Carol M Mangione
Biographic Data
| ID | 5491147 |
|---|---|
| NAME | Carol M Mangione |
| GIVEN NAMES | Carol M |
| FAMILY NAME | Mangione |
| SIGNATURE | MANGIONE C M |
| AFFILIATIONS | University of California, Los Angeles |
| ORCID | 0000-0002-9475-2275 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 9 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Multilevel perceptions of the virtual delivery of the University of California Diabetes Prevention Program on RE-AIM domains due to Covid-19 mandates
Background The University of California’s Diabetes Prevention Program (UC DPP) Initiative was implemented across all 10 UC campuses in 2018. The COVID-19 pandemic and accompanying mandates required swift changes to program delivery, including pivoting from in-person to virtual delivery (i.e., Zoom). Our goal was to assess multilevel constituent perceptions of the use of a virtual platform to deliver UC DPP due to COVID-19 mandates. Methods We con…
Racial and Ethnic Disparities in Diabetes Prevention Outcomes: Insights from the Prediabetes Informed Decisions and Education Study
Background: To achieve health equity, interventions should yield similar effectiveness across all patient subgroups. However, the adoption of diabetes prevention strategies and successful weight loss in "real-world" Diabetes Prevention Program (DPP) translational studies have varied by race and ethnicity. We examined racial and ethnic differences in diabetes prevention outcomes among study participants from the Prediabetes Informed Decisions and …
Implementation lessons learned from the University of California’s Diabetes Prevention Program Initiative
This is one of the first studies to examine the challenges and opportunities of delivering an intensive lifestyle change program across 10 university sites. Understanding factors that enhance success of university-based diabetes prevention programs can facilitate UC DPP efforts and help inform delivery strategies of health and wellness programs across other university settings more broadly
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
Importance Colorectal cancer is the third leading cause of cancer death for both men and women, with an estimated 52 980 persons in the US projected to die of colorectal cancer in 2021. Colorectal cancer is most frequently diagnosed among persons aged 65 to 74 years. It is estimated that 10.5% of new colorectal cancer cases occur in persons younger than 50 years. Incidence of colorectal cancer (specifically adenocarcinoma) in adults aged 40 to 49…
Evaluation of the University of California Diabetes Prevention Program (UC DPP) Initiative
Our study will help inform diabetes and obesity prevention efforts across the UC system. Findings from this evaluation will also be highly applicable to universities and large employers, as well as community organizers, healthcare organizations and insurers implementing the DPP and/or other health promotion interventions
Reducing Emergency Department Visits Among Patients With Diabetes by Embedding Clinical Pharmacists in the Primary Care Teams
BACKGROUND: Pharmacists are effective at improving control of cardiovascular risk factors, but it less clear whether these improvements translate into less emergency department (ED) use and fewer hospitalizations. The UCMyRx program embed pharmacists in primary care. OBJECTIVE: The objective of this study was to examine if the integration of pharmacists into primary care was associated with lower ED and hospital use for patients with diabetes. DE…
Filling the Public Health Science Gaps for Diabetes With Natural Experiments
Gregg, Edward W. PhD*; Duru, O. Kenrik MD, MSHS†; Shi, Lizheng PhD‡; Mangione, Carol M. MD, MSPH†; Siegel, Karen R. PhD, MPH§; Ramsay, Andrea MPA§; Thornton, Pamela L. PhD∥; Clauser, Steve PhD, MPA¶; Ali, Mohammed K. MD, MSC, MBA# Author Information
Evaluation of a National Care Coordination Program to Reduce Utilization Among High-cost, High-need Medicaid Beneficiaries With Diabetes
BACKGROUND: Medical, behavioral, and social determinants of health are each associated with high levels of emergency department (ED) visits and hospitalizations. OBJECTIVE: The objective of this study was to evaluate a care coordination program designed to provide combined "whole-person care," integrating medical, behavioral, and social support for high-cost, high-need Medicaid beneficiaries by targeting access barriers and social determinants. R…
Trends in Costs of Care and Utilization for Medicaid Patients With Diabetes in Accountable Care Communities
BACKGROUND/OBJECTIVES: Medicaid beneficiaries with diabetes have complex care needs. The Accountable Care Communities (ACC) Program is a practice-level intervention implemented by UnitedHealthcare to improve care for Medicaid beneficiaries. We examined changes in costs and utilization for Medicaid beneficiaries with diabetes assigned to ACC versus usual care practices. RESEARCH DESIGN: Interrupted time series with concurrent control group analysi…
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
IMPORTANCE: Colorectal cancer is the second leading cause of cancer death in the United States. In 2016, an estimated 134,000 persons will be diagnosed with the disease, and about 49,000 will die from it. Colorectal cancer is most frequently diagnosed among adults aged 65 to 74 years; the median age at death from colorectal cancer is 68 years. OBJECTIVE: To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on screening for…
Predictors of Out-of-ACO Care in the Medicare Shared Savings Program
IMPORTANCE: Patients treated outside of their Medicare Shared Savings Program (MSSP) accountable care organization (ACO) likely benefit less from the ACO's integration of care. Consequently, the MSSP's open-network design may preclude ACOs from improving value in care. OBJECTIVES: Quantify out-of-ACO care in a single urban ACO and examine associations between patient-level predictors and out-of-ACO expenditures. RESEARCH DESIGN: Secondary data an…
Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients
Migration, Health Care Behaviors, and Primary Care for Rural Latinos with Diabetes
Perceptions from Latino and African American Older Adults about Biological Markers in Research
Although older adult minorities face disparities in health and health care, they continue to be underrepresented in health research. Studies with biological markers of health often lack representation of older minority adults. The purpose of this study was to describe perceptions of biomarkers among ethnic minority seniors who might participate in studies of biological markers of health and to document barriers and facilitators to acceptance of b…
Latinos With Diabetes and Food Insecurity in an Agricultural Community
BACKGROUND: Latinos from agricultural communities have a high prevalence of food insecurity and are at increased risk of obesity and diabetes, yet little is known about the associations between food insecurity and diabetes outcomes. OBJECTIVE: To examine the associations between food insecurity and diabetes outcomes among rural Latinos. METHODS: Cross-sectional survey with medical chart abstraction of 250 Latinos with diabetes. Primary outcomes a…
The Association of Duration of Residence in the United States with Cardiovascular Disease Risk Factors Among South Asian Immigrants
Cost-related Nonadherence by Medication Type Among Medicare Part D Beneficiaries With Diabetes
BACKGROUND: Despite the rollout of Medicare Part D, cost-related nonadherence (CRN) among older adults remains a problem. OBJECTIVES: To examine the rate and correlates of self-reported CRN among a population of older persons with diabetes. RESEARCH DESIGN: Cross-sectional. SUBJECTS: A total of 1264 Part D patients with diabetes, who entered the coverage gap in 2006. MEASURES: Initial administrative medication lists were verified in computer-assi…
Characteristics of Insured Patients With Persistent Gaps in Diabetes Care Services: The Translating Research into Action for Diabetes (TRIAD) Study
BACKGROUND: Although preventing diabetes complications requires long-term management, little is known about which patients persistently fail to get recommended care. OBJECTIVE: To determine the frequency and correlates of persistent, long-term gaps in diabetes care. METHOD: : The study population included 8392 patients with diabetes. Patient surveys and medical records from 10 health plans over 3 years provided data on socioeconomic characteristi…
Identifying Risk Factors for Racial Disparities in Diabetes Outcomes: The Translating Research Into Action for Diabetes Study
BACKGROUND: Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE: To examine whether several mutable risk factors were more strongly associated with poor control of multiple intermediate outcomes among blacks with diabetes than among similar whites.…
Evaluating the SF-36 Health Survey (Version 2) in Older Vietnamese Americans
As the older populations in the United States become more diverse, it is important to have standardized health-related quality of life measures. However, the conceptualization of physical and mental health and associations among different scales may be different for Asian immigrants than for other groups. Thus, the interpretation of the SF-36 scores needs to account for cultural differences
Is Cataract Surgery Cost-Effective Among Older Patients With a Low Predicted Probability for Improvement in Reported Visual Functioning
INTRODUCTION: Although cataract surgery has been demonstrated to be effective and cost-effective, 5% to 20% of patients do not benefit functionally from the procedure. This study examines the cost-effectiveness of cataract surgery versus watchful waiting in a subgroup of patients who had less than a 30% predicted probability of reporting improvements in visual function after surgery. METHODS: Randomized trial (first eye surgery vs. watchful waiti…
The Association Between Clinical Care Strategies and the Attenuation of Racial/Ethnic Disparities in Diabetes Care: The Translating Research Into Action for Diabetes (TRIAD) Study
OBJECTIVE: We sought to determine whether greater implementation of clinical care strategies in managed care is associated with attenuation of known racial/ethnic disparities in diabetes care. RESEARCH DESIGN AND METHODS: Using cross-sectional data, we examined the quality of diabetes care as measured by frequencies of process delivery as well as medication management of intermediate outcomes, for 7426 black, Latinos, Asian/Pacific Islanders, and…
What is the Concordance Between the Medical Record and Patient Self-Report as Data Sources for Ambulatory Care
BACKGROUND: The validity of quality of care assessments relies upon data quality, yet little is known about the relative completeness and validity of data sources for evaluating the quality of care. OBJECTIVES: We evaluated concordance between ambulatory medical record and patient survey data. Levels of concordance, variations by type of item, sources of disagreement between data sources, and implications for quality of care assessment efforts ar…
Impact of Changes in Medicare Home Health Care Reimbursement on Month-to-Month Home Health Utilization Between 1996 and 2001 for a National Sample of Patients Undergoing Orthopedic Procedures
BACKGROUND: Beginning October 1, 1997, Medicare implemented a series of major changes to the Home Health (HH) reimbursement system. Reimbursements were first significantly reduced under the Interim Payment System (IPS) and then relaxed slightly until implementation of the HH Prospective Payment System (PPS) on October 1, 2000. OBJECTIVE: The objective of this study was to examine the impact of reimbursement policy on HH care utilization. RESEARCH…
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Evaluating the SF-36 Health Survey (Version 2) in Older Vietnamese Americans
As the older populations in the United States become more diverse, it is important to have standardized health-related quality of life measures. However, the conceptualization of physical and mental health and associations among different scales may be different for Asian immigrants than for other groups. Thus, the interpretation of the SF-36 scores needs to account for cultural differences
Development of the Activities of Daily Vision Scale: A Measure of Visual Functional Status
To develop a method for the evaluation of visual function in subjects with cataracts, the authors identified 20 visual activities and categorized them into five subscales (distance vision, near vision, glare disability, night driving, and daytime driving) that comprised the Activities of Daily Vision Scale (ADVS). Each subscale in the ADVS was scored between 100 (no visual difficulty) and 0 (inability to perform the activity because of visual dif…
Expectations Regarding Aging Among Older Adults and Physicians Who Care for Older Adults
BACKGROUND: Understanding older adults' expectations regarding aging is important for both clinicians and policy-makers. OBJECTIVES: 1) To identify the content for a survey to measure expectations regarding aging; 2) to qualitatively compare older adults' and physicians' expectations regarding aging. SETTING: Three senior centers and one university-based internal medicine faculty practice. PARTICIPANTS: Forty-nine adults (mean age 78 years); 11 p…
Do Patient Consent Procedures Affect Participation Rates in Health Services Research
BACKGROUND: Few studies have examined the effects of Institutional Review Board (IRB) requirements to contact potential research participants. OBJECTIVE: To examine the association between requirements to contact potential research subjects and participation rates in a multisite health services research study. RESEARCH DESIGN, SUBJECTS: Prospective observational study of survey participation by 2673 individuals with diabetes and 1974 individuals …
Health Behaviors and Quality of Care Among Latinos With Diabetes in Managed Care
Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking La…
Is Cataract Surgery Cost-Effective Among Older Patients With a Low Predicted Probability for Improvement in Reported Visual Functioning
INTRODUCTION: Although cataract surgery has been demonstrated to be effective and cost-effective, 5% to 20% of patients do not benefit functionally from the procedure. This study examines the cost-effectiveness of cataract surgery versus watchful waiting in a subgroup of patients who had less than a 30% predicted probability of reporting improvements in visual function after surgery. METHODS: Randomized trial (first eye surgery vs. watchful waiti…
The Association Between Clinical Care Strategies and the Attenuation of Racial/Ethnic Disparities in Diabetes Care: The Translating Research Into Action for Diabetes (TRIAD) Study
OBJECTIVE: We sought to determine whether greater implementation of clinical care strategies in managed care is associated with attenuation of known racial/ethnic disparities in diabetes care. RESEARCH DESIGN AND METHODS: Using cross-sectional data, we examined the quality of diabetes care as measured by frequencies of process delivery as well as medication management of intermediate outcomes, for 7426 black, Latinos, Asian/Pacific Islanders, and…
What is the Concordance Between the Medical Record and Patient Self-Report as Data Sources for Ambulatory Care
BACKGROUND: The validity of quality of care assessments relies upon data quality, yet little is known about the relative completeness and validity of data sources for evaluating the quality of care. OBJECTIVES: We evaluated concordance between ambulatory medical record and patient survey data. Levels of concordance, variations by type of item, sources of disagreement between data sources, and implications for quality of care assessment efforts ar…
Impact of Changes in Medicare Home Health Care Reimbursement on Month-to-Month Home Health Utilization Between 1996 and 2001 for a National Sample of Patients Undergoing Orthopedic Procedures
BACKGROUND: Beginning October 1, 1997, Medicare implemented a series of major changes to the Home Health (HH) reimbursement system. Reimbursements were first significantly reduced under the Interim Payment System (IPS) and then relaxed slightly until implementation of the HH Prospective Payment System (PPS) on October 1, 2000. OBJECTIVE: The objective of this study was to examine the impact of reimbursement policy on HH care utilization. RESEARCH…
Evaluating the SF-36 Health Survey (Version 2) in Older Vietnamese Americans
As the older populations in the United States become more diverse, it is important to have standardized health-related quality of life measures. However, the conceptualization of physical and mental health and associations among different scales may be different for Asian immigrants than for other groups. Thus, the interpretation of the SF-36 scores needs to account for cultural differences
Identifying Risk Factors for Racial Disparities in Diabetes Outcomes: The Translating Research Into Action for Diabetes Study
BACKGROUND: Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE: To examine whether several mutable risk factors were more strongly associated with poor control of multiple intermediate outcomes among blacks with diabetes than among similar whites.…
Characteristics of Insured Patients With Persistent Gaps in Diabetes Care Services: The Translating Research into Action for Diabetes (TRIAD) Study
BACKGROUND: Although preventing diabetes complications requires long-term management, little is known about which patients persistently fail to get recommended care. OBJECTIVE: To determine the frequency and correlates of persistent, long-term gaps in diabetes care. METHOD: : The study population included 8392 patients with diabetes. Patient surveys and medical records from 10 health plans over 3 years provided data on socioeconomic characteristi…
The Association of Duration of Residence in the United States with Cardiovascular Disease Risk Factors Among South Asian Immigrants
Cost-related Nonadherence by Medication Type Among Medicare Part D Beneficiaries With Diabetes
BACKGROUND: Despite the rollout of Medicare Part D, cost-related nonadherence (CRN) among older adults remains a problem. OBJECTIVES: To examine the rate and correlates of self-reported CRN among a population of older persons with diabetes. RESEARCH DESIGN: Cross-sectional. SUBJECTS: A total of 1264 Part D patients with diabetes, who entered the coverage gap in 2006. MEASURES: Initial administrative medication lists were verified in computer-assi…
Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients
Migration, Health Care Behaviors, and Primary Care for Rural Latinos with Diabetes
Perceptions from Latino and African American Older Adults about Biological Markers in Research
Although older adult minorities face disparities in health and health care, they continue to be underrepresented in health research. Studies with biological markers of health often lack representation of older minority adults. The purpose of this study was to describe perceptions of biomarkers among ethnic minority seniors who might participate in studies of biological markers of health and to document barriers and facilitators to acceptance of b…
Latinos With Diabetes and Food Insecurity in an Agricultural Community
BACKGROUND: Latinos from agricultural communities have a high prevalence of food insecurity and are at increased risk of obesity and diabetes, yet little is known about the associations between food insecurity and diabetes outcomes. OBJECTIVE: To examine the associations between food insecurity and diabetes outcomes among rural Latinos. METHODS: Cross-sectional survey with medical chart abstraction of 250 Latinos with diabetes. Primary outcomes a…
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
IMPORTANCE: Colorectal cancer is the second leading cause of cancer death in the United States. In 2016, an estimated 134,000 persons will be diagnosed with the disease, and about 49,000 will die from it. Colorectal cancer is most frequently diagnosed among adults aged 65 to 74 years; the median age at death from colorectal cancer is 68 years. OBJECTIVE: To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on screening for…
Predictors of Out-of-ACO Care in the Medicare Shared Savings Program
IMPORTANCE: Patients treated outside of their Medicare Shared Savings Program (MSSP) accountable care organization (ACO) likely benefit less from the ACO's integration of care. Consequently, the MSSP's open-network design may preclude ACOs from improving value in care. OBJECTIVES: Quantify out-of-ACO care in a single urban ACO and examine associations between patient-level predictors and out-of-ACO expenditures. RESEARCH DESIGN: Secondary data an…
Filling the Public Health Science Gaps for Diabetes With Natural Experiments
Gregg, Edward W. PhD*; Duru, O. Kenrik MD, MSHS†; Shi, Lizheng PhD‡; Mangione, Carol M. MD, MSPH†; Siegel, Karen R. PhD, MPH§; Ramsay, Andrea MPA§; Thornton, Pamela L. PhD∥; Clauser, Steve PhD, MPA¶; Ali, Mohammed K. MD, MSC, MBA# Author Information
Evaluation of a National Care Coordination Program to Reduce Utilization Among High-cost, High-need Medicaid Beneficiaries With Diabetes
BACKGROUND: Medical, behavioral, and social determinants of health are each associated with high levels of emergency department (ED) visits and hospitalizations. OBJECTIVE: The objective of this study was to evaluate a care coordination program designed to provide combined "whole-person care," integrating medical, behavioral, and social support for high-cost, high-need Medicaid beneficiaries by targeting access barriers and social determinants. R…
Trends in Costs of Care and Utilization for Medicaid Patients With Diabetes in Accountable Care Communities
BACKGROUND/OBJECTIVES: Medicaid beneficiaries with diabetes have complex care needs. The Accountable Care Communities (ACC) Program is a practice-level intervention implemented by UnitedHealthcare to improve care for Medicaid beneficiaries. We examined changes in costs and utilization for Medicaid beneficiaries with diabetes assigned to ACC versus usual care practices. RESEARCH DESIGN: Interrupted time series with concurrent control group analysi…
Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement
Importance Colorectal cancer is the third leading cause of cancer death for both men and women, with an estimated 52 980 persons in the US projected to die of colorectal cancer in 2021. Colorectal cancer is most frequently diagnosed among persons aged 65 to 74 years. It is estimated that 10.5% of new colorectal cancer cases occur in persons younger than 50 years. Incidence of colorectal cancer (specifically adenocarcinoma) in adults aged 40 to 49…
Evaluation of the University of California Diabetes Prevention Program (UC DPP) Initiative
Our study will help inform diabetes and obesity prevention efforts across the UC system. Findings from this evaluation will also be highly applicable to universities and large employers, as well as community organizers, healthcare organizations and insurers implementing the DPP and/or other health promotion interventions
Reducing Emergency Department Visits Among Patients With Diabetes by Embedding Clinical Pharmacists in the Primary Care Teams
BACKGROUND: Pharmacists are effective at improving control of cardiovascular risk factors, but it less clear whether these improvements translate into less emergency department (ED) use and fewer hospitalizations. The UCMyRx program embed pharmacists in primary care. OBJECTIVE: The objective of this study was to examine if the integration of pharmacists into primary care was associated with lower ED and hospital use for patients with diabetes. DE…
Medicine (27 works) · Gerontology (18 works) · Diabetes Management and Education (14 works) · Family medicine (14 works) · Diabetes mellitus (12 works) · Environmental health (11 works) · Gerontology (10 works) · Health care (10 works) · Internal Medicine (10 works) · Public health (9 works)