A5040889929- Healthcare Policy and Management
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Global Health Care Issues
- Employment and Welfare Studies
- Food Security and Health in Diverse Populations
- Migration and Labor Dynamics
- Taxation and Compliance Studies
- Labor market dynamics and wage inequality
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- COVID-19 epidemiological studies
- Global Cancer Incidence and Screening
- Migration, Health and Trauma
- Healthcare Systems and Reforms
- Opioid Use Disorder Treatment
- Fiscal Policy and Economic Growth
- Cardiovascular Health and Risk Factors
- Health Policy Implementation Science
- Gender, Labor, and Family Dynamics
- Substance Abuse Treatment and Outcomes
- Patient Satisfaction in Healthcare
- Obesity, Physical Activity, Diet
- Nutritional Studies and Diet
- Global Health Workforce Issues
New York University
2017-2025
Drexel University
2024
Brown University
2024
Commonwealth Fund
2024
New York College of Health Professions
2018-2023
Mount Sinai Health System
2023
Columbia Education
2022
University of Pennsylvania
2010-2021
Icahn School of Medicine at Mount Sinai
2014-2020
New York Academy of Medicine
2014-2020
IntroductionThe objective of our study was to estimate the long-term cost-effectiveness a lifestyle modification program led by community health workers (CHWs) for low-income Hispanic adults with type 2 diabetes. MethodsWe forecasted disease outcomes, quality-adjusted life years (QALYs) gained, and lifetime costs associated attaining different hemoglobin A1c (A1c) levels.Outcomes were projected 20 into future discounted at 3.0% rate.Sensitivity analyses conducted assess extent which results...
We evaluated associations between mortgage delinquency and changes in health health-relevant resources over 2 years, with data from the Health Retirement Study, a longitudinal survey representative of US adults older than 50 years.In 2008, participants reported whether they had fallen behind on payments since 2006 (n = 2474). used logistic regression to compare (incidence elevated depressive symptoms, major declines self-rated health) access (food, prescription medications) who fell their...
Multiple candidates of COVID-19 vaccines have entered Phase III clinical trials in the United States (US). There is growing optimism that social distancing restrictions and face mask requirements could be eased with widespread vaccine adoption soon.We developed a dynamic compartmental model transmission for four most severely affected states (New York, Texas, Florida, California). We evaluated effectiveness coverage required to suppress epidemic scenarios when contact was return pre-pandemic...
Background Disparities in cardiovascular disease (CVD) outcomes persist across the United States. Social determinants of health play an important role driving these disparities. The current study aims to identify most social associated with CVD mortality over time US counties. Methods and Results authors used Agency for Healthcare Research Quality's database on linked it data at county level from 2009 2018. age-standardized rate was measured as number deaths per 100 000 people. Penalized...
While rural-urban disparities in health and outcomes have been demonstrated, because of their impact on (and intervenability to improve) outcomes, we sought examine cross-sectional longitudinal inequities health, clinical care, behaviors, social determinants (SDOH) between rural non-rural counties the pre-pandemic era (2015 2019), present a Health Equity Dashboard that can be used by policymakers researchers facilitate examining such disparities. Therefore, using data obtained from 2015–2022...
The use of complementary and alternative medicine (CAM) in the United States has greatly increased during past decade. Using survey data from 2002 National Health Interview Survey (NHIS), we show that adults who did not get, or delayed, needed medical care because cost prior twelve months were also more likely than all other to CAM. Recent increases CAM could be result only desire for individual empowerment patient dissatisfaction with conventional medicine, as been claimed, but relative health care.
Objective. To assess the prevalence of health care utilization in Mexico by Texas border residents and to identify main contributing factors their cross-border services. Data Methods. This study used primary data from a population-based telephone survey that was conducted whole area 2008. The included responses 1,405 adults. Multivariate logistic regression models were estimated determine predictors utilizing wide range services Mexico. Principal Findings. Forty-nine percent sample reported...
Background:The documented efficacy and promise of telemedicine in diabetes management does not necessarily mean that it can be easily translated into clinical practice. An important barrier concerns patient activation engagement with technology.Objective:To assess the importance remote monitoring technology among patients type 2 diabetes.Methods:Ordinary least squares logistic regression analyses were used to examine how related changes hemoglobin A1c (HbA1c) for 1,354 monitored remotely 3...
Access to primary care clinicians, including physicians and nonphysician clinicians (nurse practitioners physician assistants) is necessary improving population health. However, rural-urban trends in access the US are not well studied.To assess workforce from 2009 2017 across all counties US.In this cross-sectional study of counties, county status was defined according national classification scheme for used by National Center Health Statistics at Centers Disease Control Prevention. Trends...
The distribution of COVID-19 vaccinations at the global level, between and within continents, is severely unequal.High-income countries should allocate a certain portion vaccine supplies based on ongoing morbidity or mortality rates worldwide.
This paper studies the uninsured as a vulnerable population. We contend that reducing size of population yields important spillover benefits to insured population, go beyond lower charity care burden. Evidence presented in this reinforces literature show problems health services quality and access facing people increase when proportion their local communities is greater. The such reduced if market large enough be segmented based on insurance status.
We examined disparities in health care use among US-Mexico border residents, with a focus on the unique binational environment of region, to determine factors that may influence Mexico.Data were from 2 waves population-based study 1048 Latino residents selected Texas counties. Logistic regression models predictors insurance coverage. Results these used examine regional patterns use.Of respondents younger than 65 years, 60% reported no The uninsured 7 and 3 times more likely 4, respectively,...
Objective. Illegal drug use is a persistent problem, prescription abuse on the rise, and there clinical evidence that reduces driving performance. This study describes trends in characteristics of drivers involved fatal motor vehicle crashes who test positive for drugs. Methods. We used Fatality Analysis Reporting System—a census resulting at least one fatality U.S. public roads—to investigate suspected period 1993–2010. Results. Drugged were tested accounted 11.4% all 2010. are increasingly...
Health care delivery and payment systems are moving rapidly toward value-based care. To be successful in this new environment, providers must consistently deliver high-quality, evidence-based, coordinated to patients. This study assesses whether Project ECHO® (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning mentoring program-is an effective strategy address geriatric health challenges rural underserved communities. Thirty-three teleECHO clinic...