Amber Barnato

Summary

Affiliation: University of Pittsburgh
Country: USA

Publications

  1. pmc Influence of race on inpatient treatment intensity at the end of life
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Gen Intern Med 22:338-45. 2007
  2. ncbi request reprint Communication and decision making in cancer care: setting research priorities for decision support/patients' decision aids
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Decis Making 27:626-34. 2007
  3. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
    Med Care 45:386-93. 2007
  4. ncbi request reprint Qualitative analysis of Medicare claims in the last 3 years of life: a pilot study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 53:66-73. 2005
  5. doi request reprint Communication practices in physician decision-making for an unstable critically ill patient with end-stage cancer
    Deepika Mohan
    Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15231, USA
    J Palliat Med 13:949-56. 2010
  6. pmc Do hospitals provide lower quality of care to black patients for pneumonia?
    Florian B Mayr
    Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, Graduate School of Pubic Health, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 38:759-65. 2010
  7. pmc Organizational determinants of hospital end-of-life treatment intensity
    Caroline Y Lin
    Center for Research on Health Care, University of Pittsburgh School of Medicine, 200 Meyran Avenue, Pittsburgh, PA 15213, USA
    Med Care 47:524-30. 2009
  8. pmc Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life
    Amber E Barnato
    Medicine and Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Health Serv Res 39:363-75. 2004
  9. pmc Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 36:3156-63. 2008
  10. ncbi request reprint Value and role of intensive care unit outcome prediction models in end-of-life decision making
    Amber E Barnato
    Center for Research on Health Care, Department of Medicine, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA
    Crit Care Clin 20:345-62, vii-viii. 2004

Detail Information

Publications30

  1. pmc Influence of race on inpatient treatment intensity at the end of life
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Gen Intern Med 22:338-45. 2007
    ..To examine inpatient intensive care unit (ICU) and intensive procedure use by race among Medicare decedents, using utilization among survivors for comparison...
  2. ncbi request reprint Communication and decision making in cancer care: setting research priorities for decision support/patients' decision aids
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Decis Making 27:626-34. 2007
    ..Finally, Dr. Amber Barnato conducted a simple vote count (see Table 1) to prioritize the panelists' and the audience's recommendations.
  3. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
    Med Care 45:386-93. 2007
    ..We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care...
  4. ncbi request reprint Qualitative analysis of Medicare claims in the last 3 years of life: a pilot study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    J Am Geriatr Soc 53:66-73. 2005
    ....
  5. doi request reprint Communication practices in physician decision-making for an unstable critically ill patient with end-stage cancer
    Deepika Mohan
    Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15231, USA
    J Palliat Med 13:949-56. 2010
    ..Shared decision-making has become the standard of care for most medical treatments. However, little is known about physician communication practices in the decision making for unstable critically ill patients with known end-stage disease...
  6. pmc Do hospitals provide lower quality of care to black patients for pneumonia?
    Florian B Mayr
    Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, Graduate School of Pubic Health, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 38:759-65. 2010
    ..We examined racial differences in emergency department and intensive care unit care processes to determine whether differences persist after adjusting for case-mix and variation in care across hospitals...
  7. pmc Organizational determinants of hospital end-of-life treatment intensity
    Caroline Y Lin
    Center for Research on Health Care, University of Pittsburgh School of Medicine, 200 Meyran Avenue, Pittsburgh, PA 15213, USA
    Med Care 47:524-30. 2009
    ..There is substantial hospital-level variation in end-of-life (EOL) treatment intensity...
  8. pmc Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life
    Amber E Barnato
    Medicine and Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Health Serv Res 39:363-75. 2004
    ..We sought to determine whether disproportionate increases in hospital treatment intensity over time among decedents are responsible for the persistent growth in end-of-life expenditures...
  9. pmc Using simulation to isolate physician variation in intensive care unit admission decision making for critically ill elders with end-stage cancer: a pilot feasibility study
    Amber E Barnato
    University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 36:3156-63. 2008
    ..To determine the feasibility of high-fidelity simulation for studying variation in intensive care unit admission decision making for critically ill elders with end-stage cancer...
  10. ncbi request reprint Value and role of intensive care unit outcome prediction models in end-of-life decision making
    Amber E Barnato
    Center for Research on Health Care, Department of Medicine, University of Pittsburgh, 230 McKee Place, Suite 600, Pittsburgh, PA 15213, USA
    Crit Care Clin 20:345-62, vii-viii. 2004
    ....
  11. doi request reprint Determinants of compliance with transfer guidelines for trauma patients: a retrospective analysis of CT scans acquired prior to transfer to a Level I Trauma Center
    Deepika Mohan
    The CRISMA Laboratory Clinical Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh, and UPMC Presbyterian Hospital, Pittsburgh, PA 15261, USA
    Ann Surg 251:946-51. 2010
    ..To identify potential determinants of compliance with the American College of Surgeons Committee on Trauma guidelines for the transfer of trauma patients...
  12. ncbi request reprint Perceptions and utilization of palliative care services in acute care hospitals
    Keri L Rodriguez
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, USA
    J Palliat Med 10:99-110. 2007
    ..To understand perceptions of palliative care in acute care hospitals and identify barriers to earlier use of palliative care in the illness trajectory...
  13. ncbi request reprint Teaching medical decision modeling: a qualitative description of student errors and curriculum responses
    Kenneth J Smith
    Section of Decision Sciences and Clinical Systems Modeling, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
    Med Decis Making 26:583-8. 2006
    ..Novice medical decision modelers are prone to errors. The purpose of this article is to describe the common errors committed by decision modeling students and the changes made to a structured decision modeling project course in response...
  14. pmc Hospital-level racial disparities in acute myocardial infarction treatment and outcomes
    Amber E Barnato
    Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Care 43:308-19. 2005
    ..However, the extent to which unobserved differences between hospitals explains some of these differences is unknown...
  15. pmc Relationship between staff perceptions of hospital norms and hospital-level end-of-life treatment intensity
    Amber E Barnato
    Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
    J Palliat Med 10:1093-100. 2007
    ..Individual hospital microclimates must exist to perpetuate these practice variations...
  16. pmc Differences in immune response may explain lower survival among older men with pneumonia
    Michael C Reade
    Department of Critical Care Medicine, CRISMA Laboratory, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 37:1655-62. 2009
    ..We assessed if sex-related survival difference following community-acquired pneumonia (CAP) is due to differences in clinical characteristics, quality of care, or immune response...
  17. pmc Is survival better at hospitals with higher "end-of-life" treatment intensity?
    Amber E Barnato
    Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Med Care 48:125-32. 2010
    ..Concern regarding wide variations in spending and intensive care unit use for patients at the end of life hinges on the assumption that such treatment offers little or no survival benefit...
  18. ncbi request reprint Use of intensive care at the end of life in the United States: an epidemiologic study
    Derek C Angus
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 32:638-43. 2004
    ..We sought to describe the use of ICU care at the end of life in the United States using hospital discharge data from 1999 for six states and the National Death Index...
  19. pmc Racial variation in end-of-life intensive care use: a race or hospital effect?
    Amber E Barnato
    Department of Medicine, School of Medicine, Graduate School of Public Health, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Health Serv Res 41:2219-37. 2006
    ....
  20. pmc Racial and ethnic differences in preferences for end-of-life treatment
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, 200 Meyran Avenue, Suite 200, Pittsburgh, PA, 15312, USA
    J Gen Intern Med 24:695-701. 2009
    ..These studies are limited by size, representation, and insufficient exploration of sociocultural covariables...
  21. pmc Development and validation of hospital "end-of-life" treatment intensity measures
    Amber E Barnato
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Care 47:1098-105. 2009
    ..Health care utilization among decedents is increasingly used as a measure of health care efficiency, but decedent-based measures may be biased estimates of care received by "dying" patients...
  22. doi request reprint Infection rate and acute organ dysfunction risk as explanations for racial differences in severe sepsis
    Florian B Mayr
    CRISMA Laboratory, Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15261, USA
    JAMA 303:2495-503. 2010
    ..Severe sepsis, defined as infection complicated by acute organ dysfunction, occurs more frequently and leads to more deaths in black than in white individuals. The optimal approach to minimize these disparities is unclear...
  23. pmc Racial variation in the incidence, care, and outcomes of severe sepsis: analysis of population, patient, and hospital characteristics
    Amber E Barnato
    Center for Research on Health Care, 200 Meyran Ave, Suite 200, Pittsburgh, PA 15213, USA
    Am J Respir Crit Care Med 177:279-84. 2008
    ..Higher rates of sepsis have been reported in minorities...
  24. doi request reprint Acute care practices relevant to quality end-of-life care: a survey of Pennsylvania hospitals
    C Y Lin
    Center for Research on Health Care and the Institute for Clinical Research Education, University of Pittsburgh School of Medicine, 200 Meyran Avenue, Suite 200, Pittsburgh, PA 15213, USA
    Qual Saf Health Care 19:e12. 2010
    ..Improving end-of-life care in the hospital is a national priority...
  25. ncbi request reprint Prioritizing the organization and management of intensive care services in the United States: the PrOMIS Conference
    Amber E Barnato
    Center for Research on Health Care, and the CRISMA Laboratory Clinical Research, Investigation, and Systems Modeling of Acute Illness, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA
    Crit Care Med 35:1003-11. 2007
    ..We sought to elicit the perceived problems and solutions to the delivery of critical care services from a broad set of U.S. stakeholders...
  26. doi request reprint SPEACS-2: intensive care unit "communication rounds" with speech language pathology
    Mary Beth Happ
    Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
    Geriatr Nurs 31:170-7. 2010
    ....
  27. pmc Potential value of regionalized intensive care for mechanically ventilated medical patients
    Jeremy M Kahn
    Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania School of Medicine, 723 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104, USA
    Am J Respir Crit Care Med 177:285-91. 2008
    ..Regionalization has been proposed as a method to improve outcomes for medical patients receiving mechanical ventilation in the intensive care unit...
  28. ncbi request reprint Barriers to implementing the Leapfrog Group recommendations for intensivist physician staffing: a survey of intensive care unit directors
    Jeremy M Kahn
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA 98119, USA
    J Crit Care 22:97-103. 2007
    ..The purpose of this study was to examine the perception of the Leapfrog standards among ICU directors and determine the potential barriers to implementing these standards...
  29. ncbi request reprint Resurrecting treatment histories of dead patients
    Amber E Barnato
    JAMA 293:1591-2; author reply 1592. 2005
  30. ncbi request reprint Performance of the RAND appropriateness criteria
    Amber E Barnato
    Med Decis Making 23:177-9. 2003

Research Grants7

  1. Provider and Organizational Norms and Care at End of Life (PONCEL): A Study of Tw
    Amber Barnato; Fiscal Year: 2009
    ....
  2. Cancer Decision Tool Symposium at SMDM Annual Meeting
    Amber Barnato; Fiscal Year: 2005
    ..The 2005 SMDM Annual Meeting is open, and anyone can register to attend. ..
  3. Hospital-level Variation in Treatment Intensity
    Amber Barnato; Fiscal Year: 2007
    The purpose of this proposal is to provide Dr. Amber Barnato with the means and structure to transition to an independent investigator...
  4. Developing a Robust Measure of Hospital End-of-Life Intensity
    Amber Barnato; Fiscal Year: 2009
    ....
  5. Developing a Robust Measure of Hospital End-of-Life Intensity
    Amber E Barnato; Fiscal Year: 2010
    ....
  6. Using behavioral economics to understand end-of-life decisions
    Amber E Barnato; Fiscal Year: 2010
    The purpose of this short-term mentored mid-career investigator award (K18) is to provide Amber Barnato, MD, MPH, MS at the University of Pittsburgh with 3 calendar months protected time over one year to receive mentorship from ..