Nina A Bickell
Biographic Data
| ID | 4237974 |
|---|---|
| NAME | Nina A Bickell |
| GIVEN NAMES | Nina A |
| FAMILY NAME | Bickell |
| SIGNATURE | BICKELL N A |
| AFFILIATIONS | Icahn School of Medicine at Mount Sinai |
| ORCID | 0000-0003-1102-8677 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 31 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1991 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Unifying Outpatient Practices to Redress Structural Racism in an Urban Health System
This qualitative study found that outpatient practice unification was perceived to be a financially and equity-driven process with multiple dimensions. However, not all of the unification procedures had been completely implemented. These findings indicate that successful unification of outpatient practices in a large urban health care system requires attention to multiple dimensions, as well as overcoming challenges regarding finances, facility s…
Emotional and Financial Stressors in New York City During the Covid-19 Pandemic
Can Regionalization of Care Reduce Socioeconomic Disparities in Breast Cancer Survival
Regionalization of early breast cancer care away from low-volume centers may improve outcomes and reduce SES disparities in survival
Accelerators
Development and implementation of effective, sustainable, and scalable interventions that advance equity could be propelled by innovative and inclusive partnerships. Readied catalytic frameworks that foster communication, collaboration, a shared vision, and transformative translational research across scientific and non-scientific divides are needed to foster rapid generation of novel solutions to address and ultimately eliminate disparities. To …
Using Qualitative Comparative Analysis of Key Informant Interviews in Health Services Research
BACKGROUND: Qualitative comparative analysis (QCA) is a methodology created to address causal complexity in social sciences research by preserving the objectivity of quantitative data analysis without losing detail inherent in qualitative research. However, its use in health services research (HSR) is limited, and questions remain about its application in this context. OBJECTIVE: To explore the strengths and weaknesses of using QCA for HSR. RESEA…
The Challenge of Improving Breast Cancer Care Coordination in Safety-net Hospitals
BACKGROUND: Minority breast cancer patients tend to have higher rates of adjuvant treatment underuse. We implemented a web-based intervention that closes referral loops between surgeons and oncologists at inner-city safety-net hospitals serving high volumes of minority breast cancer patients to assist these hospitals and improve care coordination. RESEARCH DESIGN: Following intervention implementation, we conducted interviews with key personnel t…
Understanding the Challenges of Adjuvant Treatment Measurement and Reporting in Breast Cancer
BACKGROUND: Healthcare accrediting organizations and insurers increasingly require reporting of clinical data, and cancer treatment is one area of enhanced scrutiny. OBJECTIVES: To compare rates of received versus reported adjuvant breast cancer treatments, and to assess barriers to measuring and reporting treatments to the tumor registry (TR) of a high-volume medical center with both hospital-based and community-based oncologists. RESEARCH DESIG…
Community Action Boards
Background: Community-based participatory research (CBPR) requires equitable partnerships between community stakeholders and academics. Traditionally, researchers relied on community advisory boards, but these boards often play a reactive role limited to a project-by-project basis. The East and Central Harlem Health Outcomes (ECHHO) Community Action Board (CAB), however, is an effective, proactive group
What Affects Time to Care in Emergency Room Appendicitis Patients
BACKGROUND: Emergency departments (EDs) provide a safety net for seriously ill individuals. Little is known about factors that affect time to diagnosis and treatment of patients with time-sensitive conditions within the ED. METHODS: Retrospective observational study of 236 appendicitis patients examining patient factors and ED characteristics with time to a surgeon's diagnosis of appendicitis and ED length of stay (LOS). RESULTS: Time to surgeon'…
Fragmentation of Care for Frequently Hospitalized Urban Residents
BACKGROUND: Fragmentation across sites of care may impede efficient healthcare delivery. OBJECTIVES: The objectives of this study were to evaluate fragmentation of hospital care for chronically ill New York City (NYC) residents and its association with enrollment in the New York State (NYS) Medicaid program. RESEARCH DESIGN: We conducted a cross-sectional study using the NYS Department of Health's Statewide Planning and Research Cooperative Syste…
Physicians’ Reasons for Failing to Deliver Effective Breast Cancer Care
OBJECTIVE: Despite numerous randomized trials showing the health benefits of systemic and local therapies for early-stage breast cancer, underuse of these therapies remains a significant quality problem. Little is known about causes of underuse of effective cancer treatments. We sought to understand these causes to design effective interventions to improve care. RESEARCH DESIGN: To identify categories of causes of underuse, semistructured intervi…
Hospital volume differences and five-year survival from breast cancer
OBJECTIVES: The purpose of this study was to determine the effect of hospital volume on long-term survival for women with breast cancer. METHODS: Survival analysis and proportional-hazard modeling were used to assess 5-year survival and risk of death, adjusting for clinical and sociodemographic variables. RESULTS: At 5 years, patients from very low-volume hospitals had a 60% greater risk of all-cause mortality than patients from high-volume hospi…
A matter of opinion about hysterectomies
The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among themselves on 19 of 32 indications (intraclass correlation coefficient = 0.66); community gynecologists agreed on 12 of 32 indicati…
Chlamydial cervical infection in jailed women
OBJECTIVES. The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail. METHODS. Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates. RESULTS. Positive cultures for C trachomatis were found in 27% …
Human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women
We assessed the prevalence of human papillomavirus (HPV) by cervicovaginal lavage and Southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large New York City jail. Of the women screened, 8% had abnormal Pap smears, 35% had HPV, 7% had gonorrhea, and 22% had serologic syphilis. Given the high rates of HPV infection and cervical cytology, Pap smear…
Hospital volume differences and five-year survival from breast cancer
OBJECTIVES: The purpose of this study was to determine the effect of hospital volume on long-term survival for women with breast cancer. METHODS: Survival analysis and proportional-hazard modeling were used to assess 5-year survival and risk of death, adjusting for clinical and sociodemographic variables. RESULTS: At 5 years, patients from very low-volume hospitals had a 60% greater risk of all-cause mortality than patients from high-volume hospi…
Human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women
We assessed the prevalence of human papillomavirus (HPV) by cervicovaginal lavage and Southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large New York City jail. Of the women screened, 8% had abnormal Pap smears, 35% had HPV, 7% had gonorrhea, and 22% had serologic syphilis. Given the high rates of HPV infection and cervical cytology, Pap smear…
A matter of opinion about hysterectomies
The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among themselves on 19 of 32 indications (intraclass correlation coefficient = 0.66); community gynecologists agreed on 12 of 32 indicati…
Chlamydial cervical infection in jailed women
OBJECTIVES. The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail. METHODS. Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates. RESULTS. Positive cultures for C trachomatis were found in 27% …
Human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women
We assessed the prevalence of human papillomavirus (HPV) by cervicovaginal lavage and Southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large New York City jail. Of the women screened, 8% had abnormal Pap smears, 35% had HPV, 7% had gonorrhea, and 22% had serologic syphilis. Given the high rates of HPV infection and cervical cytology, Pap smear…
Chlamydial cervical infection in jailed women
OBJECTIVES. The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail. METHODS. Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates. RESULTS. Positive cultures for C trachomatis were found in 27% …
A matter of opinion about hysterectomies
The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among themselves on 19 of 32 indications (intraclass correlation coefficient = 0.66); community gynecologists agreed on 12 of 32 indicati…
Hospital volume differences and five-year survival from breast cancer
OBJECTIVES: The purpose of this study was to determine the effect of hospital volume on long-term survival for women with breast cancer. METHODS: Survival analysis and proportional-hazard modeling were used to assess 5-year survival and risk of death, adjusting for clinical and sociodemographic variables. RESULTS: At 5 years, patients from very low-volume hospitals had a 60% greater risk of all-cause mortality than patients from high-volume hospi…
Physicians’ Reasons for Failing to Deliver Effective Breast Cancer Care
OBJECTIVE: Despite numerous randomized trials showing the health benefits of systemic and local therapies for early-stage breast cancer, underuse of these therapies remains a significant quality problem. Little is known about causes of underuse of effective cancer treatments. We sought to understand these causes to design effective interventions to improve care. RESEARCH DESIGN: To identify categories of causes of underuse, semistructured intervi…
Fragmentation of Care for Frequently Hospitalized Urban Residents
BACKGROUND: Fragmentation across sites of care may impede efficient healthcare delivery. OBJECTIVES: The objectives of this study were to evaluate fragmentation of hospital care for chronically ill New York City (NYC) residents and its association with enrollment in the New York State (NYS) Medicaid program. RESEARCH DESIGN: We conducted a cross-sectional study using the NYS Department of Health's Statewide Planning and Research Cooperative Syste…
What Affects Time to Care in Emergency Room Appendicitis Patients
BACKGROUND: Emergency departments (EDs) provide a safety net for seriously ill individuals. Little is known about factors that affect time to diagnosis and treatment of patients with time-sensitive conditions within the ED. METHODS: Retrospective observational study of 236 appendicitis patients examining patient factors and ED characteristics with time to a surgeon's diagnosis of appendicitis and ED length of stay (LOS). RESULTS: Time to surgeon'…
Community Action Boards
Background: Community-based participatory research (CBPR) requires equitable partnerships between community stakeholders and academics. Traditionally, researchers relied on community advisory boards, but these boards often play a reactive role limited to a project-by-project basis. The East and Central Harlem Health Outcomes (ECHHO) Community Action Board (CAB), however, is an effective, proactive group
Understanding the Challenges of Adjuvant Treatment Measurement and Reporting in Breast Cancer
BACKGROUND: Healthcare accrediting organizations and insurers increasingly require reporting of clinical data, and cancer treatment is one area of enhanced scrutiny. OBJECTIVES: To compare rates of received versus reported adjuvant breast cancer treatments, and to assess barriers to measuring and reporting treatments to the tumor registry (TR) of a high-volume medical center with both hospital-based and community-based oncologists. RESEARCH DESIG…
Using Qualitative Comparative Analysis of Key Informant Interviews in Health Services Research
BACKGROUND: Qualitative comparative analysis (QCA) is a methodology created to address causal complexity in social sciences research by preserving the objectivity of quantitative data analysis without losing detail inherent in qualitative research. However, its use in health services research (HSR) is limited, and questions remain about its application in this context. OBJECTIVE: To explore the strengths and weaknesses of using QCA for HSR. RESEA…
The Challenge of Improving Breast Cancer Care Coordination in Safety-net Hospitals
BACKGROUND: Minority breast cancer patients tend to have higher rates of adjuvant treatment underuse. We implemented a web-based intervention that closes referral loops between surgeons and oncologists at inner-city safety-net hospitals serving high volumes of minority breast cancer patients to assist these hospitals and improve care coordination. RESEARCH DESIGN: Following intervention implementation, we conducted interviews with key personnel t…
Accelerators
Development and implementation of effective, sustainable, and scalable interventions that advance equity could be propelled by innovative and inclusive partnerships. Readied catalytic frameworks that foster communication, collaboration, a shared vision, and transformative translational research across scientific and non-scientific divides are needed to foster rapid generation of novel solutions to address and ultimately eliminate disparities. To …
Can Regionalization of Care Reduce Socioeconomic Disparities in Breast Cancer Survival
Regionalization of early breast cancer care away from low-volume centers may improve outcomes and reduce SES disparities in survival
Unifying Outpatient Practices to Redress Structural Racism in an Urban Health System
This qualitative study found that outpatient practice unification was perceived to be a financially and equity-driven process with multiple dimensions. However, not all of the unification procedures had been completely implemented. These findings indicate that successful unification of outpatient practices in a large urban health care system requires attention to multiple dimensions, as well as overcoming challenges regarding finances, facility s…
Emotional and Financial Stressors in New York City During the Covid-19 Pandemic
Medicine (13 works) · Nursing (6 works) · Internal Medicine (5 works) · Internal Medicine (5 works) · Breast cancer (4 works) · Cancer (4 works) · Family medicine (4 works) · Health care (4 works) · Political science (4 works) · Sociology (4 works)