Jay J Shen
Biographic Data
| ID | 208969 |
|---|---|
| NAME | Jay J Shen |
| GIVEN NAMES | Jay J |
| FAMILY NAME | Shen |
| SIGNATURE | SHEN J J |
| AFFILIATIONS | University of Nevada, Las Vegas |
| ORCID | 0000-0002-4993-8329 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 24 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Examining Ethnic and Racial Variations in Opioid-related Hospitalizations Using Western U.S. Electronic Health Records
The opioid epidemic remains a major public health crisis in the United States, with growing evidence of differential burden across racial and ethnic populations. While much of the existing literature has focused on opioid use disorder and overdose outcomes in White populations, fewer studies have examined patterns among underrepresented racial and ethnic groups, particularly in relation to geographic context and regional variation. Moreover, rela…
Socioeconomic differences in discharge against medical advice and hospital admission among emergency department visits associated with substance use in the United States
Background: Discharge against medical advice (DAMA) and inpatient admission (IA) among emergency department (ED) visits are two important outcomes in hospital utilization, while the first one has been mainly considered a negative outcome. Aims: This study aimed to examine the association of socioeconomic factors with DAMA and IA among ED visits with substance use (age 12-64 years) before and after the COVID-19 pandemic. Methods: The study retrosp…
Factors Associated with Hospital Length of Stay and Intensive Care Utilization Among Pediatric Covid-19 Patients in Southern Nevada
The COVID-19 pandemic has revealed significant disparities in health outcomes across various populations, with children being no exception. Objective: This study aimed to identify factors associated with hospital length of stay and intensive care unit (ICU) utilization among children hospitalized with COVID-19. Methods: The project evaluated inpatient COVID-19 hospitalization data of children aged 0 to 17 years between 2020 and 2021 with a positi…
Race-Specific Impact of Telehealth Advance Care Planning on Cost of Dementia
Identifying strategies to enhance patient engagement and to control healthcare costs promotes a responsive and efficient healthcare system. The aim of this study is to predict healthcare cost savings associated with delivering telehealth advance care planning (ACP) to patients living with dementia. Two Geriatrics Workforce Enhancement Programs delivered training to primary care providers on using telehealth to provide ACP. Using electronic health…
Social Determinants and Health Equity Activities
In recent decades, technological shifts within the healthcare sector have significantly transformed healthcare management and utilization, introducing unprecedented possibilities that elevate quality of life. Organizational factors are recognized as key drivers in technology adoption, but involvement of hospitals in community-oriented activities and promotion of health equity are underexplored. This study investigated the impact of community soci…
Racial disparities and socioeconomic factors associated with post-acute rehabilitation facility utilization among Nevadans with Alzheimer’s disease and related disorders and extremity fractures
Background: Falls and extremity fractures often occur in people living with Alzheimer's disease and related disorders (ADRD). In post-fracture care, these patients are cared for either at rehabilitation facilities or their homes. The coronavirus disease 2019 (COVID-19) pandemic limited the utilization of rehabilitation facilities. In areas with provider shortages, this trend poses a risk of disability and caregiver burdens, particularly in racial…
Prescription Painkiller Misuse in Hispanic and non-Hispanic Adults Ages 50 and Older
Background: Older adults, an increasingly diverse segment of the United States population, are a priority population for prescription painkiller misuse. This study documents trends and correlates of prescription painkiller misuse among Hispanic and non-Hispanic adults ages 50 and older. Methods: A secondary analysis of adults 50 years and older across 5 cohorts using the 2015–2019 National Survey on Drug Use and Health (unweighted n = 16,181, 8.5…
Cost-Effectiveness Analysis of Telehealth and In-Person Primary Care Visits for People Living with Alzheimer’s Disease-Related Disorders in the State of Nevada
To people living with Alzheimer's Disease-Related Disorders (ADRD), timely and coordinated communication is essential between their informal caregivers and healthcare providers. In provider shortage areas, for example, the state of Nevada, telehealth can be an effective primary care delivery alternative to in-person visits. To evaluate the cost-effectiveness of telehealth visits for people living with ADRD in the state of Nevada, a decision-analy…
Increasing Emotional Distress and Use of Health Services among Hospitality Industry Workers During and After the Covid-19 Lockdown
Health insurance coverage is essential for access to health services regardless of employment status. Strengthening mental health services, including psychological counselling for hospitality workers, is needed in such public health emergency situations as the ongoing COVID-19 pandemic
Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults
Along with the trend of a steady utilization decline in the U.S. nursing home beds, post-acute care (PAC) utilization at the skilled nursing facilities has declined. This study was a cross-sectional, retrospective review of hospital discharge-based claim data. We evaluate the factors associated with utilizing post-acute care at rehabilitation facilities among those with extremity fractures in the state of Nevada. All Nevada hospital discharges of…
Sociodemographic Factors Associated with the Utilization of Digital Health Technologies Among Informal Caregivers
Changes in characteristics of inpatient respiratory conditions from 2019 to 2021 (before and during the Covid-19 pandemic)
Background: The COVID-19 pandemic has resulted in an increase in the number of individuals with respiratory conditions that require hospitalization, posing new challenges for the healthcare system. Recent respiratory condition studies have been focused on the COVID-19 period, with no comparison of respiratory conditions before and during the pandemic. This study aimed to examine hospital-setting respiratory conditions regarding potential changes …
Impact of Advance Care Planning on the Hospitalization-Associated Utilization and Cost of Patients with Alzheimer’s Disease-Related Disorders Receiving Primary Care via Telehealth in a Provider Shorta…
Telehealth has been adopted as an alternative to in-person primary care visits. With multiple participants able to join remotely, telehealth can facilitate the discussion and documentation of advance care planning (ACP) for those with Alzheimer's disease-related disorders (ADRDs). We measured hospitalization-associated utilization outcomes, instances of hospitalization and 90-day re-hospitalizations from payors' administrative databases and verif…
Mental Health Conditions– and Substance Use—Associated Emergency Department Visits during the Covid-19 Pandemic in Nevada, USA
Background-Mental health conditions and substance use are linked. During the COVID-19 pandemic, mental health conditions and substance use increased, while emergency department (ED) visits decreased in the U.S. There is limited information regarding how the pandemic has affected ED visits for patients with mental health conditions and substance use. Objectives-This study examined the changes in ED visits associated with more common and serious me…
Outcomes of Childbirth Education in PRAMS, Phase 8
Inpatient Palliative Care Is Less Utilized in Rare, Fatal Extrahepatic Cholangiocarcinoma
Background-Extrahepatic cholangiocarcinoma (ECC) is a rare, morbid, fatal cancer with distressing symptoms. Maintaining a high quality of life while reducing hospital charges and length of stay (LOS) for the end-of-life period remains a major challenge for the healthcare system. Palliative care utilization has been shown to address these challenges; moreover, its use has increased in recent years among cancer patients. However, the utilization of…
The association of education in a new society and social support from the education with the health of North Korean defectors
Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs
Sociocultural Factors Associated with Awareness of Palliative Care and Advanced Care Planning among Asian Populations
The low levels of palliative care and advanced care planning awareness and knowledge in the diverse Asian groups living in the United States raise concerns and shed light on the critical need for culturally appropriate education programs
Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S
This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007-2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal d…
Preventable Emergency Department Visits for Nontraumatic Dental Conditions
Objectives. To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. Methods. We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic dental conditions identified by International Classification of Diseases, Ninth Revision, codes; 3 independent variables include…
Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China
Cardiovascular diseases (CVDs) are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS), a Probit model and Two-Stage Residual Inclusion estimation estimator were a…
Unemployment Rate, Smoking in China
The unemployment rate was positively associated with smoking behavior. Smoking control and intervention strategies should focus on both the individual's characteristics and the physical environment in which unemployment rate tend to rise
Racial and Insurance Status Disparities in Patient Safety Indicators among Hospitalized Patients
Although mixed findings in disparities in PSIs were observed in our study, Asian/Pacific Islander patients and Medicaid patients seem to be the most vulnerable. Further, interactive effects between African American and Medicaid indicate that poverty may be a key factor related to disparities in health care. Future research is merited to identify underlying factors that are related to PSIs among Asian/Pacific Islander patients. Strategies are need…
Acquired immunodeficiency syndrome/human immunodeficiency virus knowledge, attitudes, and practices, and use of healthcare services among rural migrants
HIV/AIDS knowledge, attitudes, and practices among rural migrants in China remain a thorny health issue, and use of healthcare services needs to be improved. Low levels of education and knowledge regarding HIV/AIDS among housekeepers and migrant day laborers result in this population likely being engaged in high-risk sex. Government programs should pay more attention to public education, health promotion and intervention for the control of the HI…
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Acquired immunodeficiency syndrome/human immunodeficiency virus knowledge, attitudes, and practices, and use of healthcare services among rural migrants
HIV/AIDS knowledge, attitudes, and practices among rural migrants in China remain a thorny health issue, and use of healthcare services needs to be improved. Low levels of education and knowledge regarding HIV/AIDS among housekeepers and migrant day laborers result in this population likely being engaged in high-risk sex. Government programs should pay more attention to public education, health promotion and intervention for the control of the HI…
Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China
Cardiovascular diseases (CVDs) are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS), a Probit model and Two-Stage Residual Inclusion estimation estimator were a…
Unemployment Rate, Smoking in China
The unemployment rate was positively associated with smoking behavior. Smoking control and intervention strategies should focus on both the individual's characteristics and the physical environment in which unemployment rate tend to rise
Racial and Insurance Status Disparities in Patient Safety Indicators among Hospitalized Patients
Although mixed findings in disparities in PSIs were observed in our study, Asian/Pacific Islander patients and Medicaid patients seem to be the most vulnerable. Further, interactive effects between African American and Medicaid indicate that poverty may be a key factor related to disparities in health care. Future research is merited to identify underlying factors that are related to PSIs among Asian/Pacific Islander patients. Strategies are need…
Preventable Emergency Department Visits for Nontraumatic Dental Conditions
Objectives. To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. Methods. We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic dental conditions identified by International Classification of Diseases, Ninth Revision, codes; 3 independent variables include…
Factors Associated with Preventable Emergency Department Visits for Nontraumatic Dental Conditions in the U.S
This study was designed to examine national trends and evaluate social determinants of health that were associated with the provision of dental services in emergency rooms in the United States between 2007 and 2014. A pooled cross-sectional database of emergency department (ED) visits combined the 2007-2014 waves of the Nationwide Emergency Department Sample. A total of 3,761,958 ED visits with dental conditions were extracted and the principal d…
Sociocultural Factors Associated with Awareness of Palliative Care and Advanced Care Planning among Asian Populations
The low levels of palliative care and advanced care planning awareness and knowledge in the diverse Asian groups living in the United States raise concerns and shed light on the critical need for culturally appropriate education programs
Inpatient Palliative Care Is Less Utilized in Rare, Fatal Extrahepatic Cholangiocarcinoma
Background-Extrahepatic cholangiocarcinoma (ECC) is a rare, morbid, fatal cancer with distressing symptoms. Maintaining a high quality of life while reducing hospital charges and length of stay (LOS) for the end-of-life period remains a major challenge for the healthcare system. Palliative care utilization has been shown to address these challenges; moreover, its use has increased in recent years among cancer patients. However, the utilization of…
The association of education in a new society and social support from the education with the health of North Korean defectors
Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs
Outcomes of Childbirth Education in PRAMS, Phase 8
Changes in characteristics of inpatient respiratory conditions from 2019 to 2021 (before and during the Covid-19 pandemic)
Background: The COVID-19 pandemic has resulted in an increase in the number of individuals with respiratory conditions that require hospitalization, posing new challenges for the healthcare system. Recent respiratory condition studies have been focused on the COVID-19 period, with no comparison of respiratory conditions before and during the pandemic. This study aimed to examine hospital-setting respiratory conditions regarding potential changes …
Impact of Advance Care Planning on the Hospitalization-Associated Utilization and Cost of Patients with Alzheimer’s Disease-Related Disorders Receiving Primary Care via Telehealth in a Provider Shorta…
Telehealth has been adopted as an alternative to in-person primary care visits. With multiple participants able to join remotely, telehealth can facilitate the discussion and documentation of advance care planning (ACP) for those with Alzheimer's disease-related disorders (ADRDs). We measured hospitalization-associated utilization outcomes, instances of hospitalization and 90-day re-hospitalizations from payors' administrative databases and verif…
Mental Health Conditions– and Substance Use—Associated Emergency Department Visits during the Covid-19 Pandemic in Nevada, USA
Background-Mental health conditions and substance use are linked. During the COVID-19 pandemic, mental health conditions and substance use increased, while emergency department (ED) visits decreased in the U.S. There is limited information regarding how the pandemic has affected ED visits for patients with mental health conditions and substance use. Objectives-This study examined the changes in ED visits associated with more common and serious me…
Racial disparities and socioeconomic factors associated with post-acute rehabilitation facility utilization among Nevadans with Alzheimer’s disease and related disorders and extremity fractures
Background: Falls and extremity fractures often occur in people living with Alzheimer's disease and related disorders (ADRD). In post-fracture care, these patients are cared for either at rehabilitation facilities or their homes. The coronavirus disease 2019 (COVID-19) pandemic limited the utilization of rehabilitation facilities. In areas with provider shortages, this trend poses a risk of disability and caregiver burdens, particularly in racial…
Prescription Painkiller Misuse in Hispanic and non-Hispanic Adults Ages 50 and Older
Background: Older adults, an increasingly diverse segment of the United States population, are a priority population for prescription painkiller misuse. This study documents trends and correlates of prescription painkiller misuse among Hispanic and non-Hispanic adults ages 50 and older. Methods: A secondary analysis of adults 50 years and older across 5 cohorts using the 2015–2019 National Survey on Drug Use and Health (unweighted n = 16,181, 8.5…
Cost-Effectiveness Analysis of Telehealth and In-Person Primary Care Visits for People Living with Alzheimer’s Disease-Related Disorders in the State of Nevada
To people living with Alzheimer's Disease-Related Disorders (ADRD), timely and coordinated communication is essential between their informal caregivers and healthcare providers. In provider shortage areas, for example, the state of Nevada, telehealth can be an effective primary care delivery alternative to in-person visits. To evaluate the cost-effectiveness of telehealth visits for people living with ADRD in the state of Nevada, a decision-analy…
Increasing Emotional Distress and Use of Health Services among Hospitality Industry Workers During and After the Covid-19 Lockdown
Health insurance coverage is essential for access to health services regardless of employment status. Strengthening mental health services, including psychological counselling for hospitality workers, is needed in such public health emergency situations as the ongoing COVID-19 pandemic
Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults
Along with the trend of a steady utilization decline in the U.S. nursing home beds, post-acute care (PAC) utilization at the skilled nursing facilities has declined. This study was a cross-sectional, retrospective review of hospital discharge-based claim data. We evaluate the factors associated with utilizing post-acute care at rehabilitation facilities among those with extremity fractures in the state of Nevada. All Nevada hospital discharges of…
Sociodemographic Factors Associated with the Utilization of Digital Health Technologies Among Informal Caregivers
Socioeconomic differences in discharge against medical advice and hospital admission among emergency department visits associated with substance use in the United States
Background: Discharge against medical advice (DAMA) and inpatient admission (IA) among emergency department (ED) visits are two important outcomes in hospital utilization, while the first one has been mainly considered a negative outcome. Aims: This study aimed to examine the association of socioeconomic factors with DAMA and IA among ED visits with substance use (age 12-64 years) before and after the COVID-19 pandemic. Methods: The study retrosp…
Factors Associated with Hospital Length of Stay and Intensive Care Utilization Among Pediatric Covid-19 Patients in Southern Nevada
The COVID-19 pandemic has revealed significant disparities in health outcomes across various populations, with children being no exception. Objective: This study aimed to identify factors associated with hospital length of stay and intensive care unit (ICU) utilization among children hospitalized with COVID-19. Methods: The project evaluated inpatient COVID-19 hospitalization data of children aged 0 to 17 years between 2020 and 2021 with a positi…
Race-Specific Impact of Telehealth Advance Care Planning on Cost of Dementia
Identifying strategies to enhance patient engagement and to control healthcare costs promotes a responsive and efficient healthcare system. The aim of this study is to predict healthcare cost savings associated with delivering telehealth advance care planning (ACP) to patients living with dementia. Two Geriatrics Workforce Enhancement Programs delivered training to primary care providers on using telehealth to provide ACP. Using electronic health…
Social Determinants and Health Equity Activities
In recent decades, technological shifts within the healthcare sector have significantly transformed healthcare management and utilization, introducing unprecedented possibilities that elevate quality of life. Organizational factors are recognized as key drivers in technology adoption, but involvement of hospitals in community-oriented activities and promotion of health equity are underexplored. This study investigated the impact of community soci…
Examining Ethnic and Racial Variations in Opioid-related Hospitalizations Using Western U.S. Electronic Health Records
The opioid epidemic remains a major public health crisis in the United States, with growing evidence of differential burden across racial and ethnic populations. While much of the existing literature has focused on opioid use disorder and overdose outcomes in White populations, fewer studies have examined patterns among underrepresented racial and ethnic groups, particularly in relation to geographic context and regional variation. Moreover, rela…
Medicine (22 works) · Environmental health (14 works) · Health care (11 works) · Gerontology (10 works) · Nursing (9 works) · Population (9 works) · Disease (8 works) · Psychiatry (8 works) · Demography (7 works) · Emergency Medicine (7 works)