Research Topics
| R A DudleySummaryAffiliation: University of California Country: USA Publications
Research Grants
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Detail Information
Publications
The impact of financial incentives on quality of health careR A Dudley
Institute for Health Policy Studies, University of California, San Francisco 94109, USA
Milbank Q 76:649-86, 511. 1998....
Selective referral to high-volume hospitals: estimating potentially avoidable deathsR A Dudley
Department of Medicine, School of Medicine, and the Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
JAMA 283:1159-66. 2000..However, few employers, health plans, or government programs have attempted to increase the number of patients referred to HVHs...- The best of both worlds? Potential of hybrid prospective/concurrent risk adjustmentR Adams Dudley
Department of Medicine and Institute for Health Policy Studies, University of California, San Francisco, 94118, USA
Med Care 41:56-69. 2003..In addition, within-condition RA (using clinical data) for the selected conditions could further improve predictive power... - Shared patient analysis: a method to assess the clinical benefits of patient referralsR A Dudley
Department of Medicine, University of California, San Francisco 94118, USA
Med Care 39:1182-7. 2001..Referral to specialized physicians or institutions often is deemed necessary in clinical medicine, but no method exists to assess the clinical benefit of such referrals... - Reconciling quality measurement with financial risk adjustment in health plansR A Dudley
Department of Medicine, University of California, San Francisco 94118, USA
Jt Comm J Qual Improv 26:137-46. 2000.... - Surgical and endovascular treatment of unruptured cerebral aneurysms at university hospitalsS C Johnston
Department of Neurology, University of California, San Francisco 94143 0114, USA
Neurology 52:1799-805. 1999..To compare complications of surgical clipping and coil embolization in the treatment of unruptured aneurysms... - Resource utilization in liver transplantation: effects of patient characteristics and clinical practice. NIDDK Liver Transplantation Database GroupJ Showstack
Department of Medicine, University of California, San Francisco 94143 0936, USA
JAMA 281:1381-6. 1999..Liver transplantation is among the most costly of medical services, yet few studies have addressed the relationship between the resources utilized for this procedure and specific patient characteristics and clinical practices... - Changes in births to foreign-born women after welfare and immigration policy reforms in CaliforniaC C Korenbrot
Institute for Health Policy Studies, University of California San Francisco, USA
Matern Child Health J 4:241-50. 2000..To determine whether passage of welfare and immigration policies was followed in California by changes in births to foreign-born women in California with respect to total numbers, payer sources, prenatal care use, or health outcomes... - Treatment of unruptured cerebral aneurysms in CaliforniaS C Johnston
Neurovascular Service, Department of Neurology, University of California at San Francisco, San Francisco, CA 94143 0114, USA
Stroke 32:597-605. 2001..The impact of endovascular therapy on treatment outcomes of unruptured cerebral aneurysms has not been studied in a defined geographic area... - Assessing risk-adjustment approaches under non-random selectionHarold S Luft
Institute for Health Policy Studies, School of Medicine, University of California, San Francisco 94118, USA
Inquiry 41:203-17. 2004..The simulation approach offers a valuable tool for analysts in assessing various risk-adjustment strategies under different selection situations... - Elderly patients' preferences and experiences with providers in managing their drug costsChien Wen Tseng
Department of Family Medicine and Community Health, University of Hawaii, Honolulu, Hawaii, USA
J Am Geriatr Soc 55:1974-80. 2007..To determine whether elderly patients with high drug expenditures want and receive providers' help in managing drug costs... - Public reporting and pay-for-performance: safety-net hospital executives' concerns and policy suggestionsL Elizabeth Goldman
Division of General Internal Medicine, Department of Medicine, University of California at San Francisco, CA 94143, USA
Inquiry 44:137-45. 2007.... - Agreement between self-reports and medical records was only fair in a cross-sectional study of performance of annual eye examinations among adults with diabetes in managed careGloria L A Beckles
Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA
Med Care 45:876-83. 2007..Despite consensus about the importance of measuring quality of diabetes care and the widespread use of self-reports and medical records to assess quality, little is known about the degree of agreement between these data sources... - Development and validation of an index to predict activity of daily living dependence in community-dwelling eldersKenneth E Covinsky
Department of Medicine, University of California, San Francisco, CA, USA
Med Care 44:149-57. 2006..However, few prognostic indices have been developed that stratify elders into groups at variable risk for developing ADL dependence... - Public reporting of provider performance: can its impact be made greater?David L Robinowitz
Pediatric Pulmonary Medicine, Institute of Health Policy Studies, University of California, San Francisco, California 94143, USA
Annu Rev Public Health 27:517-36. 2006..Therefore, we also consider the advantages and disadvantages of several novel approaches to analyzing and reporting provider performance... - Medicare's decision to withhold payment for hospital errors: the devil is in the detRobert M Wachter
Department of Medicine, University of California, San Francisco, USA
Jt Comm J Qual Patient Saf 34:116-23. 2008..This initial implementation should be considered a bold experiment, whose consequences are carefully monitored. Additional research will be needed to help identify preventable adverse events and evidence-based strategies to prevent them... - Quality of care in hospitals with a high percent of Medicaid patientsL Elizabeth Goldman
Departments of Medicine, University of California, San Francisco, San Francisco, California 94110, USA
Med Care 45:579-83. 2007..Certain hospitals play a central role in ensuring Medicaid-insured patients' access to care. Their quality of care is critical to evaluate... - Exercise counseling practices among nephrologists caring for patients on dialysisKirsten L Johansen
Department of Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
Am J Kidney Dis 41:171-8. 2003.... 
Quality of colon cancer outcomes in hospitals with a high percentage of Medicaid patientsKim F Rhoads
Stanford University, Stanford, CA 94305, USA
J Am Coll Surg 207:197-204. 2008..We assess the outcomes of patients with colon and rectal cancers at hospitals with a high proportion of Medicaid patients...- Employers' efforts to measure and improve hospital quality: determinants of successAteev Mehrotra
Harvard Combined Medicine/Pediatrics Program, USA
Health Aff (Millwood) 22:60-71. 2003..We describe these conflicts and offer recommendations for future hospital report cards... - Effect of the transformation of the Veterans Affairs Health Care System on the quality of careAshish K Jha
Office of Quality and Performance, Veterans Health Administration, Washington, DC, USA
N Engl J Med 348:2218-27. 2003..These data suggest that the quality-improvement initiatives adopted by the VA in the mid-1990s were effective... - Comparison of change in quality of care between safety-net and non-safety-net hospitalsRachel M Werner
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA
JAMA 299:2180-7. 2008..As such, some have expressed concern that these incentives have the potential to worsen existing disparities among hospitals... - Variation in ICU risk-adjusted mortality: impact of methods of assessment and potential confoundersMichael W Kuzniewicz
Institute for Health Policy Studies, Neonatology, University of California San Francisco, San Francisco, CA 94143 0748, USA
Chest 133:1319-27. 2008..In this study, we determine whether a substantial variation in ICU mortality performance still exists in modern ICUs, and compare the predictive accuracy, reliability, and data burden of existing ICU risk-adjustment models... - Overestimating outcome rates: statistical estimation when reliability is suboptimalRodney A Hayward
Department of Veterans Affairs, VA Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113 0170, USA
Health Serv Res 42:1718-38. 2007..To demonstrate how failure to account for measurement error in an outcome (dependent) variable can lead to significant estimation errors and to illustrate ways to recognize and avoid these errors... - Pay-for-performance in pediatrics: proceed with cautionAlyna T Chien
Section of General Pediatrics, Department of Pediatrics, University of Chicago, Chicago, Illinois, USA
Pediatrics 120:186-8. 2007 - Identifying widely covered drugs and drug coverage variation among Medicare part D formulariesChien Wen Tseng
Department of Family Medicine and Community Health, John A Burns School of Medicine at University of Hawaii, Honolulu, USA
JAMA 297:2596-602. 2007..Clinicians can find it difficult to know which drugs are covered for their Medicare patients because formularies vary widely among Medicare Part D plans and many states have 50 or more such plans... - United States rural hospital quality in the Hospital Compare database-accounting for hospital characteristicsL Elizabeth Goldman
Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
Health Policy 87:112-27. 2008..We compared the quality of rural hospitals participating in a public reporting initiative to that of their urban counterparts using Hospital Compare, a new national database containing process measures... - Pay-for-performance: will the latest payment trend improve care?Meredith B Rosenthal
Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
JAMA 297:740-4. 2007 - What's behind the health expenditure trends?Ateev Mehrotra
Institute for Health Policy Studies, University of California, 3333 California, Suite 265, San Francisco, San Francisco, California 94118, USA
Annu Rev Public Health 24:385-412. 2003..Moreover, we conclude that interpreting the causes of the rise in expenditures goes beyond simple observations of trends and depends on how we value various segments and aspects of health and health care... - Impact of surgeon and surgical center characteristics on choice of permanent vascular accessANN M O'HARE
Department of Medicine, VA Medical Center, San Francisco, California 94121, USA
Kidney Int 64:681-9. 2003..The impact of the surgeon and surgical center characteristics on choice of autogenous arteriovenous (AV) fistula versus artificial AV graft as permanent vascular access for hemodialysis has not been studied... - Aligning quality and payment for heart failure care: defining the challengesEdward P Havranek
Division of Cardiology, Department of Medicine, Denver Health Medical Center and University of Colorado HSC, Denver, Colorado 80204-4507, USA
J Card Fail 9:251-4. 2003..This article describes each of these challenges in turn... - Volume as a surrogate for percutaneous coronary intervention quality: is this the right measuring stick?Ralph G Brindis
Am Heart J 146:932-4. 2003 - Measuring quality in modern managed careHarold S Luft
Health Serv Res 38:1373-9. 2003 - Independent medical review of health plan coverage denials: early trendsKenneth H Chuang
San Francisco VA Medical Center, San Francisco, CA, USA
Health Aff (Millwood) 23:163-9. 2004.... - Pay-for-performance research: how to learn what clinicians and policy makers need to knowR Adams Dudley
JAMA 294:1821-3. 2005 - Managing the unmanageable: the nature and impact of drug risk in physician groupsHelene Levens Lipton
Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA
J Health Polit Policy Law 30:719-50. 2005.... - A behavioral model of clinician responses to incentives to improve qualityAnne Frølich
Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
Health Policy 80:179-93. 2007.... - The relationship between health plan advertising and market incentives: evidence of risk-selective behaviorAteev Mehrotra
Department of Health Care Policy, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA
Health Aff (Millwood) 25:759-65. 2006..We find that increased competition is associated with greater use of advertising that targets healthier patients... - The association between quality of care and the intensity of diabetes disease management programsCarol M Mangione
Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California 90095 1736, USA
Ann Intern Med 145:107-16. 2006..Although disease management programs are widely implemented, little is known about their effectiveness... - Frequency of stress testing to document ischemia prior to elective percutaneous coronary interventionGrace A Lin
Division of General Internal Medicine, University of California, San Francisco, USA
JAMA 300:1765-73. 2008..Guidelines call for documenting ischemia in patients with stable coronary artery disease prior to elective percutaneous coronary intervention (PCI)...
Research Grants
- California Intensive Care Outcomes (CALICO) ProjectR Dudley; Fiscal Year: 2006..The lessons of this project will help policy makers decide what how to measure and improve patient safety in the ICU. ..