Donald S Shepard
Datos Biográficos
| ID | 1735270 |
|---|---|
| NOMBRE | Donald S Shepard |
| NOMBRES | Donald S |
| APELLIDO | Shepard |
| FIRMA | SHEPARD D S |
| AFILIACIONES | Brandeis University |
| ORCID | 0000-0003-2187-0593 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAS | 43 |
| TOTAL COMO AUTOR | 30 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1976 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 4 |
Disparities in healthcare-seeking behaviors and associated costs between Venezuelan migrants and Colombians residing in Colombia
While Colombians and Venezuelans share similar disease burdens, significant differences exist in access, cost, and health-seeking behaviors. Increasing Venezuelan health insurance enrollment and tackling accessibility barriers are crucial for ensuring healthcare equity and effectively integrating the migrant population. Findings suggest that improving migrant access to primary healthcare would produce savings in Colombian healthcare expenditures
Escalating costs of self-injury mortality in the 21st century United States
The scale and surge in the economic costs of SIM to society are large. Federal and state prevention and intervention programs should be financed with a clear understanding of the total costs-fiscal, social, and personal-incurred by deaths due to self-injurious behaviors
Impact of weekday and weekend mobility and public policies on Covid-19 incidence and deaths across 76 large municipalities in Colombia
We believe this is the first evaluation of day-of-the week mobility on COVID-19. Weekend behavior was likely riskier than weekday behavior due to larger gatherings and less social distancing or protective measures. Reducing or shifting such activities outdoors would reduce COVID-19 cases and deaths
On the cost-effectiveness of insecticide-treated wall liner and indoor residual spraying as additions to insecticide treated bed nets to prevent malaria
2015 ( NCT02533336 )
Broken smiles
Oral health in the United States is worse among minorities and poor than among other residents. The benefits associated with access to dental care should justify expanding dental services
Cost-effectiveness of health systems strengthening interventions in improving maternal and child health in low- and middle-income countries
Evaluation of results-based financing in the Republic of the Congo
Results-based financing (RBF) has been advocated and increasingly scaled up in low- and middle-income countries to increase utilization and quality of key primary care services, thereby reducing maternal and child mortality rates. This pilot RBF study in the Republic of the Congo from 2012 to 2014 used a quasi-experimental research design. The authors conducted pre- and post-household surveys and gathered health facility services data from both i…
An Economic Analysis of the Threats Posed by the Establishment of Aedes albopictus in Brisbane, Queensland
Aedes albopictus is an invasive mosquito, aggressive biter and potential disease vector. Its establishment in Europe and the Americas resulted in local disease transmission and impacted quality of outdoor recreational activities. Economic implications of its likely invasion into Australia had not been considered. A benefit-cost analysis of an elimination response scenario to an Ae. albopictus incursion in Brisbane was developed with a benefits tr…
Costing essential services package provided by a non-governmental organization network in Bangladesh
The health profile of Bangladesh has improved remarkably, yet gaps in delivering quality health care remain. In response to the need for evidence to quantify resources for providing health services in Bangladesh, this study estimates unit costs of providing the essential services package (ESP) in the not-for-profit sector. This study used a stratified sampling approach to select 18 static clinics, which had fixed facilities, from 330 non-profit c…
Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015
BACKGROUND: Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns bas…
Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years liv…
The effectiveness of non-pyrethroid insecticide-treated durable wall lining to control malaria in rural Tanzania
NCT02533336 registered on 13 July 2014
Resource needs and gap analysis in achieving universal access to HIV/Aids services
BACKGROUND: -To manage the human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS) epidemic, international donors have pledged unprecedented commitments for needed services. The Joint United Nations Programme on HIV/AIDS (UNAIDS) projected that low- and middle-income countries needed $25 billion to meet the 2010 HIV/AIDS goal of universal access to AIDS prevention and care, using the resource needs model (RNM). METHODS: -D…
Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013
Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers
Efforts to measure quality of care have focused on ambulatory care providers. We examined the performance of community health centers serving children on Medicaid in 3 states. Descriptive analysis showed considerable patient population heterogeneity, and regression analysis demonstrated that variation explained by the assigned provider was small (mean R 2 = 4.3%) compared with the variation explained by patient demographic variables (mean R 2 = 2…
Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010
Disability-adjusted life years (Dalys) for 291 diseases and injuries in 21 regions, 1990–2010
Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010
Treatment and care for injecting drug users with HIV infection
Cost-effectiveness of clinical interventions for Aids wasting
Economic studies of HIV/AIDS interventions are important for providing cost-effective care. This paper presents a costeffectiveness study of a three-arm clinical trial conducted at Tufts University School of Medicine/New England Medical Center in Boston, Massachusetts that treated 50 patients with AIDS wasting from March 1998 through January 2001. This study compared the costs and impacts of a nutritional counseling intervention alone (NC arm), t…
Racial and Ethnic Differences in Health and Health Care
This study describes differences in health care utilization and recorded diagnoses in a racially and ethnically diverse sample of 1175 out-of-treatment patients who screened positive for heroin and cocaine use during an outpatient visit to a drop-in clinic at an urban hospital. Blacks averaged more ED visits than Whites and higher average yearly ED charges than Hispanics (1,991 dollars vs. 1,603 dollars). Charges over two years totaled 6,111,660 …
Overcoming Language Barriers in Health Care
Objectives. We assessed the impact of interpreter services on the cost and the utilization of health care services among patients with limited English proficiency. Methods. We measured the change in delivery and cost of care provided to patients enrolled in a health maintenance organization before and after interpreter services were implemented. Results. Compared with English-speaking patients, patients who used the interpreter services received …
Cost‐effectiveness of Usaid's Regional Program for Family Planning in West Africa
Between 1994 and 1996, the United States Agency for International Development (USAID) closed 23 country missions worldwide, of which eight were in West and Central Africa. To preserve United States support for family planning and reproductive health in four countries in that region, USAID created a subregional program through a consortium of US‐based groups that hired mainly African managers and African organizations. This study assesses cost‐eff…
The Impact of Substance Abuse Treatment Modality on Birth Weight and Health Care Expenditures
During the 1990s, substance abuse treatment programs were developed for pregnant women to help improve infant birth outcomes, reduce maternal drug dependency and promote positive lifestyle changes. This study compared the relative impact of five treatment modalities--residential, outpatient, residential/outpatient, methadone and detoxification-only--on infant birth weight and perinatal health care expenditures for a sample of 445 Medicaid-eligibl…
Effectiveness and Costs of Veterans Affairs Hypertension Clinics
The effectiveness and costs of care for hypertension are examined in a stratified random sample of 3,087 patients from a network of 32 Veterans Affairs Hypertension Screening and Treatment Clinics (HSTP). During 2.5 years of follow-up, 66% and 88% of patients, respectively, had mean diastolic blood pressure (DBP) levels of 90 or 95 mm Hg or less; 73% remained fully in care; and the mean cost of ambulatory care per patient-year was $647 in 1989 do…
Overcoming Language Barriers in Health Care
Objectives. We assessed the impact of interpreter services on the cost and the utilization of health care services among patients with limited English proficiency. Methods. We measured the change in delivery and cost of care provided to patients enrolled in a health maintenance organization before and after interpreter services were implemented. Results. Compared with English-speaking patients, patients who used the interpreter services received …
A pitfall in sampling medical visits
Samples of outpatient visits often must be used to identify users of a health facility with a given chronic condition. Such samples can lead to biases, however, because patients with more frequent visits are overrepresented. These biases can be avoided by a weighting procedure in which each sampled visit is weighted inversely to the number of clinic visits made by that patient during the sample period. This procedure proved critical in estimating…
Cost-effectiveness of the expanded programme of immunization in the Ivory Coast
Addendum to article on 'visit-based sampling
Addendum to article on 'visit-based sampling'. D S Shepard, and R NeutraCopyRight https://doi.org/10.2105/AJPH.69.9.954 Published Online: October 07, 2011
Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers
Efforts to measure quality of care have focused on ambulatory care providers. We examined the performance of community health centers serving children on Medicaid in 3 states. Descriptive analysis showed considerable patient population heterogeneity, and regression analysis demonstrated that variation explained by the assigned provider was small (mean R 2 = 4.3%) compared with the variation explained by patient demographic variables (mean R 2 = 2…
Evaluation of results-based financing in the Republic of the Congo
Results-based financing (RBF) has been advocated and increasingly scaled up in low- and middle-income countries to increase utilization and quality of key primary care services, thereby reducing maternal and child mortality rates. This pilot RBF study in the Republic of the Congo from 2012 to 2014 used a quasi-experimental research design. The authors conducted pre- and post-household surveys and gathered health facility services data from both i…
Mailed Versus Telephoned Appointment Reminders To Reduce Broken Appointments in a Hospital Outpatient Department
This study compared mail, telephone, and control strategies to reduce the rate of broken appointments in a pediatric outpatient department. Based on 1,039 randomly assigned appointments, the mail strategy had a broken appointment rate of 29.1 per cent, the telephone strategy of 25.3 per cent, and the control of 44.2 per cent. Both strategies were significantly effective, but the difference between them was not significant. Patients without teleph…
A pitfall in sampling medical visits
Samples of outpatient visits often must be used to identify users of a health facility with a given chronic condition. Such samples can lead to biases, however, because patients with more frequent visits are overrepresented. These biases can be avoided by a weighting procedure in which each sampled visit is weighted inversely to the number of clinic visits made by that patient during the sample period. This procedure proved critical in estimating…
Addendum to article on 'visit-based sampling
Addendum to article on 'visit-based sampling'. D S Shepard, and R NeutraCopyRight https://doi.org/10.2105/AJPH.69.9.954 Published Online: October 07, 2011
Cost-effectiveness of the expanded programme of immunization in the Ivory Coast
Cost-effectiveness of ambulatory surgery in Cali, Colombia
To compare the cost and effectiveness of a system of simplified ambulatory surgery against traditional in-patient surgery, we studied a surgical procedure commonly performed in both settings - non-recurrent elective inguinal herniorrhaphy. We compared the 17 operations performed in an ‘intermediate health unit’ (IHU) or outpatient hospital in Cali, against the 15 performed in a traditional secondary hospital from mid-January through mid-April, 19…
Effectiveness and Costs of Veterans Affairs Hypertension Clinics
The effectiveness and costs of care for hypertension are examined in a stratified random sample of 3,087 patients from a network of 32 Veterans Affairs Hypertension Screening and Treatment Clinics (HSTP). During 2.5 years of follow-up, 66% and 88% of patients, respectively, had mean diastolic blood pressure (DBP) levels of 90 or 95 mm Hg or less; 73% remained fully in care; and the mean cost of ambulatory care per patient-year was $647 in 1989 do…
The Impact of Substance Abuse Treatment Modality on Birth Weight and Health Care Expenditures
During the 1990s, substance abuse treatment programs were developed for pregnant women to help improve infant birth outcomes, reduce maternal drug dependency and promote positive lifestyle changes. This study compared the relative impact of five treatment modalities--residential, outpatient, residential/outpatient, methadone and detoxification-only--on infant birth weight and perinatal health care expenditures for a sample of 445 Medicaid-eligibl…
Cost‐effectiveness of Usaid's Regional Program for Family Planning in West Africa
Between 1994 and 1996, the United States Agency for International Development (USAID) closed 23 country missions worldwide, of which eight were in West and Central Africa. To preserve United States support for family planning and reproductive health in four countries in that region, USAID created a subregional program through a consortium of US‐based groups that hired mainly African managers and African organizations. This study assesses cost‐eff…
Overcoming Language Barriers in Health Care
Objectives. We assessed the impact of interpreter services on the cost and the utilization of health care services among patients with limited English proficiency. Methods. We measured the change in delivery and cost of care provided to patients enrolled in a health maintenance organization before and after interpreter services were implemented. Results. Compared with English-speaking patients, patients who used the interpreter services received …
Racial and Ethnic Differences in Health and Health Care
This study describes differences in health care utilization and recorded diagnoses in a racially and ethnically diverse sample of 1175 out-of-treatment patients who screened positive for heroin and cocaine use during an outpatient visit to a drop-in clinic at an urban hospital. Blacks averaged more ED visits than Whites and higher average yearly ED charges than Hispanics (1,991 dollars vs. 1,603 dollars). Charges over two years totaled 6,111,660 …
Cost-effectiveness of clinical interventions for Aids wasting
Economic studies of HIV/AIDS interventions are important for providing cost-effective care. This paper presents a costeffectiveness study of a three-arm clinical trial conducted at Tufts University School of Medicine/New England Medical Center in Boston, Massachusetts that treated 50 patients with AIDS wasting from March 1998 through January 2001. This study compared the costs and impacts of a nutritional counseling intervention alone (NC arm), t…
Treatment and care for injecting drug users with HIV infection
Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010
Disability-adjusted life years (Dalys) for 291 diseases and injuries in 21 regions, 1990–2010
Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010
Methodological Challenges of Measuring Primary Care Delivery to Pediatric Medicaid Beneficiaries Who Use Community Health Centers
Efforts to measure quality of care have focused on ambulatory care providers. We examined the performance of community health centers serving children on Medicaid in 3 states. Descriptive analysis showed considerable patient population heterogeneity, and regression analysis demonstrated that variation explained by the assigned provider was small (mean R 2 = 4.3%) compared with the variation explained by patient demographic variables (mean R 2 = 2…
Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013
Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015
BACKGROUND: Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns bas…
Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years liv…
The effectiveness of non-pyrethroid insecticide-treated durable wall lining to control malaria in rural Tanzania
NCT02533336 registered on 13 July 2014
Resource needs and gap analysis in achieving universal access to HIV/Aids services
BACKGROUND: -To manage the human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS) epidemic, international donors have pledged unprecedented commitments for needed services. The Joint United Nations Programme on HIV/AIDS (UNAIDS) projected that low- and middle-income countries needed $25 billion to meet the 2010 HIV/AIDS goal of universal access to AIDS prevention and care, using the resource needs model (RNM). METHODS: -D…
An Economic Analysis of the Threats Posed by the Establishment of Aedes albopictus in Brisbane, Queensland
Aedes albopictus is an invasive mosquito, aggressive biter and potential disease vector. Its establishment in Europe and the Americas resulted in local disease transmission and impacted quality of outdoor recreational activities. Economic implications of its likely invasion into Australia had not been considered. A benefit-cost analysis of an elimination response scenario to an Ae. albopictus incursion in Brisbane was developed with a benefits tr…
Costing essential services package provided by a non-governmental organization network in Bangladesh
The health profile of Bangladesh has improved remarkably, yet gaps in delivering quality health care remain. In response to the need for evidence to quantify resources for providing health services in Bangladesh, this study estimates unit costs of providing the essential services package (ESP) in the not-for-profit sector. This study used a stratified sampling approach to select 18 static clinics, which had fixed facilities, from 330 non-profit c…
Cost-effectiveness of health systems strengthening interventions in improving maternal and child health in low- and middle-income countries
Evaluation of results-based financing in the Republic of the Congo
Results-based financing (RBF) has been advocated and increasingly scaled up in low- and middle-income countries to increase utilization and quality of key primary care services, thereby reducing maternal and child mortality rates. This pilot RBF study in the Republic of the Congo from 2012 to 2014 used a quasi-experimental research design. The authors conducted pre- and post-household surveys and gathered health facility services data from both i…
Medicine (28 obras) · Environmental health (21 obras) · Population (14 obras) · Demography (9 obras) · Health care (9 obras) · Global Maternal and Child Health (8 obras) · Economic growth (6 obras) · Family medicine (6 obras) · Business (5 obras) · Demography (5 obras)