Andrew W Dick
Datos Biográficos
| ID | 5533770 |
|---|---|
| NOMBRE | Andrew W Dick |
| NOMBRES | Andrew W |
| APELLIDO | Dick |
| FIRMA | DICK A W |
| AFILIACIONES | RAND Corporation |
| VERIFICADO | No |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAS | 2 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Trends and Disparities in Post-acute Care Utilization After Hospitalization for Sepsis in the United States
BACKGROUND: Post-acute care (PAC) utilization following sepsis hospitalization remains understudied, particularly concerning racial and ethnic and urban-rural disparities. OBJECTIVES: To examine trends and disparities in PAC utilization after sepsis hospitalization, focusing on race, ethnicity, and rurality. METHODS: A comprehensive search of databases (PubMed, CINAHL, Embase, Web of Science, and Scopus) was conducted for eligible studies using d…
Association of Selected State Policies and Requirements for Buprenorphine Treatment With Per Capita Months of Treatment
In this cross-sectional study of US pharmacy claims, state-mandated educational requirements beyond the initial training required to prescribe buprenorphine were associated with increased buprenorphine use over time. The findings suggest requiring education for buprenorphine prescribers and training in substance use disorder treatment for all controlled substance prescribers as an actionable proposal for increasing buprenorphine use, ultimately s…
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States
Background: The United States Preventive Services Task Force recommends that medical providers apply fluoride varnish (FV) to the teeth of all children under 6 years of age, but fewer than 10% of eligible children receive FV as recommended. Prior studies suggest that variation in clinical guidelines is associated with low uptake of other evidence-based health-related interventions, but consistency of national guidelines for the delivery of FV in …
Delivery of fluoride varnish during pediatric medical visits by rurality
All young children are recommended to receive fluoride varnish applications in medical settings, yet overall rates were low. For privately insured young children, pediatric well-child medical visits were more likely to include fluoride varnish in rural and rural remote counties than metropolitan counties
Impact of state‐level training requirements for medical providers on receipt of preventive oral health services for young children enrolled in Medicaid
Medicaid policies increased young children's receipt of POHS and at higher rates in states that required POHS training. These results suggest that oral health training for nondental practitioners is a key component of policy success
Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children
BACKGROUND: To increase receipt of preventive oral health services (POHS), all state Medicaid programs have enacted policies to encourage nondental providers to deliver POHS in medical offices. This study examined if these Medicaid policies improved oral health, as measured by reductions in dental visits with treatment and preventable emergency department (ED) visits for nontraumatic dental conditions (NTDC). METHODS: Using data on children aged …
The Unequal Burden of Covid-19 Deaths in Counties With High Proportions of Black and Hispanic Residents
BACKGROUND: Understanding the current burden of coronavirus disease 2019 (COVID-19) deaths in vulnerable populations will help inform efforts by policymakers to address disparities in COVID-19 outcomes. OBJECTIVE: The objective of this study was to examine the association between COVID-19 deaths and the county-level proportions of non-Hispanic Black and Hispanic residents. RESEARCH DESIGN AND METHODS: A retrospective study using COVID-19 mortalit…
Delivery of Preventive Oral Health Services by Rurality
PURPOSE: Integrating oral health care into primary care has been promoted as a strategy to increase delivery of preventive oral health services (POHS) to young children, particularly in rural areas where few dentists practice. Using a multistate sample of Medicaid claims, we examined a child's odds of receiving POHS in a medical office by county rurality. METHODS: We used 2012-2014 Medicaid Analytic extract claims data for 6,275,456 children youn…
Low rates of pediatric dental coverage for families purchasing marketplace insurance plans
Few families obtaining private medical insurance on the marketplaces report having pediatric dental coverage, suggesting that the ACA essential health benefit policy may not be having its intended effect
Impact of Medicaid Policy on the Oral Health of Publicly Insured Children
Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies
Recently, the Centers for Medicare & Medicaid Services (CMS) final rule required that nursing homes (NHs) develop an infection control program that includes an antibiotic stewardship component and employs a trained infection preventionist (IP). The objectives of this study were to provide a baseline assessment of (1) NH facility and infection control program characteristics associated with having an infection control deficiency citation and (2) a…
Association between type of health insurance and children's oral health, NHANES 2011–2014
Oral health outcomes, after adjusting for covariates, were similar for children with public and private health insurance. However, children in low-income families and with less educated parents had greater odds of untreated caries and dental caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status
The Effects of Medicaid Home and Community-based Services Waivers on Unmet Needs Among Children With Autism Spectrum Disorder
BACKGROUND: Several states have passed Medicaid Home and Community-based Services (HCBS) waivers that expand eligibility criteria and available services for children with autism spectrum disorder (ASD). Previous research has shown considerable variation in these waivers, but little is known about the extent to which they address the health care needs of children with ASD. OBJECTIVE: To determine the effects of Medicaid HCBS waivers, and their cha…
Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
BACKGROUND: Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US patients undergoing moderate-to-high risk surgery on weekends are more likely to experience worse outcomes than patients undergo…
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
How Well Do Hospital Mortality Rates Reported in the New York State Cabg Report Card Predict Subsequent Hospital Performance
BACKGROUND: The use of mortality report cards as the basis for hospital choice assumes that a hospital's current performance is predicted by its past performance. OBJECTIVE: To assess the accuracy of hospital risk-adjusted mortality rates reported in the New York State (NYS) coronary artery bypass graft (CABG) report card for predicting subsequent hospital mortality. METHODS: We performed a retrospective study based on hospital mortality measures…
The Pen and the Scalpel
Background: As information is disseminated about best practices, variations in patterns of care should diminish over time. Objective: To test the hypotheses that differences in rates of a surgical procedure are associated with type of insurance in an era of evolving practice guidelines and that insurance and site differences diminish with time as consensus guidelines disseminate among the medical community. Methods: We use lymph node dissection a…
Public Insurance
RAND Corporation; Pittsburgh, PA (Yu, Dick) Department of Pediatrics; University of Rochester School of Medicine and Dentistry; Rochester, NY (Szilagyi)
The Effect of Acupuncture Utilization on Healthcare Utilization
OBJECTIVE: To determine whether acupuncture is a complement to or substitute for various medical services. DATA SOURCE: This study used managed care claims data from a midsize metropolitan insurance company from 2002. Zip code level data from the 2000 US Census was also incorporated. The original dataset contained medical and drug claims data for every eligible acupuncture user (n = 1688) and every 18th eligible nonacupuncture user (n = 16,282) c…
Does Public Insurance Provide Better Financial Protection Against Rising Health Care Costs for Families of Children With Special Health Care Needs
BACKGROUND: Health care costs grew rapidly since 2001, generating substantial economic pressures on families, especially those with children with special health care needs (CSHCN). OBJECTIVE: To examine how the growth of health care costs affected financial burden for families of CSHCN between 2001 and 2004 and to determine the extent to which health insurance coverage protected families of CSHCN against financial burden. RESEARCH DESIGN AND SUBJ…
Impact of the Present-on-Admission Indicator on Hospital Quality Measurement
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) has constructed Inpatient Quality Indicator (IQI) mortality measures to measure hospital quality using routinely available administrative data. With the exception of California, New York State, and Wisconsin, administrative data do not include a present-on-admission (POA) indicator to distinguish between preexisting conditions and complications. The extent to which the lack of a PO…
Nurse Working Conditions and Patient Safety Outcomes
BACKGROUND: System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE: To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN: Observational study, with patient outcome data collected using the National Nosocomial Infe…
Health-Related Quality of Life Consequences of Implantable Cardioverter Defibrillators
BACKGROUND: Implantable cardioverter defibrillators (ICDs) improve survival and extend lives of patients with severe heart disease. OBJECTIVE: We sought to evaluate the impact of ICDs on health-related quality of life (HRQOL) during the first 3 years after implantation. SUBJECTS: A total of 1089 patients from the Multicenter Automatic Defibrillator Implantation Trial II (MADIT II) were randomized to an ICD or medical treatment only. MEASURES: Hea…
Use of a Matching Algorithm to Evaluate Hospital Coronary Artery Bypass Grafting Performance as an Alternative to Conventional Risk Adjustment
BACKGROUND: Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown. OBJECTIVE: We sought to assess hospital quality using a matching algorithm based on a generalized distance metric and to compare this approach to the more traditional regression-based approach. DESIGN/ DATA SOURCE: This was a retrospective study using the New…
The Effects of Reinsurance in Financing Children's Health Care
This paper examines the effects of reinsurance on the financial performance of health plans serving enrollees in a State Children's Health Insurance Program (SCHIP). We demonstrate that simple reinsurance policies can reduce substantially the variation in the financial performance of plans with different case mixes, even when the plans bear the cost of the reinsurance and are not fully insured against large expenditures on individual enrollees
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
Variations in Treatment for Ductal Carcinoma In Situ in Elderly Women
OBJECTIVE: The objective of this study is to quantify variation and variability in treatment of ductal carcinoma in situ (DCIS) over time and across registries of the Surveillance, Epidemiology, and End Results (SEER) program; to assess diffusion of treatments (breast-conserving surgery [BCS], BCS with radiotherapy, and mastectomy); and to identify correlates of treatment choice. DATA: The linked SEER-Medicare database from 1991 to 1996 includes …
The Effects of Reinsurance in Financing Children's Health Care
This paper examines the effects of reinsurance on the financial performance of health plans serving enrollees in a State Children's Health Insurance Program (SCHIP). We demonstrate that simple reinsurance policies can reduce substantially the variation in the financial performance of plans with different case mixes, even when the plans bear the cost of the reinsurance and are not fully insured against large expenditures on individual enrollees
Impact of Changing the Statistical Methodology on Hospital and Surgeon Ranking
BACKGROUND: Risk adjustment is central to the generation of health outcome report cards. It is unclear, however, whether risk adjustment should be based on standard logistic regression, fixed-effects or random-effects modeling. OBJECTIVE: The objective of this study was to determine how robust the New York State (NYS) Coronary Artery Bypass Graft (CABG) Surgery Report Card is to changes in the underlying statistical methodology. METHODS: Retrospe…
Nurse Working Conditions and Patient Safety Outcomes
BACKGROUND: System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE: To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN: Observational study, with patient outcome data collected using the National Nosocomial Infe…
Health-Related Quality of Life Consequences of Implantable Cardioverter Defibrillators
BACKGROUND: Implantable cardioverter defibrillators (ICDs) improve survival and extend lives of patients with severe heart disease. OBJECTIVE: We sought to evaluate the impact of ICDs on health-related quality of life (HRQOL) during the first 3 years after implantation. SUBJECTS: A total of 1089 patients from the Multicenter Automatic Defibrillator Implantation Trial II (MADIT II) were randomized to an ICD or medical treatment only. MEASURES: Hea…
Use of a Matching Algorithm to Evaluate Hospital Coronary Artery Bypass Grafting Performance as an Alternative to Conventional Risk Adjustment
BACKGROUND: Although public reporting of hospital and physician performance is a cornerstone of the effort to improve health care quality, the optimal approach to risk adjustment is unknown. OBJECTIVE: We sought to assess hospital quality using a matching algorithm based on a generalized distance metric and to compare this approach to the more traditional regression-based approach. DESIGN/ DATA SOURCE: This was a retrospective study using the New…
The Effect of Acupuncture Utilization on Healthcare Utilization
OBJECTIVE: To determine whether acupuncture is a complement to or substitute for various medical services. DATA SOURCE: This study used managed care claims data from a midsize metropolitan insurance company from 2002. Zip code level data from the 2000 US Census was also incorporated. The original dataset contained medical and drug claims data for every eligible acupuncture user (n = 1688) and every 18th eligible nonacupuncture user (n = 16,282) c…
Does Public Insurance Provide Better Financial Protection Against Rising Health Care Costs for Families of Children With Special Health Care Needs
BACKGROUND: Health care costs grew rapidly since 2001, generating substantial economic pressures on families, especially those with children with special health care needs (CSHCN). OBJECTIVE: To examine how the growth of health care costs affected financial burden for families of CSHCN between 2001 and 2004 and to determine the extent to which health insurance coverage protected families of CSHCN against financial burden. RESEARCH DESIGN AND SUBJ…
Impact of the Present-on-Admission Indicator on Hospital Quality Measurement
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) has constructed Inpatient Quality Indicator (IQI) mortality measures to measure hospital quality using routinely available administrative data. With the exception of California, New York State, and Wisconsin, administrative data do not include a present-on-admission (POA) indicator to distinguish between preexisting conditions and complications. The extent to which the lack of a PO…
The Pen and the Scalpel
Background: As information is disseminated about best practices, variations in patterns of care should diminish over time. Objective: To test the hypotheses that differences in rates of a surgical procedure are associated with type of insurance in an era of evolving practice guidelines and that insurance and site differences diminish with time as consensus guidelines disseminate among the medical community. Methods: We use lymph node dissection a…
Public Insurance
RAND Corporation; Pittsburgh, PA (Yu, Dick) Department of Pediatrics; University of Rochester School of Medicine and Dentistry; Rochester, NY (Szilagyi)
Measuring Quality for Public Reporting of Health Provider Quality
Public quality reports of hospitals, health plans, and physicians are being used to promote efficiency and quality in the health care system. Shrinkage estimators have been proposed as superior measures of quality to be used in these reports because they offer more conservative and stable quality ranking of providers than traditional, nonshrinkage estimators. Adopting the perspective of a patient faced with choosing a local provider on the basis …
How Well Do Hospital Mortality Rates Reported in the New York State Cabg Report Card Predict Subsequent Hospital Performance
BACKGROUND: The use of mortality report cards as the basis for hospital choice assumes that a hospital's current performance is predicted by its past performance. OBJECTIVE: To assess the accuracy of hospital risk-adjusted mortality rates reported in the New York State (NYS) coronary artery bypass graft (CABG) report card for predicting subsequent hospital mortality. METHODS: We performed a retrospective study based on hospital mortality measures…
Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays
BACKGROUND: Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US patients undergoing moderate-to-high risk surgery on weekends are more likely to experience worse outcomes than patients undergo…
The Effects of Medicaid Home and Community-based Services Waivers on Unmet Needs Among Children With Autism Spectrum Disorder
BACKGROUND: Several states have passed Medicaid Home and Community-based Services (HCBS) waivers that expand eligibility criteria and available services for children with autism spectrum disorder (ASD). Previous research has shown considerable variation in these waivers, but little is known about the extent to which they address the health care needs of children with ASD. OBJECTIVE: To determine the effects of Medicaid HCBS waivers, and their cha…
Impact of Medicaid Policy on the Oral Health of Publicly Insured Children
Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies
Recently, the Centers for Medicare & Medicaid Services (CMS) final rule required that nursing homes (NHs) develop an infection control program that includes an antibiotic stewardship component and employs a trained infection preventionist (IP). The objectives of this study were to provide a baseline assessment of (1) NH facility and infection control program characteristics associated with having an infection control deficiency citation and (2) a…
Association between type of health insurance and children's oral health, NHANES 2011–2014
Oral health outcomes, after adjusting for covariates, were similar for children with public and private health insurance. However, children in low-income families and with less educated parents had greater odds of untreated caries and dental caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status
Delivery of Preventive Oral Health Services by Rurality
PURPOSE: Integrating oral health care into primary care has been promoted as a strategy to increase delivery of preventive oral health services (POHS) to young children, particularly in rural areas where few dentists practice. Using a multistate sample of Medicaid claims, we examined a child's odds of receiving POHS in a medical office by county rurality. METHODS: We used 2012-2014 Medicaid Analytic extract claims data for 6,275,456 children youn…
Low rates of pediatric dental coverage for families purchasing marketplace insurance plans
Few families obtaining private medical insurance on the marketplaces report having pediatric dental coverage, suggesting that the ACA essential health benefit policy may not be having its intended effect
Impact of state‐level training requirements for medical providers on receipt of preventive oral health services for young children enrolled in Medicaid
Medicaid policies increased young children's receipt of POHS and at higher rates in states that required POHS training. These results suggest that oral health training for nondental practitioners is a key component of policy success
Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children
BACKGROUND: To increase receipt of preventive oral health services (POHS), all state Medicaid programs have enacted policies to encourage nondental providers to deliver POHS in medical offices. This study examined if these Medicaid policies improved oral health, as measured by reductions in dental visits with treatment and preventable emergency department (ED) visits for nontraumatic dental conditions (NTDC). METHODS: Using data on children aged …
The Unequal Burden of Covid-19 Deaths in Counties With High Proportions of Black and Hispanic Residents
BACKGROUND: Understanding the current burden of coronavirus disease 2019 (COVID-19) deaths in vulnerable populations will help inform efforts by policymakers to address disparities in COVID-19 outcomes. OBJECTIVE: The objective of this study was to examine the association between COVID-19 deaths and the county-level proportions of non-Hispanic Black and Hispanic residents. RESEARCH DESIGN AND METHODS: A retrospective study using COVID-19 mortalit…
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States
Background: The United States Preventive Services Task Force recommends that medical providers apply fluoride varnish (FV) to the teeth of all children under 6 years of age, but fewer than 10% of eligible children receive FV as recommended. Prior studies suggest that variation in clinical guidelines is associated with low uptake of other evidence-based health-related interventions, but consistency of national guidelines for the delivery of FV in …
Delivery of fluoride varnish during pediatric medical visits by rurality
All young children are recommended to receive fluoride varnish applications in medical settings, yet overall rates were low. For privately insured young children, pediatric well-child medical visits were more likely to include fluoride varnish in rural and rural remote counties than metropolitan counties
Medicine (23 obras) · Health care (15 obras) · Environmental health (11 obras) · Healthcare Policy and Management (11 obras) · Family medicine (10 obras) · Nursing (10 obras) · Demography (9 obras) · Business (8 obras) · Dental Health and Care Utilization (8 obras) · Logistic regression (7 obras)