Maureen A Smith
Biographic Data
| ID | 3582102 |
|---|---|
| NAME | Maureen A Smith |
| GIVEN NAMES | Maureen A |
| FAMILY NAME | Smith |
| SIGNATURE | SMITH M A |
| AFFILIATIONS | University of Wisconsin–Madison |
| ORCID | 0000-0003-4370-000X |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 19 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
One size doesn’t fit all
Effective community engagement in behavioural science research can lead to more inclusive and representative research. The community engagement approach developed and applied in this study acknowledges the diversity of communities, recognizes the central role of PHUs, and can help in addressing complex public health challenges
Using Statewide Electronic Health Record and Influenza Vaccination Data to Plan and Prioritize Covid-19 Vaccine Outreach and Communications in Wisconsin Communities
The University of Wisconsin Neighborhood Health Partnerships Program used electronic health record and influenza vaccination data to estimate COVID-19 relative mortality risk and potential barriers to vaccination in Wisconsin ZIP Code Tabulation Areas. Data visualization revealed four groupings to use in planning and prioritizing vaccine outreach and communication based on ZIP Code Tabulation Area characteristics. The program provided data, visua…
Training and Interpreting Machine Learning Algorithms to Evaluate Fall Risk After Emergency Department Visits
BACKGROUND: Machine learning is increasingly used for risk stratification in health care. Achieving accurate predictive models do not improve outcomes if they cannot be translated into efficacious intervention. Here we examine the potential utility of automated risk stratification and referral intervention to screen older adults for fall risk after emergency department (ED) visits. OBJECTIVE: This study evaluated several machine learning methodol…
The U. S. Paper Industry and Sustainable Production
The problems recyclers face with wastepaper are connected to the issues addressed by forest advocates, as well as to the difficulties confronted by those involved with industrial pollution from the paper industry. In this richly detailed study, Maureen Smith shows how industrial and environmental analysis can be synthesized to clarify these complex problems and produce solutions. Smith outlines the basic structural characteristics of the U.S. pul…
Can Claims Data Algorithms Identify the Physician of Record
BACKGROUND: Claims-based algorithms based on administrative claims data are frequently used to identify an individual's primary care physician (PCP). The validity of these algorithms in the US Medicare population has not been assessed. OBJECTIVE: To determine the agreement of the PCP identified by claims algorithms with the PCP of record in electronic health record data. DATA: Electronic health record and Medicare claims data from older adults wi…
External Community Review Committee
Background: Major gaps exist between what we know and what we do in clinical practice and community health programs and narrowing this gap will require substantive partnerships between academic researchers and the communities they serve. Objectives: We describe a research pilot award program that makes a unique commitment to community engagement through the addition of an External Community Review Committee to the typical research review process …
Health-related quality of life of Palestinian preschoolers in the Gaza Strip
HRQOL, including psychosocial health and emotional functioning is often severely impaired among preschoolers in the Gaza Strip. Exposure to both violent and non-violent negative events was associated with HRQOL in preschoolers
Effect of Patient Selection Method on Provider Group Performance Estimates
BACKGROUND: Performance measurement at the provider group level is increasingly advocated, but different methods for selecting patients when calculating provider group performance have received little evaluation. OBJECTIVE: We compared 2 currently used methods according to characteristics of the patients selected and impact on performance estimates. RESEARCH DESIGN, SUBJECTS, AND MEASURES: We analyzed Medicare claims data for fee-for-service bene…
Physician Assistants and Nurse Practitioners as a Usual Source of Care
Purpose: To identify characteristics and outcomes of patients who use physician assistants and nurse practitioners (PA/NPs) as a usual source of care. Methods: Cross sectional analysis using the telephone and mail surveys of the Wisconsin Longitudinal Study (WLS), a prospective cohort study of Wisconsin high school graduates and selected siblings (n = 6,803). Findings: Individuals from metropolitan (OR = 0.40, 95% CI = 0.29‐0.54) and micropolitan…
Patients’ perceptions of safety if interpersonal continuity of care were to be disrupted
Objective To determine if patients vary in perceptions of safety if interpersonal continuity were to be disrupted. If so, which characteristics are associated with feeling unsafe? Background The extent to which patients’ preference for continuity with a personal physician is due to perceptions of safety is unclear. Design Observational study (Wisconsin Longitudinal Study Graduate and Sibling Survey). Setting and participants A total of 6827 respo…
Personality and Health Care Decision-Making Style
Using the Wisconsin Longitudinal Study Graduate Survey (N = 5,830), a population-based cohort of older adults (most aged 63-66 years), we explored relationships between five factors of personality and four preference types that account for multiple components of the health care decision-making process (information exchange, deliberation, and selection of treatment choice). After adjustment for personal, health, social, and economic factors, we fo…
Accidental Iatrogenic Pneumothorax in Hospitalized Patients
OBJECTIVE: Iatrogenic pneumothorax (IP) is an inherent risk to patients who undergo procedures that involve the intentional puncturing of the lung. IP also could occur accidentally to patients who do not undergo such procedures; such accidental IP (AIP) is suggestive of lapses in safe care. This study assessed the risk for AIP in patients hospitalized with specific diagnoses who underwent specific procedures. RESEARCH DESIGN: We analyzed 7.5 mill…
A typology of preferences for participation in healthcare decision making
Rehospitalization and Survival for Stroke Patients in Managed Care and Traditional Medicare Plans
BACKGROUND: Stroke affects more than 500,000 older persons each year in the United States, but no studies have compared older stroke patients in Medicare health maintenance organizations (HMOs) and fee-for-service (FFS) after recent changes in FFS reimbursement. OBJECTIVES: We sought to compare utilization and outcomes after stroke in Medicare HMO and FFS. DESIGN: We reviewed administrative data in 11 regions from Medicare and a large national he…
Changes in Usual Source of Care and Perceptions of Health Care Access, Quality, and Use
OBJECTIVE: We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN: We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions accounted for survey design and possible confounders. RESULTS: Eleven percent of respondents reported a change in usual source of care i…
Common Methodological Terms in Health Services Research and Their Symptoms
OBJECTIVE: Health services researchers use methods and terminology from a variety of disciplines to understand individual and organizational behavior related to health, health care, and health insurance. Although this diversity benefits the process of research, the resulting differences in terminology can occasionally lead to confusion among even the most experienced researchers. The purpose of this paper is to clarify different methodological te…
To Help or Hinder
PURPOSE: To examine how specific health plan practices contribute to physicians' willingness to recommend a health plan to a patient, and whether the relative importance of plan practices is viewed differently when patients are seriously ill. METHODS: The Physician's Evaluation of Health Plans Project has surveyed 1,757 generalist physicians in 16 health plans in 5 areas nationwide. Each physician reported on one plan. Three multi-item scales ass…
HMO Membership and Patient Age and the Use of Specialty Care for Hospitalized Patients With Acute Stroke
BACKGROUND: The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES: We investigated the relationship between membership in an HMO and the decision to consult with a neurologist or admit to a neurology ward for patients hospit…
A typology of preferences for participation in healthcare decision making
Personality and Health Care Decision-Making Style
Using the Wisconsin Longitudinal Study Graduate Survey (N = 5,830), a population-based cohort of older adults (most aged 63-66 years), we explored relationships between five factors of personality and four preference types that account for multiple components of the health care decision-making process (information exchange, deliberation, and selection of treatment choice). After adjustment for personal, health, social, and economic factors, we fo…
HMO Membership and Patient Age and the Use of Specialty Care for Hospitalized Patients With Acute Stroke
BACKGROUND: The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES: We investigated the relationship between membership in an HMO and the decision to consult with a neurologist or admit to a neurology ward for patients hospit…
To Help or Hinder
PURPOSE: To examine how specific health plan practices contribute to physicians' willingness to recommend a health plan to a patient, and whether the relative importance of plan practices is viewed differently when patients are seriously ill. METHODS: The Physician's Evaluation of Health Plans Project has surveyed 1,757 generalist physicians in 16 health plans in 5 areas nationwide. Each physician reported on one plan. Three multi-item scales ass…
Common Methodological Terms in Health Services Research and Their Symptoms
OBJECTIVE: Health services researchers use methods and terminology from a variety of disciplines to understand individual and organizational behavior related to health, health care, and health insurance. Although this diversity benefits the process of research, the resulting differences in terminology can occasionally lead to confusion among even the most experienced researchers. The purpose of this paper is to clarify different methodological te…
Changes in Usual Source of Care and Perceptions of Health Care Access, Quality, and Use
OBJECTIVE: We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN: We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions accounted for survey design and possible confounders. RESULTS: Eleven percent of respondents reported a change in usual source of care i…
Rehospitalization and Survival for Stroke Patients in Managed Care and Traditional Medicare Plans
BACKGROUND: Stroke affects more than 500,000 older persons each year in the United States, but no studies have compared older stroke patients in Medicare health maintenance organizations (HMOs) and fee-for-service (FFS) after recent changes in FFS reimbursement. OBJECTIVES: We sought to compare utilization and outcomes after stroke in Medicare HMO and FFS. DESIGN: We reviewed administrative data in 11 regions from Medicare and a large national he…
Accidental Iatrogenic Pneumothorax in Hospitalized Patients
OBJECTIVE: Iatrogenic pneumothorax (IP) is an inherent risk to patients who undergo procedures that involve the intentional puncturing of the lung. IP also could occur accidentally to patients who do not undergo such procedures; such accidental IP (AIP) is suggestive of lapses in safe care. This study assessed the risk for AIP in patients hospitalized with specific diagnoses who underwent specific procedures. RESEARCH DESIGN: We analyzed 7.5 mill…
A typology of preferences for participation in healthcare decision making
Personality and Health Care Decision-Making Style
Using the Wisconsin Longitudinal Study Graduate Survey (N = 5,830), a population-based cohort of older adults (most aged 63-66 years), we explored relationships between five factors of personality and four preference types that account for multiple components of the health care decision-making process (information exchange, deliberation, and selection of treatment choice). After adjustment for personal, health, social, and economic factors, we fo…
Patients’ perceptions of safety if interpersonal continuity of care were to be disrupted
Objective To determine if patients vary in perceptions of safety if interpersonal continuity were to be disrupted. If so, which characteristics are associated with feeling unsafe? Background The extent to which patients’ preference for continuity with a personal physician is due to perceptions of safety is unclear. Design Observational study (Wisconsin Longitudinal Study Graduate and Sibling Survey). Setting and participants A total of 6827 respo…
Physician Assistants and Nurse Practitioners as a Usual Source of Care
Purpose: To identify characteristics and outcomes of patients who use physician assistants and nurse practitioners (PA/NPs) as a usual source of care. Methods: Cross sectional analysis using the telephone and mail surveys of the Wisconsin Longitudinal Study (WLS), a prospective cohort study of Wisconsin high school graduates and selected siblings (n = 6,803). Findings: Individuals from metropolitan (OR = 0.40, 95% CI = 0.29‐0.54) and micropolitan…
Health-related quality of life of Palestinian preschoolers in the Gaza Strip
HRQOL, including psychosocial health and emotional functioning is often severely impaired among preschoolers in the Gaza Strip. Exposure to both violent and non-violent negative events was associated with HRQOL in preschoolers
Effect of Patient Selection Method on Provider Group Performance Estimates
BACKGROUND: Performance measurement at the provider group level is increasingly advocated, but different methods for selecting patients when calculating provider group performance have received little evaluation. OBJECTIVE: We compared 2 currently used methods according to characteristics of the patients selected and impact on performance estimates. RESEARCH DESIGN, SUBJECTS, AND MEASURES: We analyzed Medicare claims data for fee-for-service bene…
External Community Review Committee
Background: Major gaps exist between what we know and what we do in clinical practice and community health programs and narrowing this gap will require substantive partnerships between academic researchers and the communities they serve. Objectives: We describe a research pilot award program that makes a unique commitment to community engagement through the addition of an External Community Review Committee to the typical research review process …
The U. S. Paper Industry and Sustainable Production
The problems recyclers face with wastepaper are connected to the issues addressed by forest advocates, as well as to the difficulties confronted by those involved with industrial pollution from the paper industry. In this richly detailed study, Maureen Smith shows how industrial and environmental analysis can be synthesized to clarify these complex problems and produce solutions. Smith outlines the basic structural characteristics of the U.S. pul…
Can Claims Data Algorithms Identify the Physician of Record
BACKGROUND: Claims-based algorithms based on administrative claims data are frequently used to identify an individual's primary care physician (PCP). The validity of these algorithms in the US Medicare population has not been assessed. OBJECTIVE: To determine the agreement of the PCP identified by claims algorithms with the PCP of record in electronic health record data. DATA: Electronic health record and Medicare claims data from older adults wi…
Training and Interpreting Machine Learning Algorithms to Evaluate Fall Risk After Emergency Department Visits
BACKGROUND: Machine learning is increasingly used for risk stratification in health care. Achieving accurate predictive models do not improve outcomes if they cannot be translated into efficacious intervention. Here we examine the potential utility of automated risk stratification and referral intervention to screen older adults for fall risk after emergency department (ED) visits. OBJECTIVE: This study evaluated several machine learning methodol…
Using Statewide Electronic Health Record and Influenza Vaccination Data to Plan and Prioritize Covid-19 Vaccine Outreach and Communications in Wisconsin Communities
The University of Wisconsin Neighborhood Health Partnerships Program used electronic health record and influenza vaccination data to estimate COVID-19 relative mortality risk and potential barriers to vaccination in Wisconsin ZIP Code Tabulation Areas. Data visualization revealed four groupings to use in planning and prioritizing vaccine outreach and communication based on ZIP Code Tabulation Area characteristics. The program provided data, visua…
One size doesn’t fit all
Effective community engagement in behavioural science research can lead to more inclusive and representative research. The community engagement approach developed and applied in this study acknowledges the diversity of communities, recognizes the central role of PHUs, and can help in addressing complex public health challenges
Medicine (15 works) · Health care (9 works) · Family medicine (8 works) · Nursing (5 works) · Patient-Provider Communication in Healthcare (5 works) · Psychology (5 works) · Computer Science (4 works) · Emergency Medicine (4 works) · Emergency Medicine (4 works) · Internal Medicine (4 works)