana E Montgomery
    The Health Institute, Division of Clinical Care Research, Tufts New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
    J Gen Intern Med 19:991-8. 2004
    ..To examine changes in the quality of primary care experienced and reported by Medicare beneficiaries from 1998 to 2000...
  15. ncbi request reprint Prescription drug coverage and seniors: how well are states closing the gap?
    Dana Gelb Safran
    Health Institute, Tufts New England Medical Center, Boston, USA
    Health Aff (Millwood) . 2002
    ..With erosion of state and private sources of prescription benefits expected, the findings speak to the need for a national policy solution...
  16. ncbi request reprint Associations between structural capabilities of primary care practices and performance on selected quality measures
    Mark W Friedberg
    Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
    Ann Intern Med 151:456-63. 2009
    ..Whether practices with these capabilities have higher performance on measures of primary care quality is unknown...
  17. pmc Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomes
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
    J Gen Intern Med 23:1784-90. 2008
    ..Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care...
  18. ncbi request reprint Depression and cost-related medication nonadherence in Medicare beneficiaries
    Kara Zivin Bambauer
    Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    Arch Gen Psychiatry 64:602-8. 2007
    ....
  19. ncbi request reprint Evaluating patients' experiences with individual physicians: a randomized trial of mail, internet, and interactive voice response telephone administration of surveys
    Hector P Rodriguez
    Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, Massachusetts 02111, USA
    Med Care 44:167-74. 2006
    ..Survey modes with the potential to lower costs, such as Internet and interactive voice response (IVR) telephone, are attractive alternatives to mail, but their comparative response rates and data quality have not been tested...
  20. pmc Primary care quality and addiction severity: a prospective cohort study
    Theresa W Kim
    Clinical Addiction Research and Education CARE Unit, Section General Internal Medicine, 91 E Concord Street, Suite 200, Boston University Medical Center, Boston, MA 02118, USA
    Health Serv Res 42:755-72. 2007
    ..The aim of this study was to prospectively examine if higher PCQ is associated with lower addiction severity among patients with substance use disorders...
  21. pmc Statewide evaluation of measuring physician delivery of self-management support in chronic disease care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 24:939-45. 2009
    ..Self-management support is an important component of improving chronic care delivery...
  22. doi request reprint Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods
    Mark W Friedberg
    Division of General Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
    Arch Intern Med 170:938-44. 2010
    ..Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care...
  23. pmc Prescription coverage, use and spending before and after Part D implementation: a national longitudinal panel study
    Dana Gelb Safran
    The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
    J Gen Intern Med 25:10-7. 2010
    ..To date, no longitudinal study has afforded information on beneficiaries' prescription coverage transitions and corresponding changes in prescription use and spending...
  24. doi request reprint Reliability of new measures of cost-related medication nonadherence
    Marsha 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...
  25. pmc Primary-care clinician perceptions of racial disparities in diabetes care
    Thomas D Sequist
    Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    J Gen Intern Med 23:678-84. 2008
    ..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care...
  26. pmc Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D
    Jeanne 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...
  27. doi request reprint Physician performance and racial disparities in diabetes mellitus care
    Thomas D Sequist
    Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
    Arch Intern Med 168:1145-51. 2008
    ..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...
  28. pmc Inhaler costs and medication nonadherence among seniors with chronic pulmonary disease
    Peter J Castaldi
    Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA
    Chest 138:614-20. 2010
    ..Here, we examine the relationship between inhaler-specific out-of-pocket costs and CRN in CPD...
  29. ncbi request reprint Patient samples for measuring primary care physician performance: who should be included?
    Hector P Rodriguez
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington 98195 7660, USA
    Med Care 45:989-96. 2007
    ..However, as large-scale initiatives seek the least costly approach to obtaining these data, little is known about the implications of expanding samples to include any patient who has seen the physician in the relevant time period...
  30. ncbi request reprint Medicare prescription drug benefit progress report: findings from a 2006 national survey of seniors
    Patricia Neuman
    Medicare Policy Project, Henry J Kaiser Family Foundation KFF, Washington, DC, USA
    Health Aff (Millwood) 26:w630-43. 2007
    ..Low-income subsidies offered protection against high out-of-pocket spending; without them, one-third of Part D enrollees at or below 150 percent of poverty paid more than $100 a month for their medications...
  31. pmc Strategies for coping in a complex world: adherence behavior among older adults with chronic illness
    Rachel 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...
  32. ncbi request reprint Multidisciplinary primary care teams: effects on the quality of clinician-patient interactions and organizational features of care
    Hector P Rodriguez
    Harvard University, Cambridge, Massachusetts, USA
    Med Care 45:19-27. 2007
    ..This study examined the influence of multidisciplinary teams on patients' assessments of primary care, including access, integration, and clinician-patient interaction quality...

Research Grants9

  1. PRIMARY CARE PERFORMANCE AND OUTCOMES IN MEDICARE
    DANA SAFRAN; Fiscal Year: 2001
    ..The study's findings will guide the formulation of meaningful and productive quality monitoring and improvement strategies for the Medicare program. ..
  2. Health Care Quality and Outcomes in Medicare
    Ira Wilson; Fiscal Year: 2007
    ..The study's findings will address critical questions facing beneficiaries and policymakers as the nation debates Medicare program reform. ..