Robert G Frank
Datos Biográficos
| ID | 970192 |
|---|---|
| NOMBRE | Robert G Frank |
| NOMBRES | Robert G |
| APELLIDO | Frank |
| FIRMA | FRANK R G |
| AFILIACIONES | Harvard University |
| ORCID | 0000-0003-1551-7072 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 64 |
| TOTAL DE CITAS | 98 |
| TOTAL COMO AUTOR | 64 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1972 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 5 |
Exploring the evolution of posting behavior and language use in a racially and ethnically motivated extremist forum
Examining the Persisting and Desisting Online Posting Behaviors of Violent and Non-Violent Right-Wing Extremists
There is an ongoing need for researchers, practitioners, and policymakers to identify and examine the online posting behaviors of violent extremists prior to their engagement in violence offline, but little is empirically known about their online presence generally or differences in their posting behaviors compared to their non-violent counterparts particularly. Even less is empirically known about their persisting and desisting posting patterns.…
Drug Development—Social and Private Returns
America’s Continuing Struggle with Mental Illnesses
Mental illnesses affect roughly 20 percent of the US population. Like other health conditions, mental illnesses impose costs on individuals; they also generate costs that extend to family members and the larger society. Care for mental illnesses has evolved quite differently from the rest of health care sector. While medical care in general has seen major advances in the technology of treatment this has not been the case to the same extent for th…
Assessing the long-term effects of Basic Medical Insurance on catastrophic health spending in China
Many developing countries have implemented social health insurance programmes to protect their citizens against the financial risks of seeking healthcare. While many studies have explored how individual insurance enrolments affect catastrophic health spending (CHS) in the short term, there is a lack of evidence on the long-term macro-level effects of social health insurance on CHS in low- and middle-income countries. This study examines the long-…
How Do Commercial Insurance Plans Fare Under Proposed Prescription Drug Price Regulation
The 2 leading current proposals to control prescription drug pricing in the US, H.R. 3 and H
Our Other Epidemic
Distribution of vaccines against COVID-19 prompts conversations about our "return to normal
Overturning the ACA’s Medicaid Expansion Would Likely Decrease Low-Income, Reproductive-Age Women’s Healthcare Spending and Utilization
In late 2020, the Supreme Court began hearing a case challenging the Affordable Care Act (ACA), which led to coverage gains for many low-income, reproductive-age women. To explore potential implications of a full ACA repeal for this population, we examined gains experienced after Medicaid expansion, assuming that such gains may be reversed. Using restricted 2013 to 2014 data from the Medical Expenditure Panel Survey for 1190 women ages 18 to 44 w…
Medicaid Expansion’s Spillover to the Criminal Justice System
Spillovers from the Affordable Care Act Medicaid expansion to other social-sector outcomes have received little attention. One that may be especially salient for public policy is the impact of expanded eligibility on jail-related outcomes. This study compares recidivism outcomes in three non-expansion counties to nearby expansion counties before and after Medicaid expansion. Using forty-eight months of arrest data from six urban county jails, we …
Mental Illness and Violence
The debate about addressing mental illness and violence often ignores key facts. Many people experience mental illnesses, so having had a diagnosed illness is not a very specific predictor of violent behavior. This means that many proposed policy approaches, from expanded screening to more institutionalization, are unlikely to be effective. Expanded access to effective treatments, although desirable, will have only modest impacts on violence rate…
Enrollment in Medicare Advantage Plans in Miami-Dade County
Evidence from behavioral economics reveals that decision-making in health care settings can be affected by circumstances and choice architecture. This paper conducts an analysis of choice of private Medicare plans (Medicare Advantage plans) in Miami-Dade County. We provide a detailed description of the choice of MA plans available in Miami over much of the program's history. Our analysis suggests that first becoming eligible for Medicare is the k…
Adverse Clinical Events Among Medicare Beneficiaries Using Antipsychotic Drugs
OBJECTIVE: Medicare Part D provides formulary protections for antipsychotics but does not exempt these drugs from cost-sharing. We investigated the impact of Part D coverage on antipsychotic drug spending, adherence, and clinical outcomes among beneficiaries with varying indications for use. METHODS: We conducted a historical cohort study of Medicare Advantage beneficiaries who received antipsychotic drugs, with diagnoses of schizophrenia or bipo…
Effects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests
BACKGROUND: Both clinical guidelines and direct-to-consumer (DTC) advertising influence the use of new health care technologies, but little is known about their relative effects. The introduction of a cervical cancer screening test in 2000 offered a unique opportunity to assess the 2 strategies. OBJECTIVE: To evaluate the effects of clinical guidelines and a targeted DTC advertising campaign on overall and appropriate use of human papillomavirus …
The Rise and Fall of Gabapentin for Bipolar Disorder
CONTEXT: Rising drug costs have increased focus on how new pharmaceuticals diffuse into the marketplace. The case of gabapentin use in bipolar disorder provides an opportunity to study the roles of marketing, clinical evidence, and prior authorization (PA) policy on off-label medication use. DESIGN: Observational study using Medicaid administrative and Verispan marketing data. We examined the association between marketing, clinical trials, and pr…
Private Long-Term Care Insurance and State Tax Incentives
To increase the role of private insurance in financing long-term care, tax incentives for long-term care insurance have been implemented at both the federal and state levels. To date, there has been surprisingly little study of these initiatives. Using a panel of national data, we find that market take-up for long-term care insurance increased over the last decade, but state tax incentives were responsible for only a small portion of this growth.…
Changes Over Time and Disparities in Schizophrenia Treatment Quality
BACKGROUND: Schizophrenia medication and psychosocial treatment options have expanded since the Schizophrenia PORT was conducted. However, there also have been considerable changes in the delivery of mental health care in the public sector, as well as increasing state concerns about Medicaid cost containment. OBJECTIVES: To examine trends and patient characteristics associated with differences in schizophrenia medication and visit treatment quali…
Mitchell Rosenthal (1949-2007)
Was Part D a Giveaway to the Pharmaceutical Industry
The Medicare Modernization Act (MMA) prohibited the government from negotiating drug prices, a feature that the act's critics characterize as a giveaway to the drug industry. Instead of the government negotiating to keep prices down, the act relies on competition among drug companies to obtain business from private insurers; yet, competition cannot be effective when there are no close clinical substitutes. In the past few years, the rate of intro…
Inequities in Mental Health Care After Health Care System Reform in Chile
Objectives. We compared differences in mental health needs and provision of mental health services among residents of Santiago, Chile, with private and public health insurance coverage. Methods. We conducted a cross-sectional survey of a random sample of adults. Presence of mental disorders and use of health care services were assessed via structured interviews. Individuals were classified as having public, private, or no health insurance coverag…
The Impact of Parity on Major Depression Treatment Quality in the Federal Employees’ Health Benefits Program After Parity Implementation
BACKGROUND: Since the 1990s, parity laws have been implemented to reduce inequities in mental health coverage compared with that for general medical conditions. It is unclear if parity under managed care is associated with improvements in mental health treatment quality. Major depressive disorder (MDD) is a prevalent but often undetected and undertreated and thus could potentially benefit from parity implementation. OBJECTIVE: The objective of th…
Prevalence and Treatment of Mental Disorders, 1990 to 2003
BACKGROUND: Although the 1990s saw enormous change in the mental health care system in the United States, little is known about changes in the prevalence or rate of treatment of mental disorders. METHODS: We examined trends in the prevalence and rate of treatment of mental disorders among people 18 to 54 years of age during roughly the past decade. Data from the National Comorbidity Survey (NCS) were obtained in 5388 face-to-face household interv…
Managed Care and Systems Cost-Effectiveness
OBJECTIVE: The objective of this study was to assess the change in system cost-effectiveness of depression treatment after the introduction of managed care. DATA SOURCES/STUDY SETTING: The study population consisted of adults ages 18 to 69 living in low-income areas of Puerto Rico. STUDY DESIGN: Using a random probability sample of the population, 2 waves (1992-1993, 1993-1994) of data were collected before implementation of managed care and one …
Looking for Truth in All the Wrong Places
From the Department of Health Care Policy, Harvard University, Boston, Massachusetts. Reprints: Richard G. Frank, Margaret T. Morris Professor of Health Economics, Department of Health Care Policy, Harvard University, 180 Longwood Avenue, Boston, MA 02115. E-mail: [email protected]
Effects of Pharmaceutical Promotion on Adherence to the Treatment Guidelines for Depression
OBJECTIVES: We sought to examine the impact of direct-to-consumer advertising (DTCA) and pharmaceutical promotion to physicians on the likelihood that (1) an individual diagnosed with depression received antidepressant medication and that (2) antidepressant medication was used for the appropriate duration. RESEARCH DESIGN AND SUBJECTS: A quasiexperimental design was used to examine treatment patterns of 30,621 depressed individuals whose insuranc…
Carve-outs, women, and the treatment of depression
The Impact of Psychiatric Disorders on Labor Market Outcomes
Analyzing data on 2,225 men and 2,401 women from the National Comorbidity Survey, the authors examine the impact of psychiatric disorders on employment and, among those employed, work hours and income. They find that psychiatric disorders significantly reduced employment among both men and women. They also find evidence of small reductions in the conditional work hours of men and a substantial drop in the conditional income of men and women, alth…
The use of outpatient mental health services in the United States and Ontario
OBJECTIVES: This study compared the associations of individual mental health disorders, self-rated mental health, disability, and perceived need for care with the use of outpatient mental health services in the United States and the Canadian province of Ontario. METHODS: A cross-sectional study design was employed. Data came from the 1990 US National Comorbidity Survey and the 1990 Mental Health Supplement to the Ontario Health Survey. RESULTS: T…
Utilization of health services in a cohort of intravenous drug users with known HIV-1 serostatus
BACKGROUND. Intravenous drug users (IVDUs) with human immunodeficiency virus (HIV) infection and AIDS often have no health insurance or rely on public programs to finance their health care. We examined the independent contributions of HIV serostatus, clinical symptoms, CD4 cell counts, and health insurance to utilization of health services among 1881 intravenous drug users in Baltimore, Maryland. METHODS. Participants in an ongoing natural histor…
Instruments, Nerve Action, and the All-or-None Principle
Nonprofit Organizations in the Health Sector
Government appears to both promote and mistrust nonprofit organizations in the health sector. Tax exemptions, subsidies, and preferential treatment in contracts support these organizations. Legislation that links the supply of charity care to tax exemptions demonstrates mistrust. In this paper, the authors argue that information asymmetries lie at the heart of the current discomfort with tax policy toward nonprofit health-care providers. The auth…
Health care reform
Science, Medicine and the Universities of Early Modern England
Technical and allocative efficiency in production of outpatient mental health clinic services
This paper presents an analysis of production of ambulatory mental health services in free standing outpatient clinics. The study empirically addresses several issues including: the nature of returns to scale, the impact of differing organizational forms on the volume of service produced and the efficiency of staffing patterns used by psychiatric clinics. An appraisal of two popular production functions is offered based on predictive performance.…
The John Ward Diaries
Journal Article The John Ward Diaries: Mirror of Seventeenth Century Science and Medicine Get access ROBERT G. FRANK, JR. ROBERT G. FRANK, JR. Medical History Division, Department of Anatomy, University of CaliforniaLos Angeles Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of the History of Medicine and Allied Sciences, Volume XXIX, Issue 2, April 1974, Pages 147–179, https://doi.org/10.1093/jhmas/XXIX.2.…
Mental Illness and Violence
The debate about addressing mental illness and violence often ignores key facts. Many people experience mental illnesses, so having had a diagnosed illness is not a very specific predictor of violent behavior. This means that many proposed policy approaches, from expanded screening to more institutionalization, are unlikely to be effective. Expanded access to effective treatments, although desirable, will have only modest impacts on violence rate…
Inequities in Mental Health Care After Health Care System Reform in Chile
Objectives. We compared differences in mental health needs and provision of mental health services among residents of Santiago, Chile, with private and public health insurance coverage. Methods. We conducted a cross-sectional survey of a random sample of adults. Presence of mental disorders and use of health care services were assessed via structured interviews. Individuals were classified as having public, private, or no health insurance coverag…
Rural mental health coverage under health care reform
Nonmarket Resource Allocation in Mental Health Care
This article examines the public sector's role in the provision of mental health care, concentrating on a financial and economic perspective. A brief history of U.S. public policy toward the mentally ill is provided. The political economy of the mental health care system is then discussed. Four key sets of actors are identified: voters, interest groups, legislatures and elected politicians, and bureaus and public providers. Public policy toward t…
Is there a shortage of psychiatrists? An economist's view of the evidence
Oxford Medicine
A History of the Royal College of Physicians of London. Volume III . A. M. Cooke
John Aubrey, F. R. S., John Lydall, and Science at Commonwealth Oxford
CONSIDERING all the manuscript material which has been scrutinized in the search for evidence bearing upon the origins and early character of the Royal Society, it is mildly surprising that the correspondence of one of its earliest and most enthusiastic members, John Aubrey, should have lain neglected for so long. Among his unpublished papers in the Bodleian Library is a series of letters written to him from Commonwealth Oxford by his friend and …
Science, Medicine and the Universities of Early Modern England
Science, Medicine and the Universities of Early Modern England
The John Ward Diaries
Journal Article The John Ward Diaries: Mirror of Seventeenth Century Science and Medicine Get access ROBERT G. FRANK, JR. ROBERT G. FRANK, JR. Medical History Division, Department of Anatomy, University of CaliforniaLos Angeles Search for other works by this author on: Oxford Academic PubMed Google Scholar Journal of the History of Medicine and Allied Sciences, Volume XXIX, Issue 2, April 1974, Pages 147–179, https://doi.org/10.1093/jhmas/XXIX.2.…
Response suppression to a shock-predicting stimulus in differentially reared monkeys (Macaca mulatta)
Les origines de la transfusion sanguine. Jean-Jacques Peumery
The Correspondence of Marcello Malpighi . Howard B. Adelmann
Economics and mental health services
Economics and mental health services
Life Stress and Onset of Physical Illness
The Life Experiences Survey has been presented as an improvement on the Social Readjustment Rating Scale which has been shown to have a small correlation with the onset of physical illness. The ability of the Life Expetiences Survey to identify persons experiencing high stress prior to the onset of physical illness has not been demonstrated. The survey and a modified form of the rating scale were administered to 185 persons from six groups: hospi…
Missing data in psychiatric research
Missing data in psychiatric research
Is there a shortage of psychiatrists? An economist's view of the evidence
The Psychiatric DRGs
The relative homogeneity of medical, surgical, and psychiatric diagnosis-related groups (DRGs) are examined. Using data from the State of Maryland and the Health Care Financing Administration we studied the amount of variation in resource utilization within the DRGs. The estimated coefficients of variation of resource utilization for the surgical DRGs were found to be significantly smaller than those estimated for both medical and psychiatric DRG…
Nonmarket Resource Allocation in Mental Health Care
This article examines the public sector's role in the provision of mental health care, concentrating on a financial and economic perspective. A brief history of U.S. public policy toward the mentally ill is provided. The political economy of the mental health care system is then discussed. Four key sets of actors are identified: voters, interest groups, legislatures and elected politicians, and bureaus and public providers. Public policy toward t…
Elective foot surgery
We examined the roles of Doctors of Podiatric Medicine (DPMs) and orthopedic surgeons in the provision of foot surgery by analyzing the 1982 computerized claims of over 1.1 million federal employees, retirees, and family members. We found that DPMs provided over 60 per cent of all elective insured foot surgery. Without being able to adjust for the severity of the patient's underlying condition or the appropriateness and outcome of the surgery, th…
Technical and allocative efficiency in production of outpatient mental health clinic services
This paper presents an analysis of production of ambulatory mental health services in free standing outpatient clinics. The study empirically addresses several issues including: the nature of returns to scale, the impact of differing organizational forms on the volume of service produced and the efficiency of staffing patterns used by psychiatric clinics. An appraisal of two popular production functions is offered based on predictive performance.…
Use of Mental Health Services and Persistence of Emotional Distress
This article probes the relationship between use of ambulatory mental health services and the persistence of mental problems. The analysis focuses on the difficulties in obtaining empirical estimates of the relationship between usage and persistence. A two-step estimator is used to take into account unobserved determinants of both usage and mental health status. This estimator is compared with a single equation model and a two-stage least-squares…
Rehabilitation
Rehabilitation is one of the fastest growing areas in the health industry. Supported by several key pieces of legislation, psychologists have established themselves as integral health care providers in rehabilitation. Although psychologists have benefited from legislated membership in rehabilitation, most individual psychologists and the psychological associations have failed to recognize the importance of public policy for the practice of psycho…
Rehabilitation
Utilization of health services in a cohort of intravenous drug users with known HIV-1 serostatus
BACKGROUND. Intravenous drug users (IVDUs) with human immunodeficiency virus (HIV) infection and AIDS often have no health insurance or rely on public programs to finance their health care. We examined the independent contributions of HIV serostatus, clinical symptoms, CD4 cell counts, and health insurance to utilization of health services among 1881 intravenous drug users in Baltimore, Maryland. METHODS. Participants in an ongoing natural histor…
Injury control
Primary prevention of catastrophic injury
Motor vehicle crashes are a leading cause of injury and death until age 45. Efforts to prevent these injuries have largely followed the dictates of the public health movement focusing on interventions for entire communities or regulatory statutes. Individual interventions, more congruent with traditional psychological approaches, have been rare. This article argues that a blending of these two approaches is warranted. Evaluation of prevention pro…
Medicine (39 obras) · Psychology (28 obras) · Psychiatry (27 obras) · Political science (22 obras) · Health care (20 obras) · Healthcare Policy and Management (20 obras) · Law (17 obras) · Economics (15 obras) · Mental health (15 obras) · Business (14 obras)