David Grembowski
Biographic Data
| ID | 340534 |
|---|---|
| NAME | David Grembowski |
| GIVEN NAMES | David |
| FAMILY NAME | Grembowski |
| SIGNATURE | GREMBOWSKI D |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0003-4209-0019 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 52 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2016 |
| H-INDEX | 5 |
A First Look at PCMH Implementation for Minority Veterans
BACKGROUND: Implementation of Patient Aligned Care Teams (PACT), a patient-centered medical home model, has been inconsistent among the >900 primary care facilities in the Veterans Health Administration. OBJECTIVE: Estimate if the degree of PACT implementation at a facility varied with the percentage of minority veteran patients at the facility. RESEARCH DESIGN: Cross-sectional, facility-level analysis of PACT implementation measures in 2012. SUB…
Neighborhood Crime-Related Safety and Its Relation to Children’s Physical Activity
Dental attendance among low-income women and their children following a brief motivational counseling intervention
Are Local Public Health Department Services Related to Racial Disparities in Mortality
Our study aim was to determine whether local health department (LHD) services were associated with U.S. racial disparities in 1993-to-2005 mortality rates. In a national sample of LHDs, we examined 10 LHD service domains and gaps in Black–White all-cause mortality rates, drawing data from the National Association of County and City Health Officials’ National Profile of Local Health Departments surveys, as well as mortality and other public data f…
A Conceptual Model of the Role of Complexity in the Care of Patients With Multiple Chronic Conditions
BACKGROUND: Effective healthcare for people with multiple chronic conditions (MCC) is a US priority, but the inherent complexity makes both research and delivery of care particularly challenging. As part of AHRQ Multiple Chronic Conditions Research Network (MCCRN) efforts, the Network developed a conceptual model to guide research in this area. OBJECTIVE: To synthesize methodological and topical issues relevant to MCC patient care into a framewor…
Ethnic and Gender Variations in the Associations Between Family Cohesion, Family Conflict, and Depression in Older Asian and Latino Adults
Washington state foster care
Most children enrolled in WA FC for ≥11 months during 2008 did not receive dental care. Research is needed to determine the level of unmet need among children in FC and interventions to improve access to oral health of the children. Enforcement of existing federal legislation is needed
Counseling on Early Childhood Caries transmission by dentists
The strongest predictors of counseling patients about ECC were dentists' belief in the evidence of caries transmission and dentists' discussion of ECC during staff meetings
The Reliability of Medical Group Performance Measurement in a Single Insurer’s Pay for Performance Program
BACKGROUND: Most public reporting and pay for performance (P4P) programs in the United States continue to be organized and implemented by single insurers. Adequate medical group-level reliability on clinical care process measures is possible in multistakeholder initiatives because patient samples can be pooled across payers. However, the extent to which reliable measurement is achievable in single insurer P4P initiatives remains unclear. METHODS:…
Local Public Health Delivery of Maternal Child Health Services
Implementation and progress of an inclusive primary health care model in Guatemala
Coverage, quality of care, and utilization measures increased significantly during the 5-year period when the service delivery model was implemented. This finding suggests a strong possibility that the model may have a benefit for health outcomes as well as for process measures. The Modelo Incluyente de Salud will be financially sustained by the Ministry of Health and extended to at least three additional sites. The model provides important lesso…
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Are local health department expenditures related to racial disparities in mortality
Chiropractic Use by Urban and Rural Residents With Insurance Coverage
Purpose: To describe the use of chiropractic care by urban and rural residents in Washington state with musculoskeletal diagnoses, all of whom have insurance coverage for this care. The analyses investigate whether restricting the analyses to insured individuals attenuates previously reported differences in the prevalence of chiropractic use between urban and rural residents as well as whether differences in provider availability or patient cost‐…
Risk of Losing Insurance During the Transition into Adulthood Among Insured Youth with Disabilities
The Effect of Complementary and Alternative Medicine Claims on Risk Adjustment
OBJECTIVE: We sought to assess how the inclusion of claims from complementary and alternative medicine (CAM) providers affects measures of morbidity burden and expectations of health care resource use for insured patients. METHODS: Claims data from Washington State were used to create 2 versions of a case-mix index. One version included claims from all provider types; the second version omitted claims from CAM providers who are covered under comm…
An ABCD Program to Increase Access to Dental Care for Children Enrolled in Medicaid in a Rural County
ABCD most benefited the youngest cohort of children and improved health
Managed care and the US health care system
Factors Influencing the Appropriateness of Restorative Dental Treatment
A minority of adults aged 20 to 34 experienced potential over- or undertreatment of restorative services, which are influenced by both patient and dentist factors
Does Fluoridation Reduce the Use of Dental Services Among Adults
OBJECTIVES: The authors determine whether prevention influences the use of health services. Fluoridation's effect on restorative dental demand among 972 Washington state employees and spouses, aged 20 to 34 years, in two fluoridated communities and a nonfluoridated community was examined. METHODS: At baseline, adults were interviewed by telephone, and oral assessments were conducted to measure personal characteristics, lifetime exposure to fluori…
Self-Efficacy and Health Behavior Among Older Adults
Self-efficacy has a well-established, beneficial effect on health behavior and health status in young and middle-aged adults, but little is known about these relationships in older populations. We examined this issue as part of a randomized trial to determine the cost savings and changes in health-related quality of life associated with the provision and reimbursement of a preventive services package to 2,524 Medicare beneficiaries enrolled in Gr…
Dental decisionmaking and variation in dentist service rates
Factors Influencing Variation in Dentist Service Rates
In the previous article, we calculated dentist service rates for 200 general dentists based on a homogeneous, well-educated, upper-middle-class population of patients. Wide variations in the rates were detected. In this analysis, factors influencing variation in the rates were identified. Variation in rates for categories of dental services was explained by practice characteristics, patient exposure to fluoridated water supplies, and non-price co…
Variation in Dentist Service Rates in a Homogeneous Patient Population
Previous studies in medicine and dentistry document wide variations in service rates across small areas, large regions, and providers. The practice patterns of providers and underlying differences in patient need are thought to be important sources of this variation. To control for variation in patient needs, we calculated service rates of 200 general dentists in Washington state based on a homogeneous, well-educated, upper-middle-class populatio…
A small area simulation approach to determining excess variation in dental procedure rates
All small area analyses need to compare the observed variability in rates to that expected by chance alone, but the expected variability is usually not known. This paper uses patient-level data for five dental procedures to simulate the distributions of the summary statistics that are usually generated in such studies. These statistics are found to vary greatly even under the "null hypothesis" that all dentists are using procedures at the same ra…
Self-Efficacy and Health Behavior Among Older Adults
Self-efficacy has a well-established, beneficial effect on health behavior and health status in young and middle-aged adults, but little is known about these relationships in older populations. We examined this issue as part of a randomized trial to determine the cost savings and changes in health-related quality of life associated with the provision and reimbursement of a preventive services package to 2,524 Medicare beneficiaries enrolled in Gr…
Survey questionnaire salience
EDITORtions of Medicare's fee-per-visit sys- tem, but believe the effects of block grants and local financing on health care institutions are quite worrisome.In particular, the evidence of fatalities in health care services in Massachusetts (which operates under a state-imposed cap on local property taxes) is continually mounting.In the end, perhaps the lesson is the need for more open discussion of various models and more lobbying by public heal…
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Neighborhood Crime-Related Safety and Its Relation to Children’s Physical Activity
Are local health department expenditures related to racial disparities in mortality
A small area simulation approach to determining excess variation in dental procedure rates
All small area analyses need to compare the observed variability in rates to that expected by chance alone, but the expected variability is usually not known. This paper uses patient-level data for five dental procedures to simulate the distributions of the summary statistics that are usually generated in such studies. These statistics are found to vary greatly even under the "null hypothesis" that all dentists are using procedures at the same ra…
Coinsurance effects on dental prices
Dental decisionmaking and variation in dentist service rates
Managed care and the US health care system
Insurance Effects on Employer Group Dental Expenditures
As the number of dental insureds and the amount of insured expenditures have increased over the past decade, so has interest in determining insurance effects on dental demand among employer groups and their insureds. Using Pennsylvania Blue Shield (PBS) employer group data representing 50-65% of all PBS insureds, the authors estimate the own-effect of basic insurance rates (diagnostic, preventive, restorative, endodontic, extraction services) and…
Survey questionnaire salience
EDITORtions of Medicare's fee-per-visit sys- tem, but believe the effects of block grants and local financing on health care institutions are quite worrisome.In particular, the evidence of fatalities in health care services in Massachusetts (which operates under a state-imposed cap on local property taxes) is continually mounting.In the end, perhaps the lesson is the need for more open discussion of various models and more lobbying by public heal…
Response from Professor Grembowski
Response from Professor Grembowski David Grembowski CopyRight https://doi.org/10.2105/AJPH.76.6.710-b Published Online: October 07, 2011
Coinsurance effects on dental prices
Factors Influencing Dental Decision Making
In clinical decision making, dentists routinely choose between alternative treatments such as crown vs amalgam/composite buildup, root canal vs extraction, fixed bridge vs removable partial denture, and prophylaxis vs subgingival curettage or periodontal scaling. A number of technical and patient factors can influence dentists' choice of treatment in these situations; however, little is known about their relative importance. To address this issue…
The Structure and Function of Dental-Care Markets
The growth of dental health services over the past 15 years has produced several issues in dentistry. Because economic markets are the cornerstone of dental delivery in the US, informed responses to these issues require a thorough understanding of dental-care markets. The empirical literature is reviewed to examine the structure of dental markets, to assess the major determinants of market equilibrium, and to examine the social and health consequ…
Factors Influencing Variation in Dentist Service Rates
In the previous article, we calculated dentist service rates for 200 general dentists based on a homogeneous, well-educated, upper-middle-class population of patients. Wide variations in the rates were detected. In this analysis, factors influencing variation in the rates were identified. Variation in rates for categories of dental services was explained by practice characteristics, patient exposure to fluoridated water supplies, and non-price co…
Variation in Dentist Service Rates in a Homogeneous Patient Population
Previous studies in medicine and dentistry document wide variations in service rates across small areas, large regions, and providers. The practice patterns of providers and underlying differences in patient need are thought to be important sources of this variation. To control for variation in patient needs, we calculated service rates of 200 general dentists in Washington state based on a homogeneous, well-educated, upper-middle-class populatio…
A small area simulation approach to determining excess variation in dental procedure rates
All small area analyses need to compare the observed variability in rates to that expected by chance alone, but the expected variability is usually not known. This paper uses patient-level data for five dental procedures to simulate the distributions of the summary statistics that are usually generated in such studies. These statistics are found to vary greatly even under the "null hypothesis" that all dentists are using procedures at the same ra…
Dental decisionmaking and variation in dentist service rates
Self-Efficacy and Health Behavior Among Older Adults
Self-efficacy has a well-established, beneficial effect on health behavior and health status in young and middle-aged adults, but little is known about these relationships in older populations. We examined this issue as part of a randomized trial to determine the cost savings and changes in health-related quality of life associated with the provision and reimbursement of a preventive services package to 2,524 Medicare beneficiaries enrolled in Gr…
Factors Influencing the Appropriateness of Restorative Dental Treatment
A minority of adults aged 20 to 34 experienced potential over- or undertreatment of restorative services, which are influenced by both patient and dentist factors
Does Fluoridation Reduce the Use of Dental Services Among Adults
OBJECTIVES: The authors determine whether prevention influences the use of health services. Fluoridation's effect on restorative dental demand among 972 Washington state employees and spouses, aged 20 to 34 years, in two fluoridated communities and a nonfluoridated community was examined. METHODS: At baseline, adults were interviewed by telephone, and oral assessments were conducted to measure personal characteristics, lifetime exposure to fluori…
An ABCD Program to Increase Access to Dental Care for Children Enrolled in Medicaid in a Rural County
ABCD most benefited the youngest cohort of children and improved health
Managed care and the US health care system
The Effect of Complementary and Alternative Medicine Claims on Risk Adjustment
OBJECTIVE: We sought to assess how the inclusion of claims from complementary and alternative medicine (CAM) providers affects measures of morbidity burden and expectations of health care resource use for insured patients. METHODS: Claims data from Washington State were used to create 2 versions of a case-mix index. One version included claims from all provider types; the second version omitted claims from CAM providers who are covered under comm…
Chiropractic Use by Urban and Rural Residents With Insurance Coverage
Purpose: To describe the use of chiropractic care by urban and rural residents in Washington state with musculoskeletal diagnoses, all of whom have insurance coverage for this care. The analyses investigate whether restricting the analyses to insured individuals attenuates previously reported differences in the prevalence of chiropractic use between urban and rural residents as well as whether differences in provider availability or patient cost‐…
Risk of Losing Insurance During the Transition into Adulthood Among Insured Youth with Disabilities
Are local health department expenditures related to racial disparities in mortality
Local Public Health Delivery of Maternal Child Health Services
Implementation and progress of an inclusive primary health care model in Guatemala
Coverage, quality of care, and utilization measures increased significantly during the 5-year period when the service delivery model was implemented. This finding suggests a strong possibility that the model may have a benefit for health outcomes as well as for process measures. The Modelo Incluyente de Salud will be financially sustained by the Ministry of Health and extended to at least three additional sites. The model provides important lesso…
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Counseling on Early Childhood Caries transmission by dentists
The strongest predictors of counseling patients about ECC were dentists' belief in the evidence of caries transmission and dentists' discussion of ECC during staff meetings
The Reliability of Medical Group Performance Measurement in a Single Insurer’s Pay for Performance Program
BACKGROUND: Most public reporting and pay for performance (P4P) programs in the United States continue to be organized and implemented by single insurers. Adequate medical group-level reliability on clinical care process measures is possible in multistakeholder initiatives because patient samples can be pooled across payers. However, the extent to which reliable measurement is achievable in single insurer P4P initiatives remains unclear. METHODS:…
Ethnic and Gender Variations in the Associations Between Family Cohesion, Family Conflict, and Depression in Older Asian and Latino Adults
Medicine (30 works) · Environmental health (16 works) · Gerontology (13 works) · Healthcare Policy and Management (13 works) · Population (13 works) · Demography (12 works) · Family medicine (12 works) · Health care (11 works) · Business (10 works) · Demography (10 works)