David Grembowski

Summary

Affiliation: University of Washington
Country: USA

Publications

  1. ncbi request reprint Does a large-scale organizational transformation toward patient-centered access change the utilization and costs of care for patients with diabetes?
    David Grembowski
    Department of Health Services, School of Public Health, University of Washington, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195 7475, USA
    Med Care Res Rev 69:519-39. 2012
  2. doi request reprint Social gradients in dental health among low-income mothers and their young children
    David Grembowski
    Department of Oral Health Sciences, University of Washington, Seattle, WA 98195 7660, USA
    J Health Care Poor Underserved 23:570-88. 2012
  3. doi request reprint Are local health department expenditures related to racial disparities in mortality?
    David Grembowski
    University of Washington, Seattle, WA 98195 7660, USA
    Soc Sci Med 71:2057-65. 2010
  4. pmc Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptoms
    David Grembowski
    Center for Cost and Outcomes Research, University of Washington, Seattle, WA 98125, USA
    BMC Health Serv Res 7:22. 2007
  5. ncbi request reprint Racial and ethnic differences in a regular source of dental care and the oral health, behaviors, beliefs and services of low-income mothers
    D Grembowski
    Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195 7660 USA
    Community Dent Health 26:69-76. 2009
  6. pmc Managed care, physician job satisfaction, and the quality of primary care
    David Grembowski
    Center for Cost and Outcomes Research, and Department of Health Services, University of Washington, Seattle, WA 98195 7660, USA
    J Gen Intern Med 20:271-7. 2005
  7. doi request reprint Linking mother and child access to dental care
    David Grembowski
    University of Washington, Department of Dental Public Health Sciences, Seattle, WA 98195 7475, USA
    Pediatrics 122:e805-14. 2008
  8. ncbi request reprint Managed care and primary physician satisfaction
    David Grembowski
    Center for Cost and Outcomes Research, University of Washington, Seattle 98195, USA
    J Am Board Fam Pract 16:383-93. 2003
  9. ncbi request reprint Factors influencing the appropriateness of restorative dental treatment: an epidemiologic perspective
    D Grembowski
    Department of Dental Public Health Sciences, School of Public Health, University of Washington, Seattle 98195 7660, USA
    J Public Health Dent 57:19-30. 1997
  10. ncbi request reprint Managed care and the US health care system a social exchange perspective
    David E Grembowski
    Department of Health Services, University of Washington, Seattle 98195 7660, USA
    Soc Sci Med 54:1167-80. 2002

Research Grants

  1. Physician Networks and Children with Chronic Conditions
    David Grembowski; Fiscal Year: 2002
  2. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2003
  3. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2004
  4. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2005
  5. Race/Ethnicity, Socioeconomic Status and Oral Health
    David Grembowski; Fiscal Year: 2006
  6. Improving Access to Improve Quality in an HMO
    David Grembowski; Fiscal Year: 2006
  7. Improving Access to Improve Quality in an HMO
    David Grembowski; Fiscal Year: 2007

Detail Information

Publications44

  1. ncbi request reprint Does a large-scale organizational transformation toward patient-centered access change the utilization and costs of care for patients with diabetes?
    David Grembowski
    Department of Health Services, School of Public Health, University of Washington, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195 7475, USA
    Med Care Res Rev 69:519-39. 2012
    ..Specialty visits did not change; however, the Initiative may have increased emergency visits. To reduce emergency visits, future access initiatives should include proactive and comprehensive outpatient care for patients with diabetes...
  2. doi request reprint Social gradients in dental health among low-income mothers and their young children
    David Grembowski
    Department of Oral Health Sciences, University of Washington, Seattle, WA 98195 7660, USA
    J Health Care Poor Underserved 23:570-88. 2012
    ..05) after adjusting for oral health beliefs and behaviors, dental insurance, and regular dental care. Associations did not differ significantly by racial/ethnic group...
  3. doi request reprint Are local health department expenditures related to racial disparities in mortality?
    David Grembowski
    University of Washington, Seattle, WA 98195 7660, USA
    Soc Sci Med 71:2057-65. 2010
    ....
  4. pmc Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptoms
    David Grembowski
    Center for Cost and Outcomes Research, University of Washington, Seattle, WA 98125, USA
    BMC Health Serv Res 7:22. 2007
    ....
  5. ncbi request reprint Racial and ethnic differences in a regular source of dental care and the oral health, behaviors, beliefs and services of low-income mothers
    D Grembowski
    Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195 7660 USA
    Community Dent Health 26:69-76. 2009
    ....
  6. pmc Managed care, physician job satisfaction, and the quality of primary care
    David Grembowski
    Center for Cost and Outcomes Research, and Department of Health Services, University of Washington, Seattle, WA 98195 7660, USA
    J Gen Intern Med 20:271-7. 2005
    ....
  7. doi request reprint Linking mother and child access to dental care
    David Grembowski
    University of Washington, Department of Dental Public Health Sciences, Seattle, WA 98195 7475, USA
    Pediatrics 122:e805-14. 2008
    ....
  8. ncbi request reprint Managed care and primary physician satisfaction
    David Grembowski
    Center for Cost and Outcomes Research, University of Washington, Seattle 98195, USA
    J Am Board Fam Pract 16:383-93. 2003
    ..Our study was guided by a conceptual model of physician satisfaction derived from published evidence...
  9. ncbi request reprint Factors influencing the appropriateness of restorative dental treatment: an epidemiologic perspective
    D Grembowski
    Department of Dental Public Health Sciences, School of Public Health, University of Washington, Seattle 98195 7660, USA
    J Public Health Dent 57:19-30. 1997
    ..An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults...
  10. ncbi request reprint Managed care and the US health care system a social exchange perspective
    David E Grembowski
    Department of Health Services, University of Washington, Seattle 98195 7660, USA
    Soc Sci Med 54:1167-80. 2002
    ..The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed...
  11. pmc Managed care, access to mental health specialists, and outcomes among primary care patients with depressive symptoms
    David E Grembowski
    Center for Cost and Outcomes Research, Department of Health Services, University of Washington, Seattle, Wash 98195 7660, USA
    J Gen Intern Med 17:258-69. 2002
    ..To determine whether managed care is associated with reduced access to mental health specialists and worse outcomes among primary care patients with depressive symptoms...
  12. doi request reprint Linking mother access to dental care and child oral health
    David Grembowski
    Department of Dental Public Health Sciences, University of Washington, Seattle, WA 98195 7660, USA
    Community Dent Oral Epidemiol 37:381-90. 2009
    ..The authors examined whether low-income mothers, who have a regular source of dental care (RSDC), rate the dental health of their young children higher than mothers without an RSDC...
  13. pmc Increasing access to dental care for medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) program
    D Grembowski
    Department of Dental Public Health Sciences, School of Dentistry, University of Washington, Seattle 98195 7660, USA
    Public Health Rep 115:448-59. 2000
    ..This study aimed to determine the program's effect on children's dental utilization and dental fear, and on parent satisfaction and knowledge...
  14. pmc Disparities in regular source of dental care among mothers of medicaid-enrolled preschool children
    David Grembowski
    Department of Dental Public Health Sciences, University of Washington UW, WA, USA
    J Health Care Poor Underserved 18:789-813. 2007
    ..Mothers lacking a regular source of dental care may increase oral health disparities disfavoring their children...
  15. doi request reprint Group health cooperative's transformation toward patient-centered access
    James D Ralston
    Center for Health Studies, Seattle, Washington, USA
    Med Care Res Rev 66:703-24. 2009
    ....
  16. pmc Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE)
    Courtney R Lyles
    University of Washington, Department of Health Services, Seattle, WA, USA
    Patient Educ Couns 85:e216-24. 2011
    ..We examined provider-level factors and reported discrimination in the healthcare setting...
  17. pmc County-level characteristics as predictors of dentists' ECC counseling in the USA: a survey study
    Peter Milgrom
    Department of Oral Health Sciences, University of Washington, Box 357475, Seattle, WA 98195 7475, USA
    BMC Oral Health 13:23. 2013
    ..This study extends those findings with an analysis of county level factors...
  18. pmc Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE)
    Courtney R Lyles
    Department of Health Services, University of Washington School of Public Health, Seattle, WA, USA
    J Gen Intern Med 26:1138-44. 2011
    ....
  19. pmc Dissatisfaction with dental care among mothers of Medicaid-enrolled children
    Peter Milgrom
    Department of Dental Public Health Sciences, University of Washington, Seattle, WA 98195 7475, USA
    Community Dent Oral Epidemiol 36:451-8. 2008
    ..We describe levels of satisfaction with care among mothers whose preschool children were enrolled in Medicaid in Washington State. We report mothers' satisfaction related to having a RSDC by type of dental setting/office...
  20. ncbi request reprint An ABCD program to increase access to dental care for children enrolled in Medicaid in a rural county
    Tarja Kaakko
    Department of Dental Public Health Sciences, School of Dentistry, University of Washington, Seattle 98195, USA
    J Public Health Dent 62:45-50. 2002
    ..In this study, the program was evaluated in rural Stevens County, Washington. Aims were to assess utilization of dental services, average dental expenditures per child, and oral health status...
  21. pmc Access intervention in an integrated, prepaid group practice: effects on primary care physician productivity
    Douglas Conrad
    Department of Health Services, University of Washington, Box 357660, Suite H660C, Seattle, WA 98195 7660, USA
    Health Serv Res 43:1888-905. 2008
    ..To estimate the joint effect of a multifaceted access intervention on primary care physician (PCP) productivity in a large, integrated prepaid group practice...
  22. doi request reprint Evaluation of the group health cooperative access initiative: study design challenges in estimating the impact of a large-scale organizational transformation
    David Grembowski
    Group Health Cooperative, Center for Health Studies, Washington, Seattle, USA
    Qual Manag Health Care 17:292-303. 2008
    ..The methods may be generalizable to evaluating similar reforms in other integrated delivery systems with representative patient and physician data sources...
  23. doi request reprint Local public health delivery of maternal child health services: are specific activities associated with reductions in Black-White mortality disparities?
    Betty Bekemeier
    Department of Health Services, University of Washington School of Public Health, Box 357660, Seattle, WA 98195, USA
    Matern Child Health J 16:615-23. 2012
    ..Implications of this study suggest the importance of certain MCH services for reducing Black-White mortality disparities...
  24. pmc Health insurance regain after a spell of uninsurance: a longitudinal comparison of youth with and without disabilities transitioning into adulthood
    Grace Wang
    Institute for Public Health Genetics, School of Public Health, University of Washington, Seattle, Washington 98195 7236, USA
    J Adolesc Health 45:556-63. 2009
    ..To examine insurance regain among youth with no, nonsevere, and severe disabilities...
  25. pmc Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE)
    Courtney R Lyles
    University of Washington, Department of Health Services, School of Public Health, Seattle, WA 98195, USA
    J Health Care Poor Underserved 22:211-25. 2011
    ..We examined possible determinants of self-reported health care discrimination...
  26. pmc Managed care, access to specialists, and outcomes among primary care patients with pain
    David E Grembowski
    Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195 7660, USA
    Health Serv Res 38:1-19. 2003
    ..To determine whether managed care controls were associated with reduced access to specialists and worse outcomes among primary care patients with pain...
  27. pmc Unmet dental need in community-dwelling adults with mental illness: results from the 2007 Medical Expenditure Panel Survey
    Lisa J Heaton
    Department of Oral Health Sciences, School of Dentistry, University of Washington, 1959 N E Pacific St, Box 357475, Seattle, Wash 98195 7475, USA
    J Am Dent Assoc 144:e16-23. 2013
    ..Mental illness (MI) affects approximately one in five U.S. adults, and it is associated with oral disease and poor dental treatment outcomes. Little is known about dental care utilization or unmet dental need in this population...
  28. ncbi request reprint Dental care needs, use and expenditures among U.S. children with and without special health care needs
    Hiroko Iida
    Department of Epidemiology, Child Health Institute, University of Washington, Seattle, Washington 98195 492, USA
    J Am Dent Assoc 141:79-88. 2010
    ..Controversy exists in the literature about whether dental care needs, use and expenditures differ between children with and without special health care needs (SHCN)...
  29. ncbi request reprint Parent satisfaction with emergency dental treatment at a children's hospital
    Donna J Quinby
    Children s Hospital and Regional Medical Center, Seattle, Wash, USA
    J Dent Child (Chic) 71:17-23. 2004
    ..This study evaluated parental satisfaction with emergency dental treatment...
  30. doi request reprint An approach to understanding the interaction of hope and desire for explicit prognostic information among individuals with severe chronic obstructive pulmonary disease or advanced cancer
    J Randall Curtis
    Department of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98104, USA
    J Palliat Med 11:610-20. 2008
    ....
  31. pmc Nurses' identification of important yet under-utilized end-of-life care skills for patients with life-limiting or terminal illnesses
    Lynn F Reinke
    Department of Veterans Affairs, VA Puget Sound Health Care System, Health Services Research and Development, Seattle, Washington 98195, USA
    J Palliat Med 13:753-9. 2010
    ..This study was designed to identify nurses' perspectives on nursing skills that are important yet under-utilized in end-of-life care...
  32. pmc Determinants of medical students' perceived preparation to perform end-of-life care, quality of end-of-life care education, and attitudes toward end-of-life care
    Martha E Billings
    Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98104, USA
    J Palliat Med 13:319-26. 2010
    ..In this study, we evaluated associations between survey items assessing these learning modalities and students' perceptions of their preparation, quality of education, and attitudes toward end-of-life care...
  33. ncbi request reprint Psychometric characteristics of a quality of communication questionnaire assessing communication about end-of-life care
    Ruth Engelberg
    Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, 98104, USA
    J Palliat Med 9:1086-98. 2006
    ..While further validation studies are needed, this assessment of the QOC represents an important step toward providing a measure of the quality of end-of-life communication...
  34. pmc Risk of losing insurance during the transition into adulthood among insured youth with disabilities
    Grace Wang
    Institute for Public Health Genetics, University of Washington, Box 357236, Seattle, WA 98195 7236, USA
    Matern Child Health J 14:67-74. 2010
    ..63 times higher odds (OR: 1.63; 95% CI: 1.03, 2.57; P = .04) of losing health insurance compared to youth without disabilities. Insurance type interacts with disability severity to affect odds of insurance loss among insured youth...
  35. ncbi request reprint Washington state foster care: dental utilization and expenditures
    Molly L R Melbye
    Oral Health Sciences, University of Washington, Seattle, WA, USA
    J Public Health Dent 74:93-101. 2014
    ..To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC)...
  36. doi request reprint A conceptual model of the role of complexity in the care of patients with multiple chronic conditions
    David Grembowski
    Department of Health Services, University of Washington MacColl Center for Healthcare Innovation, Group Health Research Institute, Seattle, WA Denver Health and Hospital Authority, Denver, CO Palo Alto Medical Foundation Research Institute, Palo Alto, CA Agency for Healthcare Research and Quality, Center for Primary Care, Prevention, and Clinical Partnerships, Rockville, MD Center for Health Quality, Outcomes, and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford Abt Associates, Cambridge, MA
    Med Care 52:S7-S14. 2014
    ..As part of AHRQ Multiple Chronic Conditions Research Network (MCCRN) efforts, the Network developed a conceptual model to guide research in this area...
  37. doi request reprint A report on eight early-stage state and regional projects testing value-based payment
    Douglas Conrad
    Center for Health Management Research, University of Washington, Seattle, WA, USA
    Health Aff (Millwood) 32:998-1006. 2013
    ..We also share some early lessons and identify prerequisites for success, such as ensuring that providers have broad and timely access to data so they can meet patients' needs in cost-effective ways...
  38. ncbi request reprint Patient-centered medical home initiative produced modest economic results for veterans health administration, 2010-12
    Paul L Hebert
    Paul L Hebert is an investigator in the Veterans Affairs VA Health Services Research and Development Center for Veteran Centered, Value Driven Health, VA Puget Sound Health Care System, and a research associate professor in the Department of Health Services, School of Public Health, University of Washington, both in Seattle
    Health Aff (Millwood) 33:980-7. 2014
    ..Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA. ..
  39. pmc Counseling on Early Childhood Caries transmission by dentists
    Peter Milgrom
    Northwest Center to Reduce Oral Health Disparities, University of Washington, Seattle, WA 98195 7475, USA
    J Public Health Dent 73:151-7. 2013
    ..Transmission from mother-to-child is common and studies have demonstrated treatment of the mother results in less ECC. The objective of this study was to determine how dentists have adopted the practice of counseling about ECC...
  40. doi request reprint Leadership matters: local health department clinician leaders and their relationship to decreasing health disparities
    Betty Bekemeier
    Department of Psychosocial and Community Health, School of Nursing, University of Washington, Seattle 98195, USA
    J Public Health Manag Pract 18:E1-E10. 2012
    ..This study investigated changes in LHD services and leadership and how these changes are associated with mortality disparities...
  41. ncbi request reprint A case report: arresting dental caries
    P Milgrom
    Department of Dental Public Health Sciences, Dental Fears Research Clinic, University of Washington, Box 357475, Seattle, WA 98195-7475, USA
    J Dent Hyg 75:241-3. 2001
    ..Surgical intervention may be avoided in patients whose risk has shifted to a lower level...
  42. pmc Improving social work in intensive care unit palliative care: results of a quality improvement intervention
    Andrew J McCormick
    Division of Pulmonary and Critical Care Medicine, Harborview Medical Center University of Washington, Seattle, Washington 98104 2499, USA
    J Palliat Med 13:297-304. 2010
    ..Social workers are involved in providing this care for patients and families. Our goal was to examine the social worker component of an intervention to improve interdisciplinary palliative care in the ICU...
  43. ncbi request reprint Social workers in palliative care: assessing activities and barriers in the intensive care unit
    Andrew J McCormick
    Harborview Medical Center, Seattle, Washington 98104, USA
    J Palliat Med 10:929-37. 2007
    ....

Research Grants7

  1. Physician Networks and Children with Chronic Conditions
    David Grembowski; Fiscal Year: 2002
    ..out-of-network physicians; and b) determine whether quality of care and expenditures are similar or different for children seeing in- vs. out-of-network physicians. ..
  2. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2003
    ..Aim 4 analyses of children will determine whether mothers' loss of dental insurance results in fewer children dental utilization. ..
  3. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2004
    ..Aim 4 analyses of children will determine whether mothers' loss of dental insurance results in fewer children dental utilization. ..
  4. Linking Mother and Child Access to Dental Care
    David Grembowski; Fiscal Year: 2005
    ..Aim 4 analyses of children will determine whether mothers' loss of dental insurance results in fewer children dental utilization. ..
  5. Race/Ethnicity, Socioeconomic Status and Oral Health
    David Grembowski; Fiscal Year: 2006
    ..In Aim 2 mixed-effect multilevel models will be used to estimate the effects of neighborhood socioeconomic disadvantage on perceived oral health controlling for individual-level characteristics. ..
  6. Improving Access to Improve Quality in an HMO
    David Grembowski; Fiscal Year: 2006
    ..Data Sources. Group Health automated data bases. Analyses. Descriptive, bivariate, regression, and time series analyses will be performed. ..
  7. Improving Access to Improve Quality in an HMO
    David Grembowski; Fiscal Year: 2007
    ..Data Sources. Group Health automated data bases. Analyses. Descriptive, bivariate, regression, and time series analyses will be performed. ..