Cynthia M Boyd
Dados Biográficos
| ID | 4434302 |
|---|---|
| NOME | Cynthia M Boyd |
| PRENOMES | Cynthia M |
| SOBRENOME | Boyd |
| ASSINATURA | BOYD C M |
| AFILIAÇÕES | Johns Hopkins University |
| ORCID | 0000-0001-5642-9015 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 39 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Resigned but Resilient
Objectives Hospital-to-home transitions are high-risk periods, especially for Latinos living with dementia. Cultural differences may exacerbate role ambiguity—unclear patient/caregiver/provider roles. The objective was to elicit views on role ambiguity and care quality during hospital-to-home transitions of older Latinos with dementia and categorize factors shaping healthcare-related task distribution. Methods Qualitative study using semi-structu…
Patterns of Morbidity Across the Lifespan
BACKGROUND: Classification systems to segment such patients into subgroups for purposes of care management and population analytics should balance administrative simplicity with clinical meaning and measurement precision. OBJECTIVE: To describe and empirically apply a new clinically relevant population segmentation framework applicable to all payers and all ages across the lifespan. RESEARCH DESIGN AND SUBJECTS: Cross-sectional analyses using ins…
Development and Evaluation of Messages for Reducing Overscreening of Breast Cancer in Older Women
BACKGROUND: Many older women are screened for breast cancer beyond guideline-recommended thresholds. One contributor is pro-screening messaging from health care professionals, media, and family/friends. In this project, we developed and evaluated messages for reducing overscreening in older women. METHODS: We surveyed women ages 65+ who were members of a nationally representative online panel. We constructed 8 messages describing reasons to consi…
What Are “Social Prescriptions” and How Should They Be Integrated Into Care Plans
Health consequences of social isolation and loneliness include worsened morbidity and mortality. Despite wide recognition of this fact, little is understood about how to intervene successfully. "Social prescribing" is one approach by which clinicians can intervene on social determinants of health, which include social isolation and loneliness. This commentary on a case defines social prescribing and suggests how to integrate it into practice
Multimorbidity
Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community
Higher ADI was associated with increased risk of multimorbidity, and the associations were strengthened after adjustment for individual level of education, suggesting that neighborhood context plays a role in health above and beyond individual measures of socioeconomic status. Furthermore, associations were more pronounced in younger persons and women, highlighting the importance of interventions to prevent chronic conditions in younger women, in…
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
Defining and Assessing Geriatric Risk Factors and Associated Health Care Utilization Among Older Adults Using Claims and Electronic Health Records
BACKGROUND: Using electronic health records (EHRs), in addition to claims, to systematically identify patients with factors associated with adverse outcomes (geriatric risk) among older adults can prove beneficial for population health management and clinical service delivery. OBJECTIVE: To define and compare geriatric risk factors derivable from claims, structured EHRs, and unstructured EHRs, and estimate the relationship between geriatric risk …
Identifying Consistent High-cost Users in a Health Plan
BACKGROUND: High-cost users in a period may not incur high-cost utilization in the next period. Consistent high-cost users (CHUs) may be better targets for cost-saving interventions. OBJECTIVES: To compare the characteristics of CHUs (patients with plan-specific top 20% medical costs in all 4 half-year periods across 2008 and 2009) and point high-cost users (PHUs) (top users in 2008 alone), and to build claims-based models to identify CHUs. RESEA…
Healthcare Task Difficulty Among Older Adults With Multimorbidity
BACKGROUND: Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES: To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN: Cross-sectional and longitudinal secondary data analysis. SUBJECTS: Multimorbid adults aged 65 years or older from primary care clinics. MEASURES: We generated …
Designing Health Care for the Most Common Chronic Condition—Multimorbidity
The most common chronic condition experienced by adults is multimorbidity, the coexistence of multiple chronic diseases or conditions. In patients with coronary disease, for example, it is the sole condition in only 17% of cases.1 Almost 3 in 4 individuals aged 65 years and older have multiple chronic conditions, as do 1 in 4 adults younger than 65 years who receive health care.2 Adults with multiple chronic conditions are the major users of heal…
Who Participates in Chronic Disease Self-management (CDSM) Programs? Differences Between Participants and Nonparticipants in a Population of Multimorbid Older Adults
BACKGROUND: Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES: To identify individual factors associated with attending CDSM programs in a sample of multimorbid older adults. RESEARCH DESIGN: Participants in th…
Future of Multimorbidity Research
Many people living with chronic conditions have multiple chronic conditions. Multimorbidity is defined here as the co-existence of two or more chronic conditions, where one is not necessarily more central than the others. Multimorbidity affects quality of life, ability to work and employability, disability and mortality. Currently, clinicians have limited guidance or evidence as to how to approach care decisions for such patients. Understanding h…
Evaluating Health Outcomes in the Presence of Competing Risks
BACKGROUND: An evaluation of the effect of a healthcare intervention (or an exposure) must consider multiple possible outcomes, including the primary outcome of interest and other outcomes such as adverse events or mortality. The determination of the likelihood of benefit from an intervention, in the presence of other competing outcomes, is a competing risks problem. Although statistical methods exist for quantifying the probability of benefit fr…
Clinical Complexity in Middle-Aged and Older Adults With Diabetes
BACKGROUND: Some patients with diabetes may have health status characteristics that could make diabetes self-management (DSM) difficult and lead to inadequate glycemic control, or limit the benefit of some diabetes management interventions. OBJECTIVE: To investigate how many older and middle-aged adults with diabetes have such health status characteristics. DESIGN: Secondary data analysis of a nationally representative health interview survey, th…
Physician Evaluation and Management of Medicare Home Health Patients
OBJECTIVE: The Medicare home health benefit is predicated on physician referral and involvement. In this study, we investigated (1) the frequency and (2) implications of home health patients' evaluation and management by community physicians. METHODS: The 2005 and 2006 Medicare 5% Standard Analytic Files were linked to the Outcome and Assessment Information Set to examine physician visits among 74,462 fee-for service Medicare beneficiaries with a…
Medicare Home Health Patients’ Transitions Through Acute And Post-Acute Care Settings
OBJECTIVES: To describe Medicare beneficiaries' transitions through home health care within the context of other acute and post-acute services, and to examine agreement between administrative claims and Outcome and Assessment Information Set (OASIS) measures of health services use. DATA SOURCES: The 2004 Chronic Condition Data Warehouse, including the Medicare 5% standard analytic file and OASIS. Study participants were 66,510 Medicare beneficiar…
Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
CONTEXT: Clinical practice guidelines (CPGs) have been developed to improve the quality of health care for many chronic conditions. Pay-for-performance initiatives assess physician adherence to interventions that may reflect CPG recommendations. OBJECTIVE: To evaluate the applicability of CPGs to the care of older individuals with several comorbid diseases. DATA SOURCES: The National Health Interview Survey and a nationally representative sample …
Gail Collins, director, “Making the Most of Things”, editor, John KRAMER, musical accompaniment, Pam Morgan, Emile Benoit (Newfoundland Independent Filmakers Coop Ltd., St. John’s, Newfoundland, Dual …
Gail COLLINS, director, “Making the Most of Things”, editor, John KRAMER, musical accompaniment, Pam MORGAN, Emile BENOIT (Newfoundland Independent Filmakers Coop Ltd., St. John’s, Newfoundland, Dual Track Mono (26:20), VHS Formats-Colour [$295 Canadian for institutional availability from G. Collins (709) 754-1490]). Un article de la revue Ethnologies (Ethnologie urbaine) diffusée par la plateforme Érudit
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
Gail Collins, director, “Making the Most of Things”, editor, John KRAMER, musical accompaniment, Pam Morgan, Emile Benoit (Newfoundland Independent Filmakers Coop Ltd., St. John’s, Newfoundland, Dual …
Gail COLLINS, director, “Making the Most of Things”, editor, John KRAMER, musical accompaniment, Pam MORGAN, Emile BENOIT (Newfoundland Independent Filmakers Coop Ltd., St. John’s, Newfoundland, Dual Track Mono (26:20), VHS Formats-Colour [$295 Canadian for institutional availability from G. Collins (709) 754-1490]). Un article de la revue Ethnologies (Ethnologie urbaine) diffusée par la plateforme Érudit
Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
CONTEXT: Clinical practice guidelines (CPGs) have been developed to improve the quality of health care for many chronic conditions. Pay-for-performance initiatives assess physician adherence to interventions that may reflect CPG recommendations. OBJECTIVE: To evaluate the applicability of CPGs to the care of older individuals with several comorbid diseases. DATA SOURCES: The National Health Interview Survey and a nationally representative sample …
Medicare Home Health Patients’ Transitions Through Acute And Post-Acute Care Settings
OBJECTIVES: To describe Medicare beneficiaries' transitions through home health care within the context of other acute and post-acute services, and to examine agreement between administrative claims and Outcome and Assessment Information Set (OASIS) measures of health services use. DATA SOURCES: The 2004 Chronic Condition Data Warehouse, including the Medicare 5% standard analytic file and OASIS. Study participants were 66,510 Medicare beneficiar…
Physician Evaluation and Management of Medicare Home Health Patients
OBJECTIVE: The Medicare home health benefit is predicated on physician referral and involvement. In this study, we investigated (1) the frequency and (2) implications of home health patients' evaluation and management by community physicians. METHODS: The 2005 and 2006 Medicare 5% Standard Analytic Files were linked to the Outcome and Assessment Information Set to examine physician visits among 74,462 fee-for service Medicare beneficiaries with a…
Future of Multimorbidity Research
Many people living with chronic conditions have multiple chronic conditions. Multimorbidity is defined here as the co-existence of two or more chronic conditions, where one is not necessarily more central than the others. Multimorbidity affects quality of life, ability to work and employability, disability and mortality. Currently, clinicians have limited guidance or evidence as to how to approach care decisions for such patients. Understanding h…
Evaluating Health Outcomes in the Presence of Competing Risks
BACKGROUND: An evaluation of the effect of a healthcare intervention (or an exposure) must consider multiple possible outcomes, including the primary outcome of interest and other outcomes such as adverse events or mortality. The determination of the likelihood of benefit from an intervention, in the presence of other competing outcomes, is a competing risks problem. Although statistical methods exist for quantifying the probability of benefit fr…
Clinical Complexity in Middle-Aged and Older Adults With Diabetes
BACKGROUND: Some patients with diabetes may have health status characteristics that could make diabetes self-management (DSM) difficult and lead to inadequate glycemic control, or limit the benefit of some diabetes management interventions. OBJECTIVE: To investigate how many older and middle-aged adults with diabetes have such health status characteristics. DESIGN: Secondary data analysis of a nationally representative health interview survey, th…
Designing Health Care for the Most Common Chronic Condition—Multimorbidity
The most common chronic condition experienced by adults is multimorbidity, the coexistence of multiple chronic diseases or conditions. In patients with coronary disease, for example, it is the sole condition in only 17% of cases.1 Almost 3 in 4 individuals aged 65 years and older have multiple chronic conditions, as do 1 in 4 adults younger than 65 years who receive health care.2 Adults with multiple chronic conditions are the major users of heal…
Who Participates in Chronic Disease Self-management (CDSM) Programs? Differences Between Participants and Nonparticipants in a Population of Multimorbid Older Adults
BACKGROUND: Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES: To identify individual factors associated with attending CDSM programs in a sample of multimorbid older adults. RESEARCH DESIGN: Participants in th…
Healthcare Task Difficulty Among Older Adults With Multimorbidity
BACKGROUND: Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES: To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN: Cross-sectional and longitudinal secondary data analysis. SUBJECTS: Multimorbid adults aged 65 years or older from primary care clinics. MEASURES: We generated …
Identifying Consistent High-cost Users in a Health Plan
BACKGROUND: High-cost users in a period may not incur high-cost utilization in the next period. Consistent high-cost users (CHUs) may be better targets for cost-saving interventions. OBJECTIVES: To compare the characteristics of CHUs (patients with plan-specific top 20% medical costs in all 4 half-year periods across 2008 and 2009) and point high-cost users (PHUs) (top users in 2008 alone), and to build claims-based models to identify CHUs. RESEA…
The Epidemiology of Social Isolation
Social isolation is an important and potentially modifiable risk that affects a significant proportion of the older adult population
Defining and Assessing Geriatric Risk Factors and Associated Health Care Utilization Among Older Adults Using Claims and Electronic Health Records
BACKGROUND: Using electronic health records (EHRs), in addition to claims, to systematically identify patients with factors associated with adverse outcomes (geriatric risk) among older adults can prove beneficial for population health management and clinical service delivery. OBJECTIVE: To define and compare geriatric risk factors derivable from claims, structured EHRs, and unstructured EHRs, and estimate the relationship between geriatric risk …
Neighborhood socioeconomic disadvantage is associated with multimorbidity in a geographically-defined community
Higher ADI was associated with increased risk of multimorbidity, and the associations were strengthened after adjustment for individual level of education, suggesting that neighborhood context plays a role in health above and beyond individual measures of socioeconomic status. Furthermore, associations were more pronounced in younger persons and women, highlighting the importance of interventions to prevent chronic conditions in younger women, in…
Multimorbidity
What Are “Social Prescriptions” and How Should They Be Integrated Into Care Plans
Health consequences of social isolation and loneliness include worsened morbidity and mortality. Despite wide recognition of this fact, little is understood about how to intervene successfully. "Social prescribing" is one approach by which clinicians can intervene on social determinants of health, which include social isolation and loneliness. This commentary on a case defines social prescribing and suggests how to integrate it into practice
Patterns of Morbidity Across the Lifespan
BACKGROUND: Classification systems to segment such patients into subgroups for purposes of care management and population analytics should balance administrative simplicity with clinical meaning and measurement precision. OBJECTIVE: To describe and empirically apply a new clinically relevant population segmentation framework applicable to all payers and all ages across the lifespan. RESEARCH DESIGN AND SUBJECTS: Cross-sectional analyses using ins…
Development and Evaluation of Messages for Reducing Overscreening of Breast Cancer in Older Women
BACKGROUND: Many older women are screened for breast cancer beyond guideline-recommended thresholds. One contributor is pro-screening messaging from health care professionals, media, and family/friends. In this project, we developed and evaluated messages for reducing overscreening in older women. METHODS: We surveyed women ages 65+ who were members of a nationally representative online panel. We constructed 8 messages describing reasons to consi…
Resigned but Resilient
Objectives Hospital-to-home transitions are high-risk periods, especially for Latinos living with dementia. Cultural differences may exacerbate role ambiguity—unclear patient/caregiver/provider roles. The objective was to elicit views on role ambiguity and care quality during hospital-to-home transitions of older Latinos with dementia and categorize factors shaping healthcare-related task distribution. Methods Qualitative study using semi-structu…
Medicine (18 obras) · Chronic Disease Management Strategies (11 obras) · Health care (10 obras) · Gerontology (8 obras) · Environmental health (7 obras) · Family medicine (7 obras) · Nursing (7 obras) · Gerontology (6 obras) · Population (6 obras) · Frailty in Older Adults (5 obras)