Research Topics
| David GrembowskiSummaryAffiliation: University of Washington Country: USA Publications
Research Grants
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Detail Information
Publications
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...- Social gradients in dental health among low-income mothers and their young childrenDavid 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... 
Factors influencing the appropriateness of restorative dental treatment: an epidemiologic perspectiveD 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...- 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.... 
Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptomsDavid Grembowski
Center for Cost and Outcomes Research, University of Washington, Seattle, WA 98125, USA
BMC Health Serv Res 7:22. 2007....- Linking mother access to dental care and child oral healthDavid 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... - Managed care, physician job satisfaction, and the quality of primary careDavid 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.... - Linking mother and child access to dental careDavid Grembowski
University of Washington, Department of Dental Public Health Sciences, Seattle, WA 98195 7475, USA
Pediatrics 122:e805-14. 2008.... - Racial and ethnic differences in a regular source of dental care and the oral health, behaviors, beliefs and services of low-income mothersD 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.... - Managed care and primary physician satisfactionDavid 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... - Managed care and the US health care system a social exchange perspectiveDavid 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... - Managed care, access to mental health specialists, and outcomes among primary care patients with depressive symptomsDavid 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... - Increasing access to dental care for medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) programD 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... - Disparities in regular source of dental care among mothers of medicaid-enrolled preschool childrenDavid 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... - Group health cooperative's transformation toward patient-centered accessJames D Ralston
Center for Health Studies, Seattle, Washington, USA
Med Care Res Rev 66:703-24. 2009.... - 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... - 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.... - Dissatisfaction with dental care among mothers of Medicaid-enrolled childrenPeter 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... - An ABCD program to increase access to dental care for children enrolled in Medicaid in a rural countyTarja Kaakko
Department of Dental Public Health Sciences, School of Dentistry, University of Washington, Seattle 98195, USA
J Public Health Dent 62:45-50. 2002..ABCD children had fewer teeth with initial caries. The average incremental cost per child per initial lesion prevented was 31.44 dollars. CONCLUSION: ABCD most benefited the youngest cohort of children and improved health... - Access intervention in an integrated, prepaid group practice: effects on primary care physician productivityDouglas 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... - Evaluation of the group health cooperative access initiative: study design challenges in estimating the impact of a large-scale organizational transformationDavid 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... - 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... - Health insurance regain after a spell of uninsurance: a longitudinal comparison of youth with and without disabilities transitioning into adulthoodGrace 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... - 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... - Managed care, access to specialists, and outcomes among primary care patients with painDavid 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.... - Dental care needs, use and expenditures among U.S. children with and without special health care needsHiroko 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)... - Parent satisfaction with emergency dental treatment at a children's hospitalDonna 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... - Psychometric characteristics of a quality of communication questionnaire assessing communication about end-of-life careRuth 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... - Nurses' identification of important yet under-utilized end-of-life care skills for patients with life-limiting or terminal illnessesLynn 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... - 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 careMartha 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... - An approach to understanding the interaction of hope and desire for explicit prognostic information among individuals with severe chronic obstructive pulmonary disease or advanced cancerJ Randall Curtis
Department of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98104, USA
J Palliat Med 11:610-20. 2008.... - Risk of losing insurance during the transition into adulthood among insured youth with disabilitiesGrace 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... - Leadership matters: local health department clinician leaders and their relationship to decreasing health disparitiesBetty 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... - Unmet dental need in community-dwelling adults with mental illness: results from the 2007 Medical Expenditure Panel SurveyLisa 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... - A case report: arresting dental cariesP 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... - Improving social work in intensive care unit palliative care: results of a quality improvement interventionAndrew 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... - Social workers in palliative care: assessing activities and barriers in the intensive care unitAndrew J McCormick
Harborview Medical Center, Seattle, Washington 98104, USA
J Palliat Med 10:929-37. 2007....
Research Grants
- Physician Networks and Children with Chronic ConditionsDavid 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. ..
- Linking Mother and Child Access to Dental CareDavid Grembowski; Fiscal Year: 2005..Aim 4 analyses of children will determine whether mothers' loss of dental insurance results in fewer children dental utilization. ..
- Race/Ethnicity, Socioeconomic Status and Oral HealthDavid 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. ..
- Improving Access to Improve Quality in an HMODavid Grembowski; Fiscal Year: 2007..Data Sources. Group Health automated data bases. Analyses. Descriptive, bivariate, regression, and time series analyses will be performed. ..