James P Logerfo
Biographic Data
| ID | 4229016 |
|---|---|
| NAME | James P Logerfo |
| GIVEN NAMES | James P |
| FAMILY NAME | Logerfo |
| SIGNATURE | LOGERFO J P |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0003-2895-0721 |
| VERIFIED | Yes |
| TOTAL WORKS | 27 |
| TOTAL CITATIONS | 65 |
| AUTHOR COUNT | 27 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1977 |
| LATEST PUBLICATION YEAR | 2018 |
| H-INDEX | 5 |
Barriers and facilitators of diabetes services in Nepal: A qualitative evaluation
For the past three decades, the burden of diabetes in Nepal has been steadily increasing, with an estimated 3% annual increase since the year 2000. Although the burden is increasing, the methods of addressing the challenge have remained largely unchanged. This study sought to assess the current state of diabetes services provided by health facilities and to identify the major barriers that people with diabetes commonly face in Nepal. For this qua…
Promoting Sustainable Community Change in Support of Older Adult Physical Activity: Evaluation Findings from the Southeast Seattle Senior Physical Activity Network (Sespan)
Promoting Health and Preventing Disability in Older Adults: Lessons from Intervention Studies Carried Out Through an Academic–Community Partnership
This article describes a partnership between an academic center and community-based organizations for the purpose of improving the health of older adults. Three sequential randomized trials of interventions that have been conducted by this partnership, along with an effectiveness study of one of the interventions, are presented as evidence of the partnership's success. Characteristics of an effective partnership are highlighted; these include: (1…
Assessing Compliance to Antihypertensive Medications Using Computer-Based Pharmacy Records
Systematic approaches for compliance problem detection and intervention are needed if the benefits of prescribed drug therapy in chronic disease management are to be optimized. As with all measures of compliance, computer algorithms based on refill patterns have advantages and disadvantages. They are unobtrusive and easily determined, but they measure the timeliness of prescription refills, not actual drug-taking. Computer-generated algorithms fo…
The adequacy of prenatal care and incidence of low birthweight among the poor in Washington State and British Columbia
OBJECTIVES. The purpose of this study was to examine differences in adequacy of prenatal care and incidence of low birthweight between low-income women with Medicaid in Washington State and low-income women with Canadian provincial health insurance in British Columbia. METHODS. A population-based cross-sectional study was done by using linked birth certificates and claims data. RESULTS. Overall, the adjusted odds ratio for inadequate prenatal car…
Medicaid prenatal care: A comparison of use and outcomes in fee-for-service and managed care
BACKGROUND. To control rising costs, state Medicaid agencies are enrolling recipients in managed care health plans (MCPs). We performed this study to assess this policy's impact on accessibility and outcomes of Medicaid-funded prenatal care. METHODS. We performed a retrospective, controlled study with three cohorts: a study group of 1106 Medicaid recipients enrolled in three MCPs, a matched comparison group of 4830 recipients receiving care in th…
Trends in the Utilization of Mammography in Washington State and British Columbia: Relation to Stage of Diagnosis and Mortality
To compare the utilization of an imaging technology in the United States and Canada and its effect on clinical outcomes, trends in the utilization of mammography among women aged 50 to 75 years from 1984 through 1988 in Washington State and British Columbia were examined. Also compared were trends in the stage at time of diagnosis of invasive breast cancer and mortality due to breast cancer in the two regions. Annual mammography use increased in …
The relation of obstetrical volume and nursery level to perinatal mortality
We investigated the relation of hospital delivery volume and nursery technology level to perinatal outcome in 226,164 White singleton births in Washington State, 1980-83. Level III facilities (neonatal intensive care unit) were defined by the state licensing commission. We defined the Level II (intermediate) and Level I (normal newborn) facilities using published criteria. Infants under 2000 gm born in Level III facilities had half the risk of pe…
Congenital limb reduction defects in the agricultural setting
To ascertain whether parental involvement in agricultural work and residence in an agricultural setting are associated with the development of congenital limb reduction defects, we carried out a case-control study using California birth records from 1982, 1983, and 1984. Cases with limb reduction defects (N = 237) and randomly selected controls (N = 475) were compared regarding parental occupation and maternal county of residence. After adjustmen…
Relationship Between Patient Source of Payment and the Intensity of Hospital Services
Yergan, John MD, MPH; Flood, Ann Barry PhD; Diehr, Paula PhD; LoGerfo, James P. MD, MPH Author Information
Relationship Between Patient Race and the Intensity of Hospital Services
This study reviews evidence on whether services in United States hospitals vary by racial groupings of patients. The focus is on both equity and quality of hospital services. Patients with the diagnosis of pneumonia were studied at 16 randomly selected hospitals. The services and outcomes studied include five measures of the intensity of diagnostic and therapeutic services received by patients, and death rates during hospitalization. Multiple reg…
The Use of Medical Resources by Residency-Trained Family Physicians and General Internists: Is There a Difference
This study compared the use of medical resources by recently trained family physicians and general internists. Analyses are based on records of 3,737 adult office encounters with 132 family physicians and 2,250 adult office encounters with 102 general internists. General internists are twice as likely as family physicians to order blood tests, blood counts, chest x-rays, and electrocardiograms for their adult patients. Internists also spend more …
Cost and Outcome of Care for Patients With Chronic Obstructive Lung Disease: Analysis by Physician Specialty
We studied the effect of physician specialization and board certification on costs and outcome of health care for a group of 213 patients with chronic lung disease followed prospectively for a year. Linear, semilogarithmic, and logistic regressions were used to control for differences in pulmonary function, functional ability, and sociodemographic characteristics. The cost of health services during the year was estimated from the total charges in…
Prenatal care and pregnancy outcomes during the recession: The Washington State experience
To determine whether changes in prenatal care utilization and adverse pregnancy outcomes occurred among poor residents of Washington State during the recent recession, we examined all births occurring from 1980 to 1983 to women in the poorest census tracts of the three major metropolitan counties in Washington State (N = 15,735). A comparison sample consisted of all births occurring in the highest income census tracts (N = 16,295). Because the im…
Hospitalization of medicaid children: Analysis of small area variations in admission rates
Population-based hospitalization rates were computed and analyzed for AFDC children among 14 small area subdivisions of the State of Washington. Medical-surgical admission rates ranged from 65.3 to 161.7 per 1,000 person-years among the 14 areas. Surgical admission rates were significantly higher in urban areas; medical admission rates were significantly higher in rural areas. The majority of variance in overall rates was accounted for by admissi…
Hospital Medical Staff Organization and Quality of Care: Results for Myocardial Infarction and Appendectomy
This article examines the relationships among hospital structural characteristics, individual physician characteristics, medical staff organization characteristics and quality of care for two conditions: acute myocardial infarction and appendicitis. Using data obtained from the Commission on Professional and Hospital Activities (CPHA), approximately 50,000 acute myocardial infarction cases and 8,183 appendectomy cases collected from 96 hospitals …
Explorations in Quality Assessment and Monitoring. Volume I: The Definitions of Quality and Approaches to its Assessment
Response to Mr. Marcus
Health Status as a Measure of Need for Medical Care: A Critique
At the national level there has been a desire to assure that individuals have access to effective personal medical care services. Accordingly, there has been an interest in linking policies on access to care to the health needs of diverse population groups. This article critiques three measures of access linked to health status: the Use-Disability Ratio, the Symptoms-Response Ratio, and the Episode of Illness Analysis. Their utility in determinin…
Cost Effectiveness Analysis: Some Problems of Implementation
Cost benefit analyses in the health sector frequently deal with situations in which the money value of the benefits is either difficult or impossible to measure. This paper asserts that the use of cost effectiveness analysis as a means of escaping the need to place a dollar value on benefits does not escape the need for appropriately discounting these benefits when they accrue in different periods over time. The choice of an appropriate discount …
Response to Dr. Handschin
Increased Access to Medical Care: The Impact on Health
Many federally financed programs have been launched to improve the access of the poor to medical care, under the assumption that this will improve their health. The effectiveness of these programs, however, has generally been measured by increased utilization rather than by improved health. The few studies which have considered health status have shown small or negative effects. Here, data are presented from a project which provided fully prepaid…
Rates of Surgical Care in Prepaid Group Practices and the Independent Setting What Are the Reasons for the Differences
The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we assessed the patterns of surgical care for hysterectomy, cholecystectomy, appendectomy, and tonsillectomy/adenoidectomy. Overall, the…
Tonsillectomies, Adenoidectomies, Audits: Have Surgical Indications Been Met
In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of surgery. Of 77 persons having one of these procedures performed because of recurrent pharyngeal or ear infections, 86 per cent did no…
A Causal Model of Health Services for Diabetic Patients
A causal model of health services which includes patient and provider variables, perceived access to care, utilization of services, continuity of care, technical quality of the care process, technical quality of the care outcome, and patient satisfaction is applied to a group of diabetic patients enrolled in the Seattle Prepaid Health Care Project. The enrollees received comprehensive health services at zero out-of-pocket cost from either a prepa…
Hospitalization of medicaid children: Analysis of small area variations in admission rates
Population-based hospitalization rates were computed and analyzed for AFDC children among 14 small area subdivisions of the State of Washington. Medical-surgical admission rates ranged from 65.3 to 161.7 per 1,000 person-years among the 14 areas. Surgical admission rates were significantly higher in urban areas; medical admission rates were significantly higher in rural areas. The majority of variance in overall rates was accounted for by admissi…
The Relationships Among Dimensions of Health Services in Two Provider Systems: A Causal Model Approach
Stephen M. Shortell, William C. Richardson, James P. LoGerfo, Paula Diehr, Barbara Weaver, The Relationships Among Dimensions of Health Services in Two Provider Systems: A Causal Model Approach, Journal of Health and Social Behavior, Vol. 18, No. 2 (Jun., 1977), pp. 139-159
The relation of obstetrical volume and nursery level to perinatal mortality
We investigated the relation of hospital delivery volume and nursery technology level to perinatal outcome in 226,164 White singleton births in Washington State, 1980-83. Level III facilities (neonatal intensive care unit) were defined by the state licensing commission. We defined the Level II (intermediate) and Level I (normal newborn) facilities using published criteria. Infants under 2000 gm born in Level III facilities had half the risk of pe…
Medicaid prenatal care: A comparison of use and outcomes in fee-for-service and managed care
BACKGROUND. To control rising costs, state Medicaid agencies are enrolling recipients in managed care health plans (MCPs). We performed this study to assess this policy's impact on accessibility and outcomes of Medicaid-funded prenatal care. METHODS. We performed a retrospective, controlled study with three cohorts: a study group of 1106 Medicaid recipients enrolled in three MCPs, a matched comparison group of 4830 recipients receiving care in th…
Prenatal care and pregnancy outcomes during the recession: The Washington State experience
To determine whether changes in prenatal care utilization and adverse pregnancy outcomes occurred among poor residents of Washington State during the recent recession, we examined all births occurring from 1980 to 1983 to women in the poorest census tracts of the three major metropolitan counties in Washington State (N = 15,735). A comparison sample consisted of all births occurring in the highest income census tracts (N = 16,295). Because the im…
The adequacy of prenatal care and incidence of low birthweight among the poor in Washington State and British Columbia
OBJECTIVES. The purpose of this study was to examine differences in adequacy of prenatal care and incidence of low birthweight between low-income women with Medicaid in Washington State and low-income women with Canadian provincial health insurance in British Columbia. METHODS. A population-based cross-sectional study was done by using linked birth certificates and claims data. RESULTS. Overall, the adjusted odds ratio for inadequate prenatal car…
Congenital limb reduction defects in the agricultural setting
To ascertain whether parental involvement in agricultural work and residence in an agricultural setting are associated with the development of congenital limb reduction defects, we carried out a case-control study using California birth records from 1982, 1983, and 1984. Cases with limb reduction defects (N = 237) and randomly selected controls (N = 475) were compared regarding parental occupation and maternal county of residence. After adjustmen…
The Relationships Among Dimensions of Health Services in Two Provider Systems: A Causal Model Approach
Stephen M. Shortell, William C. Richardson, James P. LoGerfo, Paula Diehr, Barbara Weaver, The Relationships Among Dimensions of Health Services in Two Provider Systems: A Causal Model Approach, Journal of Health and Social Behavior, Vol. 18, No. 2 (Jun., 1977), pp. 139-159
Tonsillectomies, Adenoidectomies, Audits: Have Surgical Indications Been Met
In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of surgery. Of 77 persons having one of these procedures performed because of recurrent pharyngeal or ear infections, 86 per cent did no…
A Causal Model of Health Services for Diabetic Patients
A causal model of health services which includes patient and provider variables, perceived access to care, utilization of services, continuity of care, technical quality of the care process, technical quality of the care outcome, and patient satisfaction is applied to a group of diabetic patients enrolled in the Seattle Prepaid Health Care Project. The enrollees received comprehensive health services at zero out-of-pocket cost from either a prepa…
Assessing the Quality of Care for Urinary Tract Infection in Office Practice A Comparative Organizational Study
As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians in the independent practice setting (IPP) was analyzed. We found the process of care to be significantly better in the PGP, with a l…
Cost Effectiveness Analysis: Some Problems of Implementation
Cost benefit analyses in the health sector frequently deal with situations in which the money value of the benefits is either difficult or impossible to measure. This paper asserts that the use of cost effectiveness analysis as a means of escaping the need to place a dollar value on benefits does not escape the need for appropriately discounting these benefits when they accrue in different periods over time. The choice of an appropriate discount …
Response to Dr. Handschin
Increased Access to Medical Care: The Impact on Health
Many federally financed programs have been launched to improve the access of the poor to medical care, under the assumption that this will improve their health. The effectiveness of these programs, however, has generally been measured by increased utilization rather than by improved health. The few studies which have considered health status have shown small or negative effects. Here, data are presented from a project which provided fully prepaid…
Rates of Surgical Care in Prepaid Group Practices and the Independent Setting What Are the Reasons for the Differences
The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we assessed the patterns of surgical care for hysterectomy, cholecystectomy, appendectomy, and tonsillectomy/adenoidectomy. Overall, the…
Hospitalization of medicaid children: Analysis of small area variations in admission rates
Population-based hospitalization rates were computed and analyzed for AFDC children among 14 small area subdivisions of the State of Washington. Medical-surgical admission rates ranged from 65.3 to 161.7 per 1,000 person-years among the 14 areas. Surgical admission rates were significantly higher in urban areas; medical admission rates were significantly higher in rural areas. The majority of variance in overall rates was accounted for by admissi…
Hospital Medical Staff Organization and Quality of Care: Results for Myocardial Infarction and Appendectomy
This article examines the relationships among hospital structural characteristics, individual physician characteristics, medical staff organization characteristics and quality of care for two conditions: acute myocardial infarction and appendicitis. Using data obtained from the Commission on Professional and Hospital Activities (CPHA), approximately 50,000 acute myocardial infarction cases and 8,183 appendectomy cases collected from 96 hospitals …
Explorations in Quality Assessment and Monitoring. Volume I: The Definitions of Quality and Approaches to its Assessment
Response to Mr. Marcus
Health Status as a Measure of Need for Medical Care: A Critique
At the national level there has been a desire to assure that individuals have access to effective personal medical care services. Accordingly, there has been an interest in linking policies on access to care to the health needs of diverse population groups. This article critiques three measures of access linked to health status: the Use-Disability Ratio, the Symptoms-Response Ratio, and the Episode of Illness Analysis. Their utility in determinin…
Prenatal care and pregnancy outcomes during the recession: The Washington State experience
To determine whether changes in prenatal care utilization and adverse pregnancy outcomes occurred among poor residents of Washington State during the recent recession, we examined all births occurring from 1980 to 1983 to women in the poorest census tracts of the three major metropolitan counties in Washington State (N = 15,735). A comparison sample consisted of all births occurring in the highest income census tracts (N = 16,295). Because the im…
Cost and Outcome of Care for Patients With Chronic Obstructive Lung Disease: Analysis by Physician Specialty
We studied the effect of physician specialization and board certification on costs and outcome of health care for a group of 213 patients with chronic lung disease followed prospectively for a year. Linear, semilogarithmic, and logistic regressions were used to control for differences in pulmonary function, functional ability, and sociodemographic characteristics. The cost of health services during the year was estimated from the total charges in…
Relationship Between Patient Race and the Intensity of Hospital Services
This study reviews evidence on whether services in United States hospitals vary by racial groupings of patients. The focus is on both equity and quality of hospital services. Patients with the diagnosis of pneumonia were studied at 16 randomly selected hospitals. The services and outcomes studied include five measures of the intensity of diagnostic and therapeutic services received by patients, and death rates during hospitalization. Multiple reg…
The Use of Medical Resources by Residency-Trained Family Physicians and General Internists: Is There a Difference
This study compared the use of medical resources by recently trained family physicians and general internists. Analyses are based on records of 3,737 adult office encounters with 132 family physicians and 2,250 adult office encounters with 102 general internists. General internists are twice as likely as family physicians to order blood tests, blood counts, chest x-rays, and electrocardiograms for their adult patients. Internists also spend more …
Congenital limb reduction defects in the agricultural setting
To ascertain whether parental involvement in agricultural work and residence in an agricultural setting are associated with the development of congenital limb reduction defects, we carried out a case-control study using California birth records from 1982, 1983, and 1984. Cases with limb reduction defects (N = 237) and randomly selected controls (N = 475) were compared regarding parental occupation and maternal county of residence. After adjustmen…
Relationship Between Patient Source of Payment and the Intensity of Hospital Services
Yergan, John MD, MPH; Flood, Ann Barry PhD; Diehr, Paula PhD; LoGerfo, James P. MD, MPH Author Information
The relation of obstetrical volume and nursery level to perinatal mortality
We investigated the relation of hospital delivery volume and nursery technology level to perinatal outcome in 226,164 White singleton births in Washington State, 1980-83. Level III facilities (neonatal intensive care unit) were defined by the state licensing commission. We defined the Level II (intermediate) and Level I (normal newborn) facilities using published criteria. Infants under 2000 gm born in Level III facilities had half the risk of pe…
Medicaid prenatal care: A comparison of use and outcomes in fee-for-service and managed care
BACKGROUND. To control rising costs, state Medicaid agencies are enrolling recipients in managed care health plans (MCPs). We performed this study to assess this policy's impact on accessibility and outcomes of Medicaid-funded prenatal care. METHODS. We performed a retrospective, controlled study with three cohorts: a study group of 1106 Medicaid recipients enrolled in three MCPs, a matched comparison group of 4830 recipients receiving care in th…
Trends in the Utilization of Mammography in Washington State and British Columbia: Relation to Stage of Diagnosis and Mortality
To compare the utilization of an imaging technology in the United States and Canada and its effect on clinical outcomes, trends in the utilization of mammography among women aged 50 to 75 years from 1984 through 1988 in Washington State and British Columbia were examined. Also compared were trends in the stage at time of diagnosis of invasive breast cancer and mortality due to breast cancer in the two regions. Annual mammography use increased in …
The adequacy of prenatal care and incidence of low birthweight among the poor in Washington State and British Columbia
OBJECTIVES. The purpose of this study was to examine differences in adequacy of prenatal care and incidence of low birthweight between low-income women with Medicaid in Washington State and low-income women with Canadian provincial health insurance in British Columbia. METHODS. A population-based cross-sectional study was done by using linked birth certificates and claims data. RESULTS. Overall, the adjusted odds ratio for inadequate prenatal car…
Assessing Compliance to Antihypertensive Medications Using Computer-Based Pharmacy Records
Systematic approaches for compliance problem detection and intervention are needed if the benefits of prescribed drug therapy in chronic disease management are to be optimized. As with all measures of compliance, computer algorithms based on refill patterns have advantages and disadvantages. They are unobtrusive and easily determined, but they measure the timeliness of prescription refills, not actual drug-taking. Computer-generated algorithms fo…
Promoting Health and Preventing Disability in Older Adults: Lessons from Intervention Studies Carried Out Through an Academic–Community Partnership
This article describes a partnership between an academic center and community-based organizations for the purpose of improving the health of older adults. Three sequential randomized trials of interventions that have been conducted by this partnership, along with an effectiveness study of one of the interventions, are presented as evidence of the partnership's success. Characteristics of an effective partnership are highlighted; these include: (1…
Medicine (25 works) · Healthcare Policy and Management (13 works) · Health care (12 works) · Nursing (9 works) · Environmental health (8 works) · Family medicine (8 works) · Internal Medicine (8 works) · Internal Medicine (8 works) · Computer Science (6 works) · Demography (6 works)