- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Blood donation and transfusion practices
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Policy and Management
- Blood transfusion and management
- Pharmaceutical Economics and Policy
- Preterm Birth and Chorioamnionitis
- Pneumonia and Respiratory Infections
- Health disparities and outcomes
- Retinal Diseases and Treatments
- Influenza Virus Research Studies
- Ophthalmology and Visual Impairment Studies
- Medication Adherence and Compliance
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Herpesvirus Infections and Treatments
- Ophthalmology and Visual Health Research
- Patient-Provider Communication in Healthcare
- Blood Pressure and Hypertension Studies
- Clostridium difficile and Clostridium perfringens research
- Glaucoma and retinal disorders
- Pharmaceutical industry and healthcare
- Maternal and Perinatal Health Interventions
Rutgers, The State University of New Jersey
2017-2024
Rutgers Sexual and Reproductive Health and Rights
2023
University of Rochester
2021
Thomas Jefferson University
2013-2017
Abstract INTRODUCTION Six million Americans live with Alzheimer's disease and related dementias (AD/ADRD), a major health‐care cost driver. We evaluated the effectiveness of non‐pharmacologic interventions that reduce nursing home admissions for people living AD/ADRD. METHODS used person‐level microsimulation to model hazard ratios (HR) on admission four evidence‐based compared usual care: Maximizing Independence at Home (MIND), NYU Caregiver (NYU); Dementia Care (ADC); Adult Day Service...
US FDA draft guidance includes pathogen reduction (PR) or secondary rapid bacterial testing (RT) in its recommendations for mitigating risk of platelet component (PC) contamination. An interactive budget impact model was created hospitals to use when considering these technologies.A Microsoft Excel built and populated with base-case costs probabilities identified through literature search a survey hospital transfusion service directors. Annual PC acquisition, testing, wastage,...
The follow-up rate among children with vision problems in the authors' outreach programs has been <5%. authors therefore developed a social worker (SW) intervention, Children's Eye Care Adherence Program (CECAP), for Philadelphia school children. objective of this study was to measure CECAP's effectiveness and cost, as well identify barriers care through conceptual framework geomapping software. A SW reviewed records needing phoned families resolve eye scheduled appointments. Effectiveness...
Objectives To test the cost‐effectiveness of a home‐based depression program: Beat Blues ( BTB ). Design A analysis as part previously reported randomized controlled trial that compared with wait‐list control group. Setting Community. Participants English‐speaking, cognitively intact (Mini‐Mental State Examination score ≥24), African Americans aged 55 and older depressive symptoms (Patient Health Questionnaire ≥5) (N = 129). Intervention randomly assigned to received up 10 home visits over 4...
BACKGROUND: The mortality, morbidity, health care utilization, and cost attributable to vaccine-preventable diseases are substantial for those aged 50 years older. Although vaccination is the most cost-effective strategy prevent common infectious in older adults, rates remain below US Centers Disease Control Prevention benchmarks, especially among racial minorities. Historical mistrust, structural racism within medical system, misinformation contributed lower immunization minorities, Black...
There is a critical need for effective interventions to support quality of life persons living with dementia and their caregivers. Growing evidence supports nonpharmacologic programs that provide care management, disease education, skills training, support. This cost-benefit analysis examined whether the Care Persons Dementia in Environments (COPE) program achieves cost savings when incorporated into Connecticut's home- community-based services (HCBS), which are state- Medicaid-funded....
We investigated costs of delivering the Tailored Activity Program (TAP) and cost savings from two perspectives (health sector societal) for people living with dementia (PLWD) their caregivers (dyads) compared to attention control (AC) using data a randomized controlled trial. The evaluation assessed intervention delivery caregiver reported health care utilization. total TAP was $1707/dyad versus $864/dyad AC, over 6 months dyads as AC were $1299 (CI: -$10,496, $7898) less healthcare...
Introduction 2%-10% of patients with primary hyperparathyroidism (PHPT) who undergo parathyroidectomy develop persistent/recurrent disease. The aim this study was to determine which preoperative localization method is most cost-effective in reoperative PHPT. Methods Clinical decision analytic models comparing cost-effectiveness localizing studies PHPT were constructed using TreeAge Pro. Cost and probability assumptions varied via Probabilistic Sensitivity Analysis (PSA) test the robustness...
Background: Vaccination is the best way to prevent pneumococcal disease (PD), but 40% of older adults remain unvaccinated nationwide, with even greater nonvaccination rates among African Americans (AAs). Prior studies suggest that insufficient knowledge contributes low vaccination rates. The Pharmacists’ Pneumonia Prevention Program (PPPP) was designed improve adults’ about PD and (PV). Objective: To measure PPPP’s effect on activation in a predominantly AA population determine program...
Diabetes and depression may present concurrently, clinical pharmacists are well equipped to manage these conditions. Clinical were grant funded implement a diabetes-focused randomized controlled trial in Federally Qualified Health Center. The objective of this analysis is evaluate if glycemic control depressive symptoms improve for patients with diabetes additional management from compared those receiving the standard care.This post hoc subgroup trial. Pharmacists enrolled type 2 mellitus...
Abstract BACKGROUND Bloodborne pathogens pose a major safety risk in transfusion medicine. To mitigate the of bacterial contamination platelet units, FDA issues updated guidance materials on various control strategies (BRCS). This analysis presents results budget impact model to include 5‐ and 7‐day pathogen reduced (PR) large volumed delayed sampling (LVDS) BRCS. STUDY DESIGN AND METHODS Model base‐case parameter inputs were based scientific literature, survey distributed 27 US hospitals,...
Objectives: To assess the association of Pharmacists’ Pneumonia Prevention Program (PPPP) with changes in beliefs related to pneumonia vaccination (PV) a predominately older African American population.Methods: PPPP was an educational intervention delivered using senior center model care consisting formal pharmacist presentation, live skit, small group action planning, and optional PV. A 15-item instrument assessed participants’ at baseline, post-test, three months across four domains:...
Vaccination rates for influenza and pneumococcal disease do not meet established goals in older minority populations. This project assessed potential reasons this through a survey of community-dwelling African American seniors. A 23-question was developed fielded to group participants at Philadelphia community senior center. Survey content informed by previously-tested instruments the literature consisted 18 Likert-scale items assessing barriers pneumonia vaccine (PV) (IV); yes/no questions...
To inform a net financial benefit analysis of COPE-CT from the Medicaid perspective, variable map was developed which included relevant costs and willingness-to-pay (WTP) for program. WTP non-pharmacological behavioral programs is critical to translation because it indicates monetary value caregivers place on these services. 85 participating were read brief description at baseline asked estimate their per session using contingent valuation method. Results grouped by thresholds. WTP/session...