A5072651772- Global Health Workforce Issues
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Primary Care and Health Outcomes
- Abdominal Surgery and Complications
- Appendicitis Diagnosis and Management
- Epigenetics and DNA Methylation
- Healthcare cost, quality, practices
- Hip and Femur Fractures
- Geriatric Care and Nursing Homes
- Acute Lymphoblastic Leukemia research
- Aortic aneurysm repair treatments
- Homelessness and Social Issues
- Disaster Response and Management
- Trauma and Emergency Care Studies
- Diversity and Career in Medicine
- Colorectal Cancer Screening and Detection
- Hospital Admissions and Outcomes
- Pelvic and Acetabular Injuries
- Global Health Care Issues
- RNA modifications and cancer
- Healthcare professionals’ stress and burnout
- DNA Repair Mechanisms
- Global Health and Surgery
- Reconstructive Surgery and Microvascular Techniques
University of Michigan–Ann Arbor
2020-2025
United States University
2024
American Association of Neurological Surgeons
2023
Yale New Haven Hospital
2022
Yale University
2022
Duke University
2022
Agency for Healthcare Research and Quality
2022
United States Department of Veterans Affairs
2022
Concerns have been raised over wide variation in rates of unplanned (emergency or urgent) surgery for access-sensitive surgical conditions—diagnoses requiring that preferably is planned (elective) but, when access limited, may be delayed until worsening symptoms require riskier and costlier surgery. Yet little known about geographic community-level factors increase the likelihood with adverse outcomes. We examined relationship between social vulnerability three conditions 2014–18 among...
Housing instability and other social determinants of health are increasingly being documented by clinicians. The most common reasons for hospitalization among patients with coded housing instability, however, not well understood.To compare the without instability.This cross-sectional, retrospective study identified hospitalizations between age 18 99 years using 2017 to 2019 National Inpatient Sample. Data were analyzed from May September 2022.Housing was operationalized 5 International...
Importance Gender-affirming surgery is often beneficial for gender-diverse or -dysphoric patients. Access to gender-affirming limited through restrictive legislation and insurance policies. Objective To investigate the association between California’s 2013 implementation of Insurance Gender Nondiscrimination Act, which prohibits insurers health plans from limiting benefits based on a patient’s sex, gender, gender identity, expression, utilization among California residents. Design, Setting,...
Primary care physicians are often the first to screen and identify patients with access-sensitive surgical conditions that should be treated electively. These require surgery is preferably planned (elective), but, when access limited, treatment may delayed worsening symptoms lead emergency (for example, colectomy for cancer, abdominal aortic aneurysm repair, incisional hernia repair). We evaluated rates of elective versus three living in primary Health Professional Shortage Areas during...
This study investigates changes in travel time for rural and nonrural US patients undergoing surgical care from 2010 to 2020.
This cohort study uses Medicare fee-for-service claims data to assess hospital-level racial and ethnic segregation among beneficiaries undergoing common surgical procedures.
Maintaining competition among hospitals is increasingly seen as important to achieving high-quality outcomes. Whether or not there an association between hospital market and outcomes after high-risk surgery unknown.
Abstract Notch activation is highly prevalent among cancers, in particular T-cell acute lymphoblastic leukemia (T-ALL). However, the use of pan-Notch inhibitors to treat cancers has been hampered by adverse effects, particularly intestinal toxicities. To circumvent this barrier T-ALL, we aimed inhibit ETS1, a developmentally important transcription factor previously shown cobind response elements. Using complementary genetic approaches mouse models, show that ablation Ets1 leads strong...
Abstract Purpose Americans who reside in health professional shortage areas currently have less than half of the needed physician workforce. While designation has been associated with poor outcomes for chronic medical conditions, far is known about after high‐risk surgical procedures. Methods We performed a retrospective review Medicare beneficiaries living and nonshortage underwent abdominal aortic aneurysm repair, coronary artery bypass graft, esophagectomy, liver resection,...
To compare surgical outcomes and expenditures at critical access hospitals that do versus not participate in a hospital network among Medicare beneficiaries.Critical provide essential care to more than 80 million Americans. These hospitals, often rural, are located 35 miles away from another required maintain patient transfer agreements with other facilities capable of providing higher levels care. Some have gone further formally network.This was cross-sectional retrospective study 2014 2018...
Objective: Health professional shortage areas (HPSAs) were created by the Resources and Services Administration to identify communities with a of clinical providers. For medical conditions, these designations are associated worse outcomes. However, far less is known about patients undergoing high-complexity surgical procedures, such as coronary artery bypass grafting (CABG). Background: The aim was compare postoperative outcomes surgery in beneficiaries living HPSA versus non-HPSA designated...
Objective: To compare the rates of unplanned procedures for access-sensitive surgical conditions among beneficiaries living in census tracts varying social capital levels. Background: Access-sensitive are ideally screened and treated an elective setting. However, when left untreated, these may result (i.e., urgent or emergent) surgery. It is possible that capital—the resources available to individuals through their membership a network—may impact likelihood planned procedure occurring....
This cohort study evaluates the Health Professional Shortage Area Surgeon Incentive Program to determine how it may have changed surgeon workforce in designated areas.