A5071279528- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Pharmaceutical Economics and Policy
- HIV/AIDS Research and Interventions
- Global Cancer Incidence and Screening
- Global Health Care Issues
- Economic and Financial Impacts of Cancer
- Primary Care and Health Outcomes
- Urinary Bladder and Prostate Research
- HIV/AIDS drug development and treatment
- Breast Cancer Treatment Studies
- Obesity, Physical Activity, Diet
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- HIV Research and Treatment
- Antiplatelet Therapy and Cardiovascular Diseases
- Palliative Care and End-of-Life Issues
- Lung Cancer Diagnosis and Treatment
- Healthcare cost, quality, practices
- Medication Adherence and Compliance
- Adolescent and Pediatric Healthcare
- Genital Health and Disease
- Lipoproteins and Cardiovascular Health
- Lung Cancer Treatments and Mutations
- Colorectal Cancer Screening and Detection
Cornell University
2021
Royal Adelaide Hospital
2019
Public Health Department
2009-2017
University of North Carolina at Chapel Hill
2006-2016
Duke University
2012
Duke University Hospital
2003
Duke Medical Center
2003
Office of the Assistant Secretary for Planning and Evaluation
1996
RAND Corporation
1987-1988
The University of Texas Health Science Center at Houston
1987-1988
Background Although similar to cancer patients regarding symptom burden and prognosis, with heart failure ( HF ) tend receive palliative care far less frequently. We sought explore factors perceived by cardiology, primary care, providers impede referral for patients. Methods Results conducted semistructured interviews (1) needs of advanced ; (2) knowledge, attitudes, experiences specialist care; (3) indications optimal timing in (4) barriers referral. Two investigators analyzed data using...
The authors assessed the relationship between having a regular doctor and access to care, as measured by set of preventive primary care utilization indicators recommended Institute Medicine. 1987 National Medical Expenditure Survey was used in analyses (n = 30,012). results regression suggest that individuals with any type source had better than those without care. Persons site but no doctor. However, apparent advantage over disappeared when only reporting physician's office, clinic, or...
Healthful dietary patterns, including eating fruits and vegetables (F&V) avoiding obesity, may decrease the risk of cancer other chronic diseases. In addition to promoting health for general population, a diagnosis provide "teachable moment," facilitating adoption more healthful habits leading lower disease better overall health.This study was designed test effectiveness two communication interventions in increasing F&V consumption physical activity sample older adults (average age 66...
Genome-wide hypothesis-free discovery methods have identified loci that are associated with heavy smoking in adulthood. Research is needed to understand developmental processes link newly discovered genetic risks adult smoking.To test how genome-wide association studies of influence the progression behavior from initiation through conversion daily smoking, nicotine dependence, and struggles cessation.A 38-year, prospective, longitudinal study a representative birth cohort.The Dunedin...
To test how genomic loci identified in genome-wide association studies influence the development of obesity.A 38-year prospective longitudinal study a representative birth cohort.The Dunedin Multidisciplinary Health and Development Study, Dunedin, New Zealand.One thousand thirty-seven male female members.We assessed genetic risk with multilocus score. The score was composed single-nucleotide polymorphisms obesity-related phenotypes. We family history from parent body mass index data...
Background: The appropriate duration of therapy for catheter-associated Staphylococcus aureus bacteremia is controversial. Conventional practice dictates that all patients receive prolonged courses intravenous antibiotics. Some clinicians recommend abbreviated therapeutic courses, but an alternate approach involves prospectively identifying whom appropriate. Objective: To determine the cost-effectiveness transesophageal echocardiography (TEE) in establishing S. bacteremia. Design:...
Previous studies have linked the use of positron emission tomography (PET) with improved outcomes among patients non-small-cell lung cancer (NSCLC). However, this association may be confounded by PET-induced stage migration and selection bias. We examined between PET overall survival Medicare beneficiaries NSCLC.Retrospective analysis Surveillance, Epidemiology, End Results (SEER) -Medicare data was used to characterize changes in survival, stage-specific distribution NSCLC 1998 2003.A total...
As the role of palliative care (PC) has yet to be clearly defined in patients with heart failure (HF), such may face barriers regarding PC referral. In order maximally meet needs HF patients, it is necessary understand how they compare classic population: cancer.To characterize unresolved symptom and treatment which those cancer present PC.We used data from Palliative Care Research Registry (PCRR), a repository quality improvement three community-based organizations. We abstracted first...
The prevalence and expenditure estimates of Alzheimer's disease (AD) from studies using one data source to define cases vary widely. objectives this study were assess agreement between AD case definitions classified with Medicare claims survey provide insight into causes widely varied estimates.Data obtained the 1999-2004 Current Beneficiary Survey linked (n = 57,669). Individuals identified by survey, diagnosis, use an prescription medicine, or some combination thereof. We also explored how...
Scale-up of viral load (VL) monitoring for HIV-infected patients on antiretroviral therapy (ART) is a priority in many resource-limited settings, and ART providers are critical to effective program implementation. We explored provider-perceived barriers facilitators VL monitoring. interviewed all (n = 17) engaged public health evaluation dried blood spots at five clinics Malawi. All were housed within district hospitals. grouped themes patient, provider, facility, system, policy levels....
Provider-initiated partner notification for HIV effectively identifies new cases of in sub-Saharan Africa, but is not widely implemented. Our objective was to determine whether provider-based strategies are cost-effective preventing transmission compared with passive referral. We conducted a cost-effectiveness analysis using decision-analytic model from the health system perspective during 1-year period. Costs and outcomes all were estimated decision-tree model. The study setting an urban...
CHAT (Choosing Healthplans All Together) is an exercise in participatory decision making designed to engage the public health care priority setting. Participants work individually and then groups distribute a limited number of pegs on board as they select from wide range insurance options. Randomly distributed events illustrate consequences choices. In 1999-2000, authors conducted fifty sessions involving 592 residents North Carolina. The was rated highly regarding ease use, informativeness,...
Objectives To evaluate the feasibility and effectiveness of dried blood spots (DBS) use for viral load (VL) monitoring, describing patient outcomes programmatic challenges that are relevant DBS implementation in sub-Saharan Africa. Methods We recruited adult antiretroviral therapy (ART) patients from five district hospitals Malawi. Eligibility reflected anticipated Ministry Health VL monitoring criteria. Testing was conducted at a central laboratory. Virological failure defined as >5000...
In response to public concern about violence against women in the United States, Congress passed Violence Against Women Act of 1994 (VAWA-I), which provided $1.6 billion for programs over 5 years. The purpose this research is estimate net benefit, using a societal perspective, VAWA-I reducing violent criminal victimization women. Costs included direct property losses, medical and mental health care, police response, victim services, lost productivity, reduced quality life, death. Benefits...
OBJECTIVE To compare the costs and effectiveness of treatments for benign prostatic hyperplasia (BPH), including watchful waiting, pharmaceuticals (α‐blockers, 5‐α‐reductase inhibitors, combined therapy), transurethral microwave thermotherapy (TUMT), resection prostate (TURP). PATIENTS AND METHODS This study used a Markov model over 20‐year period societal perspective to evaluate treatment alternatives BPH. states include urinary symptom improvement, improvement with adverse effects, or no...