A5021696694- Healthcare Policy and Management
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Healthcare Systems and Reforms
- Employment and Welfare Studies
- Healthcare cost, quality, practices
- Chronic Disease Management Strategies
- Patient Satisfaction in Healthcare
- Pharmaceutical Economics and Policy
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Global Maternal and Child Health
- Global Health Workforce Issues
- COVID-19 and Mental Health
- Geriatric Care and Nursing Homes
- Legal Education and Practice Innovations
- COVID-19 epidemiological studies
- Healthcare Systems and Challenges
- Efficiency Analysis Using DEA
- Malaria Research and Control
- Frailty in Older Adults
- Medical Coding and Health Information
- Human Resource Development and Performance Evaluation
London School of Economics and Political Science
2016-2025
Brown University
2023-2025
Harvard University
2018-2024
Providence College
2022-2024
John Brown University
2024
Women's College Hospital
2023
Trillium Health Centre
2023
Optum (United States)
2021
Harvard Global Health Institute
2017-2020
Massachusetts General Hospital
2016
<h3>Importance</h3> Health care spending in the United States is a major concern and higher than other high-income countries, but there little evidence that efforts to reform US health delivery have had meaningful influence on controlling costs. <h3>Objective</h3> To compare potential drivers of spending, such as structural capacity utilization, with those 10 highest-income countries (United Kingdom, Canada, Germany, Australia, Japan, Sweden, France, Netherlands, Switzerland, Denmark) gain...
Abstract Objective To determine how the UK National Health Service (NHS) is performing relative to health systems of other high income countries, given that it facing sustained financial pressure, increasing levels demand, and cuts social care. Design Observational study using secondary data from key international organisations such as Eurostat Organization for Economic Cooperation Development. Setting Healthcare nine comparator countries: Australia, Canada, Denmark, France, Germany,...
"Abandoned" Nursing Homes Continue to Face Critical Supply and Staff Shortages as COVID-19 Toll Has Mounted
Health systems experience difficult trade-offs when paying for new drugs. In England, funding recommendations by the National Institute and Care Excellence (NICE) drugs might generate health gains, but inevitably result in forgone as funds cannot be used alternative treatments services. We aimed to evaluate population-health impact of NICE during 2000-20. For this retrospective analysis, we identified technology appraisals England published NICE's publicly available database between 2000...
Coeliac disease is a common chronic autoimmune disorder. Underdiagnosis and the quality of life impact symptoms may be severe. We report study symptom duration before after diagnosis in representative sample people with diagnosed coeliac UK. Postal questionnaire 2000 disease, requesting information on date diagnosis, type symptoms, using EQ-5D instrument. The survey response rate was 40% (788/2000). Mean prior to 13.2 years, some evidence shorter recent years. Respondents reported mean 13...
For 2 years the Greek financial crisis has captured global attention. In return for loans from International Monetary Fund (IMF) and European institutions, Greece agreed on harsh across-the-board austerity measures, yet most commentators offer little hope recovery, at least in short run. The economy is expected to contract by a further 6.1% 2011 3% 2012, while unemployment projected reach 18.5% 2012 up 7.7% 2008. The health-care system been accumulating structural problems decade1 that have...
The objective of this paper is to examine variations in perceptions access health care across and within 29 European countries. Using data from the 2008 round Social Survey, we investigate likelihood an individual perceiving that they will experience difficulties accessing next 12 months, should need it (N = 51,835). We find despite most countries having mandates for universal coverage, individuals who are low income, poor health, lack citizenship country where reside, 20–30 years old,...
This cohort study analyzes review times and approval outcomes of health technology assessments conducted in 6 high-income countries for novel therapeutic agents approved by the US Food Drug Administration.
Countries that rely more on price regulation and public financing might be expected to less vulnerable corporate influences in health care. But private equity firms are making inroads various countries.
Amid growing wealth disparity, we have little information on how health among older Americans compares with that Europeans across the distribution of wealth. We performed a longitudinal, retrospective cohort study involving adults 50 to 85 years age who were included in Health and Retirement Study Survey Health, Ageing, Europe between 2010 2022. Wealth quartiles defined according group country, quartile 1 comprising poorest participants 4 wealthiest. Mortality Kaplan-Meier curves estimated...
Measures of personal satisfaction with health systems play an increasingly important role in national and international performance assessments. Using data from the 2010 Commonwealth Fund International Health Policy Survey, we analyzed determinants perceptions system eleven high-income countries. In most countries there was a clear relationship between overall affordability effectiveness care, as well ratings one's regular doctor. There is some evidence that waiting times for appointments...
The Centers for Medicare and Medicaid Services (CMS) has played a leading role in efforts to improve patients’ experiences with hospital care. Yet little is known about how much patient experience changed over the past decade, even less impact of CMS’s most recent strategy: tying payments performance under Value-Based Purchasing (VBP) program. We examined trends multiple measures satisfaction period 2008–14. found that improved modestly at US hospitals—both those participating VBP program...
Motivating provision of high quality care: it is not all about the money Mylène Lagarde, Luis Huicho, and Irene Papanicolas discuss different strategies policy makers can use to motivate health
There is broad consensus that the US spends too much on health care. One proposed driver of high spending low investment in social services. We examined relationship between and across high-income countries. found (at 16.1 percent gross domestic product [GDP] 2015) slightly below average for Organization Economic Cooperation Development (OECD) countries (17.0 GDP) above when education included (US: 19.7 GDP; OECD: 17.7 GDP). spent more services tended to spend Adjusting poverty unemployment...
This study explores differences in spending and utilization of health care services for an older person with frailty before after a hip fracture.
Abstract Objective The objective of this study was to explore cross‐country differences in spending and utilization across different domains care for a multimorbid persona with heart failure diabetes. Data Sources We used individual‐level administrative claims or registry data from inpatient outpatient health sectors compiled by the International Collaborative on Costs, Outcomes, Needs Care (ICCONIC) 11 countries: Australia, Canada, England, France, Germany, Netherlands, New Zealand, Spain,...
Abstract Objectives To compare patterns of technological adoption minimally invasive surgery for radical prostatectomy across the United States and England. Data Sources We examine in England between 2005 2017, using de‐identified administrative claims data from OptumLabs Warehouse Hospital Episodes Statistics Study Design conducted a longitudinal analysis robotic, laparoscopic, open prostatectomy. compared trends over time within countries. Next, we explored whether differential two health...
Importance Although there are increasing differences in health policy and population across US states over the past decade, little is known about how compare with other countries on avoidable mortality. Objective To trends mortality European Union (EU) Organisation for Economic Co-operation Development (OECD). Design, Setting, Participants Retrospective, population-based, repeated cross-sectional study comparing changes among decedents aged 0 to 74 years 50 (and Washington, DC) 40...
Objective: The aim of this study was to investigate whether the Hospital Readmissions Reduction Program, a national program that introduced financial penalties for high readmission rates certain medical conditions, had "spillover" effect on surgical conditions. Summary Background Data: During past decade, there have been multiple efforts improve care. Readmission are key metric assessing quality. Whether declined, and Program has an influence is unclear. Methods: Using Medicare data, we...