Research Topics
| Bryan E DowdSummaryAffiliation: University of Minnesota Country: USA Publications
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Publications
Setting pay for performance targets: do poor performers give up?Bryan Dowd
Division of Health Policy and Management, School of Public Health, University of Minnesota, USA
Health Econ 22:168-79. 2013..3% to 65.8% or 7.5 percentage points. When the target is set above 80%, practices with equilibrium GPR below 58.3% will 'give up' in the sense that they will not improve relative to their equilibrium value...
Separated at birth: statisticians, social scientists, and causality in health services researchBryan E Dowd
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA
Health Serv Res 46:397-420. 2011..How did this situation arise? This paper traces the roots of the division and some recent attempts to remedy the situation. DATA SOURCES AND SETTINGS: Existing literature. STUDY DESIGN: Review of the literature...- Health plan enrollment and mortality in the Medicare programBryan Dowd
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA
Health Econ 20:645-59. 2011..The methods presented in this paper represent a promising approach to comparing outcomes between the HMO and FFS sectors, but further research is warranted... - The economic impact of a disability prevention programBryan Dowd
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minn 55455, USA
J Occup Environ Med 52:15-21. 2010.... 
Setting physicians' prices in FFS medicare: an economic perspectiveBryan Dowd
Division of Health, School of Public Health, University of Minnesota, Minneapolis, 55455, USA
Health Care Financ Rev 28:97-111. 2006..We explain the meaning of economic efficiency for Medicare physician prices and explore difficulties one might encounter in pursuing economic efficiency, as well as the cost of not pursuing it...- Fee-for-service Medicare in a competitive market environmentBryan E Dowd
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis 55455, USA
Health Care Financ Rev 27:113-26. 2005..The purpose of this article is to explore the roles of private plans and FFS Medicare and to attempt to identify the advantages and disadvantages of each... - Coordinated agency versus autonomous consumers in health services marketsBryan E Dowd
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, in Minneapolis, USA
Health Aff (Millwood) 24:1501-11. 2005..Although advocates of these two approaches stress their philosophical differences, the realities of the market suggest that both models, as well as hybrids, might be valued by consumers... - Factors influencing physician use of clinical electronic information technologies after adoption by their medical group practicesJohn E Kralewski
Division of Health Policy and Management, University of Minnesota, Minneapolis, USA
Health Care Manage Rev 33:361-7. 2008..A major factor limiting efficiency and quality gains from clinical information technologies is the lack of full use by the clinicians... - A return-on-investment analysis of the health promotion program at the University of MinnesotaJohn A Nyman
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minn, USA
J Occup Environ Med 51:54-65. 2009..To determine the return-on-investment, if any, for the health promotion program adopted by the University of Minnesota in 2006... - The effect of health plan characteristics on Medicare+ Choice enrollmentBryan E Dowd
Division of Health Services Research, University of Minnesota, Minneapolis 55455, USA
Health Serv Res 38:113-35. 2003..Bidding behavior by plans in the Medicare Competitive Pricing Demonstration supports this conclusion... - Relationship of the magnitude of member cost-share and medication persistence with newly initiated renin angiotensin system blockersDongmu Zhang
University of Minnesota, Minneapolis, MN, USA
J Manag Care Pharm 13:664-76. 2007..Little is known about the relationship between the magnitude of member cost-sharing and antihypertensive persistence among members newly initiating therapy... - Measuring the culture of medical group practicesJohn Kralewski
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, USA
Health Care Manage Rev 30:184-93. 2005..To develop an instrument that can be used to assess the organizational culture of medical group practices... - Risk selection and benefits in the Medicare+Choice programRoger Feldman
University of Minnesota, Division of Health Services Research and Policy, Mayo Mail Code 729, 420 Delaware Street, SE, Minneapolis, MN 55455 0392, USA
Health Care Financ Rev 25:23-36. 2003..If M+C plans competed on the basis of benefits and premiums, as they would if they could give untaxed premium rebates, benefits that attract high risks would be underprovided... - The future of health promotion/disease prevention programs: the incentives and barriers faced by stakeholdersTamara M K Schult
Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Occup Environ Med 48:541-8. 2006..We argue for the integration of hp/dp programs into the traditional health protection mission of occupational health and safety professionals... - Postpartum health of employed mothers 5 weeks after childbirthPat McGovern
School of Public Health, University of Minnesota, Minneapolis, Minn, USA
Ann Fam Med 4:159-67. 2006..A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding... - Financial and organizational factors affecting the employment of nurse practitioners and physician assistants in medical group practicesAmer Kaissi
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, USA
J Ambul Care Manage 26:209-16. 2003..As medical group practices become larger and have more organizational capacity, they can likely be expected to increase the employment of MLPs and integrate them into their organizations... - Using the Medicare Current Beneficiary Survey to conduct research on Medicare-eligible veteransYvonne Jonk
Rural Health Research Center, Division of Health Policy and Management, School of Public Health, University of Minnesota, Twin Cities Campus, 2520 University Avenue SE, Suite 201, Minneapolis, MN 55414, USA
J Rehabil Res Dev 47:797-813. 2010..This replacement would significantly improve the accuracy, quality, and usefulness of the MCBS dataset for policy research... - The problem of multiple marginsBryan Dowd
Division of Health Services Research, Policy, and Administration, University of Minnesota School of Public Health, Minneapolis, USA
Health Aff (Millwood) . 2004..The analysis centers importantly on the distinction between different types of margins. It is important to understand these differences as a preparation to predicting the outcomes of possible health care reforms... - Mothers' health and work-related factors at 11 weeks postpartumPat McGovern
School of Public Health, University of Minnesota, Minneapolis, Minn, USA
Ann Fam Med 5:519-27. 2007..Many new mothers return to work soon after childbirth. This study examines personal and work-related factors associated with the postpartum health of employed women 11 weeks after childbirth... - Predictors of patients' perceived need for medication to prevent fractureJohn T Schousboe
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55416, USA
Med Care 49:273-80. 2011..Adherence with medications to prevent fractures is suboptimal. Patients' perceived need for medication is an important predictor of medication-use behavior... - Is patient satisfaction influenced by the intensity of medical resource use by their physicians?Bryan E Dowd
Division of Health Policy and Management, University of Minnesota, Minneapolis, MN 55455, USA
Am J Manag Care 15:e16-21. 2009..To determine whether patients' satisfaction with their primary care is related to providers' use of medical resources... - Having it all: national benefit equity and local payment parity in MedicareBryan Dowd
Division of Health Services Research and Policy, University of Minnesota School of Public Health, USA
Health Aff (Millwood) 21:208-14. 2002.... - Postpartum depression and health services expenditures among employed womenRada K Dagher
Department of Health Services Administration, School of Public Health, University of Maryland, College Park, MD 20742, USA
J Occup Environ Med 54:210-5. 2012..To investigate the association of postpartum depression with health services expenditures among employed women... - Differences in the cost of health care provided by group practices in MinnesotaJohn E Kralewski
University of Minnesota, School of Public Health, Division of Health Policy and Management, MN, USA
Minn Med 94:41-4. 2011..The practices that provided high-quality, low-cost care included both relatively small physician-owned practices and large, multi-clinic systems that also owned hospitals... - Managing patient care cost in Minnesota medical group practicesJohn Kralewski
Division of Health Services Research and Policy, University of Minnesota, USA
Minn Med 87:48-54. 2004.... - Work and non-pathological gamblingJohn A Nyman
University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455 0392, USA
J Gambl Stud 29:61-81. 2013..The results indicate that the respondent's work characteristics explain the decision to gamble in a way that is consistent with theory... - Forecasting changes in physician services per capita in Minnesota through 2030Tzy-Chyi Yu
Division of Health Services Research and Policy, University of Minnesota, USA
Minn Med 87:48-52. 2004..The adjusted model represents a "worst case scenario" that removes physicians who typically work fewer hours from the count of physicians and retains the population needing the most health care services... - The influence of the structure and culture of medical group practices on prescription drug errorsJohn E Kralewski
Division of Health Services Research and Policy, University of Minnesota, Minneapolis, Minnesota 55455, USA
Med Care 43:817-25. 2005..Seventy-eight practices serving an upper Midwest managed care (Care Plus) plan during 2001 were included in the study... - Quality-of-life weights for the US population: self-reported health status and priority health conditions, by demographic characteristicsJohn A Nyman
Division of Health Policy and Management, School of Public Health, University of Minnesota, 520 Delaware Street SE, Minneapolis, MN 55455, USA
Med Care 45:618-28. 2007..quot; These surveys could be used to conduct cost-utility analyses of health care policies, treatments or other interventions if quality-of-life (QOL) weights for the self-reported health statuses were also available... - Does Medicare managed care provide equal treatment for mental illness across races?Beth Virnig
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis 55455, USA
Arch Gen Psychiatry 61:201-5. 2004..We examined the quality of mental health care received by elderly enrollees in Medicare + Choice plans... - Assessing the influence of incentives on physicians and medical groupsRobert Town
University of Minnesota, USA
Med Care Res Rev 61:80S-118S. 2004..Finally, the dynamics of incentive change are considered, with a focus on describing the conditions under which physicians and physician organizations respond to incentive changes... - An instrumental variable analysis of the impact of practice guidelines on improving quality of care and diabetes-related outcomes in the elderly Medicare population- Suying Li
United States Renal Data System Coordinating Center, Minneapolis Medical Research Foundation, Minneapolis, Minnesota 55404, USA
Am J Med Qual 23:222-30. 2008..8 percentage points for macrovascular complications, 28.7 for atherosclerotic heart disease, and 23.1 for chronic kidney disease or end-stage renal disease in the 4-year follow-up period... - Racial variation in quality of care among Medicare+Choice enrolleesBeth A Virnig
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis, USA
Health Aff (Millwood) 21:224-30. 2002..Asians received equal or better care for all measures. It is important that studies of health care quality include all racial subgroups since the black/white patterns may not apply... - The effect of benefits, premiums, and health risk on health plan choice in the Medicare programAdam Atherly
Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
Health Serv Res 39:847-64. 2004..CONCLUSIONS: Plan characteristics significantly impact beneficiaries' decisions to enroll in Medicare M+C plans and individuals sort themselves systematically into plans based on individual characteristics... - Effect of Medicare advantage payments on dually eligible Medicare beneficiariesAdam Atherly
Emory University, Atlanta, GA 30322, USA
Health Care Financ Rev 26:93-104. 2005..We find a $10 increase in monthly MA payment reduces the probability of dual enrollment by four percentage points, and FFS Medicare enrollment by 11 percentage points...
Research Grants
- NRSA Training Grant in Health Services ResearchBryan Dowd; Fiscal Year: 2007..faculty have extensive ongoing research programs that focus on issues identified by programs by AHRQ as high priority areas and students are involved in these research projects with their mentors throughout their training ..
- Physician Quality Reporting and Patient Outcomes in MedicareBryan E Dowd; Fiscal Year: 2010....