Joel S Weissman
Datos Biográficos
| ID | 5535994 |
|---|---|
| NOMBRE | Joel S Weissman |
| NOMBRES | Joel S |
| APELLIDO | Weissman |
| FIRMA | WEISSMAN J S |
| AFILIACIONES | Brigham and Women's Hospital |
| ORCID | 0000-0002-4990-6263 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 17 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1979 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2021 |
| ÍNDICE H | 2 |
Patient perspectives on the need for implanted device information
BACKGROUND: Shared decision making and patient-centred communication have become part of pre-procedural decisions and perioperative care across medical specialties. However, gaps exist in patient communication about the implanted device received and the benefits in sharing information about their procedure and device. OBJECTIVE: To understand the patients' knowledge of identifying information for their implanted devices and perspectives on sharin…
Association of Advance Care Planning Visits With Intensity of Health Care for Medicare Beneficiaries With Serious Illness at the End of Life
In this cohort study of US Medicare beneficiaries, billed ACP services during the EOL course of patients with serious illness were relatively uncommon, but if they occurred before the last month of life, they were associated with less intensive use of EOL services. Further research on the variables affecting hospice use and expenditures in the EOL period and the differential effect of late ACP is recommended to understand the relative role of ACP…
Patient‐Centered Outcomes Research
IRB Oversight of Patient-Centered Outcomes Research
Patient-centered outcomes research (PCOR) is becoming increasingly common. However, there is little evidence regarding what novel ethical challenges, if any, are posed by PCOR with relevance to institutional review board (IRB) oversight and human subjects protections. This article reports the results of a national survey of all IRB chairpersons from research-intensive institutions in the United States. Findings address the responsibilities of IRB…
Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk
OBJECTIVE: Evaluate application of quality improvement approaches to key ambulatory malpractice risk and safety areas. STUDY SETTING: In total, 25 small-to-medium-sized primary care practices (16 intervention; 9 control) in Massachusetts. STUDY DESIGN: Controlled trial of a 15-month intervention including exposure to a learning network, webinars, face-to-face meetings, and coaching by improvement advisors targeting "3+1" high-risk domains: test r…
Evaluating Ambulatory Practice Safety
BACKGROUND: Ambulatory practices deliver most health care services and contribute to malpractice risk. Yet, policymakers and practitioners often lack information about safety and malpractice risk needed to guide improvement. OBJECTIVE: To assess staff and administrator perceptions of safety and malpractice risk in ambulatory settings. RESEARCH DESIGN: We administered surveys in small-sized to medium-sized primary care practices in Massachusetts a…
The Quality of Hospital Care for Medicaid and Private Pay Patients
CONTEXT: Understanding Medicaid performance relative to private payers and among other states may lead to better value. DESIGN, SETTING, AND PARTICIPANTS: Hospital Quality Alliance data from 2007-2008 were used to create composite "all-or-none" quality scores for nearly 900,000 nonelderly adult patients hospitalized with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia. MAIN OUTCOME MEASURES: Differences in the qual…
Can We Rely on Patients' Reports of Adverse Events
BACKGROUND: Evidence suggests that patients can report a variety of adverse events (AEs) not captured by traditional methods such as a chart review. Little is known, however, about whether patient reports are useful for measuring patient safety. OBJECTIVES: To examine the degree to which physician reviewers agreed that patient reports of "negative effects" constituted AEs, and to identify questionnaire items that affected reviewers' judgments. ME…
Quality of Care Provided to Individual Patients in US Hospitals
Background: There is little national data on the characteristics of patients who receive high quality inpatient care defined as either the receipt of all appliable processes (all-or-none performance) or the proportion of applicable processes received during thier hospitalization. Objectives: To assess the quality of care provided to patients hospitalized for acute myocardial infarction (AMI), heart failure or pneumonia, to describe variations in …
Opinions of IRB Members and Chairs regarding Investigators' Relationships with Industry
THE EFFECTS OF CONFLICTS OF INTEREST on the conduct of human research have been roundly debated, but less attention has been paid to the role of Institutional Review Boards (IRBs) in their identification and management. Government and private policy recommendations disagree about IRBs' responsibility in this area. A survey focusing on respondents' attitudes and behaviors regarding consideration of investigator and institutional financial relation…
Access to Care and Use of Preventive Services by Hispanics
BACKGROUND: State-level disparities in access to physicians and preventive services between Hispanics and whites may have changed over time. OBJECTIVE: To assess state-based changes in Hispanics' access to physicians and preventive services from 1991 to 2004. METHODS: Using data from the Behavioral Risk Factor Surveillance System in the 10 states with the largest Hispanic populations, we examined 4 preventive services for eligible adults (mammogr…
Hospital Workload and Adverse Events
CONTEXT: Hospitals are under pressure to increase revenue and lower costs, and at the same time, they face dramatic variation in clinical demand. OBJECTIVE: : We sought to determine the relationship between peak hospital workload and rates of adverse events (AEs). METHODS: A random sample of 24,676 adult patients discharged from the medical/surgical services at 4 US hospitals (2 urban and 2 suburban teaching hospitals) from October 2000 to Septem…
Do Characteristics of Hipaa Consent Forms Affect the Response Rate
OBJECTIVE: Under the The Health Insurance Portability and Accountability Act Privacy Rule, researchers are required to obtain written authorization from patients to gain access to protected health information. The purpose of this research was to examine how the characteristics of authorization forms used by hospitals affect the likelihood of consent. METHOD: This work reports on a recent telephone survey (administered January to August 2004) of p…
Hospitals' Care of Uninsured Patients during the 1990s
Competitive forces in health care make it difficult for hospitals to shift the costs of caring for poor and uninsured patients onto paying patients. The care of uninsured patients in teaching hospitals may have been especially affected by increased levels of managed care during the 1990s. We found that the market share of uninsured patients during the 1990s grew at academic health center hospitals relative to other hospitals in their service area…
Undiagnosed Hypertension and Hypercholesterolemia Among Uninsured and Insured Adults in the Third National Health and Nutrition Examination Survey
Uninsured adults are much less likely than insured adults to receive routine checkups or preventive services, including screening for hypertension and hypercholesterolemia.1 To obtain nationally representative estimates of undiagnosed hypertension and hypercholesterolemia by insurance status, we analyzed the Third National Health and Nutrition Examination Survey (NHANES III).2,3
Race and Gender Disparities in Rates of Cardiac Revascularization
BACKGROUND: Numerous studies have documented substantial differences by race and gender in the use of coronary artery bypass graft surgery and percutaneous coronary angioplasty. However, few studies have examined whether these differences reflect problems in quality of care. METHOD: We selected a random sample stratified by gender, race, and income of 5026 Medicare beneficiaries aged 65 to 75 who underwent inpatient coronary angiography during 19…
Residents' Preferences and Preparation for Caring for Underserved Populations
Hospital Readmissions and Quality of Care
BACKGROUND: Readmission rates are often proposed as markers for quality of care. However, a consistent link between readmissions and quality has not been established. OBJECTIVE: To test the relation of readmission to quality and the utility of readmissions as hospital quality measures. SUBJECTS: One thousand, seven hundred and fifty-eight Medicare patients hospitalized in four states between 1991 to 1992 with pneumonia or congestive heart failure…
Quality of Care by Race and Gender for Congestive Heart Failure and Pneumonia
BACKGROUND: Variations in the rates of major procedures by race and gender are well described, but few studies have assessed the quality of care by race and gender for basic hospital services. OBJECTIVE: To assess quality of care by race and gender. RESEARCH DESIGN: Retrospective review of medical records. SUBJECTS: Stratified random sample of 2,175 Medicare beneficiaries hospitalized for congestive heart failure or pneumonia in Illinois, New Yor…
The Boston Aids Survival Score (Bass)
OBJECTIVES: This study developed a new acquired immunodeficiency syndrome (AIDS) severity system by including diagnostic, physiological, functional, and sociodemographic factors predictive of survival. METHODS: Three-hundred five persons with AIDS in Boston were interviewed; their medical records were reviewed and vital status ascertained. RESULTS: Overall median (+/- SD) survival for the cohort from the first interview until death was 560 +/- 14…
The Influence of Health-Related Quality of Life and Social Characteristics on Hospital Use by Patients with Aids in the Boston Health Study
OBJECTIVES: The authors examine whether health-related quality of life (HRQL) and social factors were independent predictors of future hospital use for persons with acquired immunodeficiency syndrome (AIDS). METHODS: A panel of 305 patients with AIDS treated at three provider settings in the Boston, Massachusetts area were enrolled during 1990 and 1991. Data were collected at baseline study enrollment and again 4 months later. Patient interviews,…
Changes in insurance status and access to care for persons with Aids in the Boston Health Study
The purpose of this study was to measure unmet needs and changes in insurance status for persons with acquired immunodeficiency syndrome (AIDS). Thirty-six percent of the study's Boston-area respondents (n = 305) had a change in insurance coverage between AIDS diagnosis and interview. Medicaid coverage increased from 14% to 41%. Pneumocystis carinii pneumonia prophylaxis was nearly universal. Only 5% did not receive zidovudine, and intravenous dr…
Correlates of employment after Aids diagnosis in the Boston Health Study
OBJECTIVES. The purpose of this study was to determine the impact of personal and job characteristics on the time to employment loss after diagnosis of the acquired immunodeficiency syndrome (AIDS) and to examine how job loss affects patients' income. METHODS. Data were collected from 305 patients with AIDS at three sites in Boston, Mass, between February 1990 and July 1991. Life-table methods were used to estimate the number of months employed a…
Utilization of Formal and Informal Home Care by Aids Patients in Boston
The assumption that intravenous (i.v.) drug users have weaker informal support networks than homosexual men has led to opposing policy recommendations: one emphasizes outreach and more formal (paid) home care for i.v. drug users, whereas the other maintains that formal home care programs are less effective for this risk group due to the lack of informal (unpaid) caregivers to coordinate efforts. Data from interviews with a sample of 231 persons w…
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Assessing health-related quality of life in persons infected with human immunodeficiency virus (HIV) is extremely important, but most available scales are too long, contain items that are not relevant for such persons, or do not assess important signs and symptoms of HIV infection. This study presents a new set of scales for assessing the symptoms and functioning of persons infected with HIV and reports data on their reliability and validity coll…
Changes in insurance status and access to care for persons with Aids in the Boston Health Study
The purpose of this study was to measure unmet needs and changes in insurance status for persons with acquired immunodeficiency syndrome (AIDS). Thirty-six percent of the study's Boston-area respondents (n = 305) had a change in insurance coverage between AIDS diagnosis and interview. Medicaid coverage increased from 14% to 41%. Pneumocystis carinii pneumonia prophylaxis was nearly universal. Only 5% did not receive zidovudine, and intravenous dr…
Correlates of employment after Aids diagnosis in the Boston Health Study
OBJECTIVES. The purpose of this study was to determine the impact of personal and job characteristics on the time to employment loss after diagnosis of the acquired immunodeficiency syndrome (AIDS) and to examine how job loss affects patients' income. METHODS. Data were collected from 305 patients with AIDS at three sites in Boston, Mass, between February 1990 and July 1991. Life-table methods were used to estimate the number of months employed a…
Opinions of IRB Members and Chairs regarding Investigators' Relationships with Industry
THE EFFECTS OF CONFLICTS OF INTEREST on the conduct of human research have been roundly debated, but less attention has been paid to the role of Institutional Review Boards (IRBs) in their identification and management. Government and private policy recommendations disagree about IRBs' responsibility in this area. A survey focusing on respondents' attitudes and behaviors regarding consideration of investigator and institutional financial relation…
Undiagnosed Hypertension and Hypercholesterolemia Among Uninsured and Insured Adults in the Third National Health and Nutrition Examination Survey
Uninsured adults are much less likely than insured adults to receive routine checkups or preventive services, including screening for hypertension and hypercholesterolemia.1 To obtain nationally representative estimates of undiagnosed hypertension and hypercholesterolemia by insurance status, we analyzed the Third National Health and Nutrition Examination Survey (NHANES III).2,3
IRB Oversight of Patient-Centered Outcomes Research
Patient-centered outcomes research (PCOR) is becoming increasingly common. However, there is little evidence regarding what novel ethical challenges, if any, are posed by PCOR with relevance to institutional review board (IRB) oversight and human subjects protections. This article reports the results of a national survey of all IRB chairpersons from research-intensive institutions in the United States. Findings address the responsibilities of IRB…
The Boston Aids Survival Score (Bass)
OBJECTIVES: This study developed a new acquired immunodeficiency syndrome (AIDS) severity system by including diagnostic, physiological, functional, and sociodemographic factors predictive of survival. METHODS: Three-hundred five persons with AIDS in Boston were interviewed; their medical records were reviewed and vital status ascertained. RESULTS: Overall median (+/- SD) survival for the cohort from the first interview until death was 560 +/- 14…
Harvard's CHIP Successful
Harvard's CHIP Successful Claire Chaffee-Bahamon, John E. Cupples, Rebecca Fuhrer, Ann Jones, H. R. Nesson, and Joel Weissman CopyRight https://doi.org/10.2105/AJPH.69.11.1185-a Published Online: October 07, 2011
Delayed Access to Health Care
OBJECTIVE: To determine characteristics of patients reporting delays in care before hospitalization and the reasons for those delays. DESIGN: Survey; personal interviews. SETTING: Five hospitals in Massachusetts. PATIENTS: Subjects were drawn from a consecutive sample of all adult patients (excluding obstetrics or psychiatry patients) hospitalized during the first 6 months of 1987 as part of a larger study of hospital costs. For the current study…
Rates of Avoidable Hospitalization by Insurance Status in Massachusetts and Maryland
OBJECTIVE: To determine whether uninsured and Medicaid patients have higher rates of avoidable hospitalizations than do insured patients. DESIGN: We used 1987 computerized hospital discharge data to select a cross-sectional sample of hospitalized patients. Population estimates from the Current Population Survey were used to estimate rates of admission, standardized for age and sex. SETTING: Nonfederal acute care hospitals in Massachusetts and Mar…
Some Methodological Lessons for Surveys of Persons With Aids
Fowler, Floyd J. Jr. PhD; Massagli, Michael P. PhD; Weissman, Joel PhD; Seage, George R. III DSc; Cleary, Paul D. PhD; Epstein, Arnold MD Author Information
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Assessing health-related quality of life in persons infected with human immunodeficiency virus (HIV) is extremely important, but most available scales are too long, contain items that are not relevant for such persons, or do not assess important signs and symptoms of HIV infection. This study presents a new set of scales for assessing the symptoms and functioning of persons infected with HIV and reports data on their reliability and validity coll…
Changes in insurance status and access to care for persons with Aids in the Boston Health Study
The purpose of this study was to measure unmet needs and changes in insurance status for persons with acquired immunodeficiency syndrome (AIDS). Thirty-six percent of the study's Boston-area respondents (n = 305) had a change in insurance coverage between AIDS diagnosis and interview. Medicaid coverage increased from 14% to 41%. Pneumocystis carinii pneumonia prophylaxis was nearly universal. Only 5% did not receive zidovudine, and intravenous dr…
Correlates of employment after Aids diagnosis in the Boston Health Study
OBJECTIVES. The purpose of this study was to determine the impact of personal and job characteristics on the time to employment loss after diagnosis of the acquired immunodeficiency syndrome (AIDS) and to examine how job loss affects patients' income. METHODS. Data were collected from 305 patients with AIDS at three sites in Boston, Mass, between February 1990 and July 1991. Life-table methods were used to estimate the number of months employed a…
Utilization of Formal and Informal Home Care by Aids Patients in Boston
The assumption that intravenous (i.v.) drug users have weaker informal support networks than homosexual men has led to opposing policy recommendations: one emphasizes outreach and more formal (paid) home care for i.v. drug users, whereas the other maintains that formal home care programs are less effective for this risk group due to the lack of informal (unpaid) caregivers to coordinate efforts. Data from interviews with a sample of 231 persons w…
The Influence of Health-Related Quality of Life and Social Characteristics on Hospital Use by Patients with Aids in the Boston Health Study
OBJECTIVES: The authors examine whether health-related quality of life (HRQL) and social factors were independent predictors of future hospital use for persons with acquired immunodeficiency syndrome (AIDS). METHODS: A panel of 305 patients with AIDS treated at three provider settings in the Boston, Massachusetts area were enrolled during 1990 and 1991. Data were collected at baseline study enrollment and again 4 months later. Patient interviews,…
The Boston Aids Survival Score (Bass)
OBJECTIVES: This study developed a new acquired immunodeficiency syndrome (AIDS) severity system by including diagnostic, physiological, functional, and sociodemographic factors predictive of survival. METHODS: Three-hundred five persons with AIDS in Boston were interviewed; their medical records were reviewed and vital status ascertained. RESULTS: Overall median (+/- SD) survival for the cohort from the first interview until death was 560 +/- 14…
Hospital Readmissions and Quality of Care
BACKGROUND: Readmission rates are often proposed as markers for quality of care. However, a consistent link between readmissions and quality has not been established. OBJECTIVE: To test the relation of readmission to quality and the utility of readmissions as hospital quality measures. SUBJECTS: One thousand, seven hundred and fifty-eight Medicare patients hospitalized in four states between 1991 to 1992 with pneumonia or congestive heart failure…
Quality of Care by Race and Gender for Congestive Heart Failure and Pneumonia
BACKGROUND: Variations in the rates of major procedures by race and gender are well described, but few studies have assessed the quality of care by race and gender for basic hospital services. OBJECTIVE: To assess quality of care by race and gender. RESEARCH DESIGN: Retrospective review of medical records. SUBJECTS: Stratified random sample of 2,175 Medicare beneficiaries hospitalized for congestive heart failure or pneumonia in Illinois, New Yor…
Residents' Preferences and Preparation for Caring for Underserved Populations
Hospitals' Care of Uninsured Patients during the 1990s
Competitive forces in health care make it difficult for hospitals to shift the costs of caring for poor and uninsured patients onto paying patients. The care of uninsured patients in teaching hospitals may have been especially affected by increased levels of managed care during the 1990s. We found that the market share of uninsured patients during the 1990s grew at academic health center hospitals relative to other hospitals in their service area…
Undiagnosed Hypertension and Hypercholesterolemia Among Uninsured and Insured Adults in the Third National Health and Nutrition Examination Survey
Uninsured adults are much less likely than insured adults to receive routine checkups or preventive services, including screening for hypertension and hypercholesterolemia.1 To obtain nationally representative estimates of undiagnosed hypertension and hypercholesterolemia by insurance status, we analyzed the Third National Health and Nutrition Examination Survey (NHANES III).2,3
Race and Gender Disparities in Rates of Cardiac Revascularization
BACKGROUND: Numerous studies have documented substantial differences by race and gender in the use of coronary artery bypass graft surgery and percutaneous coronary angioplasty. However, few studies have examined whether these differences reflect problems in quality of care. METHOD: We selected a random sample stratified by gender, race, and income of 5026 Medicare beneficiaries aged 65 to 75 who underwent inpatient coronary angiography during 19…
Hospital Workload and Adverse Events
CONTEXT: Hospitals are under pressure to increase revenue and lower costs, and at the same time, they face dramatic variation in clinical demand. OBJECTIVE: : We sought to determine the relationship between peak hospital workload and rates of adverse events (AEs). METHODS: A random sample of 24,676 adult patients discharged from the medical/surgical services at 4 US hospitals (2 urban and 2 suburban teaching hospitals) from October 2000 to Septem…
Do Characteristics of Hipaa Consent Forms Affect the Response Rate
OBJECTIVE: Under the The Health Insurance Portability and Accountability Act Privacy Rule, researchers are required to obtain written authorization from patients to gain access to protected health information. The purpose of this research was to examine how the characteristics of authorization forms used by hospitals affect the likelihood of consent. METHOD: This work reports on a recent telephone survey (administered January to August 2004) of p…
Opinions of IRB Members and Chairs regarding Investigators' Relationships with Industry
THE EFFECTS OF CONFLICTS OF INTEREST on the conduct of human research have been roundly debated, but less attention has been paid to the role of Institutional Review Boards (IRBs) in their identification and management. Government and private policy recommendations disagree about IRBs' responsibility in this area. A survey focusing on respondents' attitudes and behaviors regarding consideration of investigator and institutional financial relation…
Access to Care and Use of Preventive Services by Hispanics
BACKGROUND: State-level disparities in access to physicians and preventive services between Hispanics and whites may have changed over time. OBJECTIVE: To assess state-based changes in Hispanics' access to physicians and preventive services from 1991 to 2004. METHODS: Using data from the Behavioral Risk Factor Surveillance System in the 10 states with the largest Hispanic populations, we examined 4 preventive services for eligible adults (mammogr…
Quality of Care Provided to Individual Patients in US Hospitals
Background: There is little national data on the characteristics of patients who receive high quality inpatient care defined as either the receipt of all appliable processes (all-or-none performance) or the proportion of applicable processes received during thier hospitalization. Objectives: To assess the quality of care provided to patients hospitalized for acute myocardial infarction (AMI), heart failure or pneumonia, to describe variations in …
Can We Rely on Patients' Reports of Adverse Events
BACKGROUND: Evidence suggests that patients can report a variety of adverse events (AEs) not captured by traditional methods such as a chart review. Little is known, however, about whether patient reports are useful for measuring patient safety. OBJECTIVES: To examine the degree to which physician reviewers agreed that patient reports of "negative effects" constituted AEs, and to identify questionnaire items that affected reviewers' judgments. ME…
The Quality of Hospital Care for Medicaid and Private Pay Patients
CONTEXT: Understanding Medicaid performance relative to private payers and among other states may lead to better value. DESIGN, SETTING, AND PARTICIPANTS: Hospital Quality Alliance data from 2007-2008 were used to create composite "all-or-none" quality scores for nearly 900,000 nonelderly adult patients hospitalized with acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia. MAIN OUTCOME MEASURES: Differences in the qual…
Evaluating Ambulatory Practice Safety
BACKGROUND: Ambulatory practices deliver most health care services and contribute to malpractice risk. Yet, policymakers and practitioners often lack information about safety and malpractice risk needed to guide improvement. OBJECTIVE: To assess staff and administrator perceptions of safety and malpractice risk in ambulatory settings. RESEARCH DESIGN: We administered surveys in small-sized to medium-sized primary care practices in Massachusetts a…
Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk
OBJECTIVE: Evaluate application of quality improvement approaches to key ambulatory malpractice risk and safety areas. STUDY SETTING: In total, 25 small-to-medium-sized primary care practices (16 intervention; 9 control) in Massachusetts. STUDY DESIGN: Controlled trial of a 15-month intervention including exposure to a learning network, webinars, face-to-face meetings, and coaching by improvement advisors targeting "3+1" high-risk domains: test r…
Medicine (28 obras) · Family medicine (13 obras) · Gerontology (12 obras) · Health care (12 obras) · Internal Medicine (11 obras) · Internal Medicine (11 obras) · Environmental health (10 obras) · Gerontology (10 obras) · Emergency Medicine (9 obras) · Emergency Medicine (9 obras)