- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Healthcare Policy and Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Global Health Care Issues
- Obesity, Physical Activity, Diet
- School Health and Nursing Education
- Global Cancer Incidence and Screening
- Meta-analysis and systematic reviews
- Health Policy Implementation Science
- Health, psychology, and well-being
- Respiratory Support and Mechanisms
- Colorectal Cancer Screening and Detection
- Delphi Technique in Research
- Patient-Provider Communication in Healthcare
- Cardiac Health and Mental Health
- Patient Satisfaction in Healthcare
- Mental Health Treatment and Access
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Promotion and Cardiovascular Prevention
Stanford University
2005-2025
Fred Hutch Cancer Center
2021-2025
Albert Einstein College of Medicine
2012-2025
Università Cattolica del Sacro Cuore
2025
University of Wollongong
2001-2023
Western Sydney University
2021-2023
University of California, San Francisco
2023
New York University
2022
The University of Texas Southwestern Medical Center
2022
Southwestern Medical Center
2022
To address the vast gap between current knowledge and practice in area of dissemination implementation research, we terminology, provide examples successful applications this discuss key sources support, highlight directions opportunities for future advances. There is a need research testing approaches to scaling up sustaining effective interventions, propose that further advances field will be achieved by focusing on 5 core values: rigor relevance, efficiency, collaboration, improved...
The present article describes a unit of health status, the Well-Year, which expresses output programs in terms number years and health-related quality life produced by treatment or program. Dividing cost program Well-Years that it produces gives cost-utility This ratio can be used general policy model to compare efficiency different assess relative contribution providers care system. A comprehensive standardized measure status has many advantages for planning, decision analysis, evaluation....
Background: A number of indexes measuring self-reported generic health-related quality-of-life (HRQoL) using preference-weighted scoring are used widely in population surveys and clinical studies the United States. Objective: To obtain age-by-gender norms for older adults on 6 HRQoL a cross-sectional US survey compare age-related trends HRQoL. Methods: The EuroQol EQ-5D, Health Utilities Index Mark 2, 3, SF-36v2™ (used to compute SF-6D), Quality Well-being Scale self-administered form,...
The goal of evidence-based medicine is ultimately to improve patient outcomes and quality care. Systematic reviews the available published evidence are required identify interventions that lead improvements in behavior, health, well-being. Authoritative literature depend on research reports. Consolidated Standards for Reporting Trials (CONSORT) Statement (www.consort-statement.org) was developed design reporting involving randomized clinical trials (RCTs) medical journals. We describe 22...
Background. Despite widespread use of generic health-related quality-of-life (HRQoL) scores, few have publicly published nationally representative US values. Purpose. To create current values for 7 the most common HRQoL stratified by age and sex. Methods. The authors used data from 2001 Medical Expenditures Panel Survey (MEPS) National Health Interview (NHIS), surveys noninstitutionalized civilian population. MEPS was to calculate 6 scores: categorical self-rated health, EuroQoL-5D with...
OBJECTIVE—Cost-utility analyses use information on health utilities to compare medical treatments that have different clinical outcomes and impacts survival. The purpose of this study was describe the associated with diabetes its treatments, complications, comorbidities. RESEARCH DESIGN AND METHODS—We studied 2,048 subjects type 1 2 recruited from specialty clinics at a university center. We administered questionnaire each individual assess demographic characteristics, duration diabetes,...
Abstract A number of commentaries have suggested that large studies are more reliable than smaller and there is a growing interest in the analysis “big data” integrates information from many thousands persons and/or different data sources. We consider variety biases likely era big data, including sampling error, measurement multiple comparisons errors, aggregation errors associated with systematic exclusion information. Using examples epidemiology, health services research, on determinants...
Background We explore whether the number of null results in large National Heart Lung, and Blood Institute (NHLBI) funded trials has increased over time. Methods identified all NHLBI supported RCTs between 1970 2012 evaluating drugs or dietary supplements for treatment prevention cardiovascular disease. Trials were included if direct costs >$500,000/year, participants adult humans, primary outcome was risk, disease death. The 55 meeting these criteria coded they published prior to after year...
Ours is an era in which patients seek greater engagement health care choices, increasing the demand for high-quality information about clinical options. Providing support informed choice not straightforward, however, because of challenges faced by clinicians, systems, and consumers. Greater use written or electronic tools can help to clarify choices patients, but decision aids cannot replace human element facilitating choice. The ideal solution couple with counseling understand potential...
Significance Acceptance of vaccines has been on the decline in recent years. Despite encouraging early results for coronavirus vaccine trials, achieving herd immunity requires substantial uptake. We presented scenarios varying efficacy, minor side effects, and severe reactions to a sample representative US population. Vaccine acceptance improved when efficacy increased beyond 70%. Respondents were unaffected by probability such as sore arm or fever lasting 24 h. The chances accepting lower...
Developments in geographic science and technology can increase our understanding of disease prevalence, etiology, transmission, treatment.
In 2020, prior to COVID-19 vaccine rollout, the Brighton Collaboration created a priority list, endorsed by World Health Organization, of potential adverse events relevant vaccines. We adapted list evaluate serious special interest observed in mRNA trials.
Pulmonary rehabilitation is beneficial for patients with chronic lung disease. However, long-term maintenance has been difficult to achieve after short-term treatment. We evaluated a telephone-based program pulmonary in 172 disease recruited from graduates. Subjects were randomly assigned 12-month intervention weekly telephone contacts and monthly supervised reinforcement sessions (n = 87) or standard care 85) followed 24 months. Except slight imbalance between sexes, experimental control...
<b>Purpose:</b> To investigate the relation between marital status and survival. <b>Data sources:</b> The US 1989 national health interview survey (NHIS) merged with 1997 death index. <b>Results:</b> Among NHIS respondents, 5876 (8.77%) died before 61 123 (91.23%) were known to be alive. Controlling for demographic socioeconomic characteristics, rate people who unmarried was significantly higher than it those married living their spouses. Although effect significant all categories of...