Ana Quinones
Biographic Data
| ID | 5534559 |
|---|---|
| NAME | Ana Quinones |
| GIVEN NAMES | Ana |
| FAMILY NAME | Quinones |
| SIGNATURE | QUIÑONES Á |
| AFFILIATIONS | Oregon Health & Science University |
| ORCID | 0000-0001-6554-7734 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 88 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
A Roadmap for Accelerating Research in Intellectual and Developmental Disabilities Using PCORnet®
OBJECTIVE: This project sought to (1) identify critical gaps in knowledge of intellectual/developmental disabilities (IDD) clinical care and accelerate research by identifying a set of high-priority patient-centered comparative clinical effectiveness research (CER) questions that may be answered using PCORnet and (2) provide recommendations to advance CER for people with IDD (PwIDD). BACKGROUND: National-scale research is needed to better identif…
Social Support and Social Strain Sources as Predictors of Multimorbidity Changes in Middle-Aged and Older Adults
ObjectivesThis study examines whether social strain and support from various sources are associated with accumulation of chronic conditions in older adults.MethodsGrowth mixture modeling was used to investigate which network sources of support and strain were related to morbidity accumulation over 12 years among 5,321 individuals over age 50 in the Health and Retirement Study.ResultsHigher overall social support-comfort provided by others-was ass…
Longitudinal Trajectories of Multimorbidity and Psychosocial Resilience Resources in Midlife and Older Adults
IntroductionThis study identified 10-year multimorbidity trajectories among midlife and older adults and examined whether psychosocial resilience resources are associated with trajectory group membership.MethodsUsing Health and Retirement Study data (2010-2020; n = 10,325), repeated measures latent profile analysis characterized trajectories based on the multimorbidity-weighted index (MWI). Resilience resources included psychological resilience, …
A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries—Differences by Chronic Disease and Race/Ethnicity
These findings highlight the variability of personalized risk in examining interdependent outcomes among older adults
Longitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients
This study examines caregiver networks, including size, composition, and stability, and their associations with the likelihood of hospitalization and skilled-nursing facility (SNF) admissions. Data from the National Health and Aging Trends Study linked to Center for Medicare and Medicaid Services data were analyzed for 3855 older adults across five survey waves. Generalized estimating equation models assessed the associations. The findings indica…
Racial, ethnic, and socioeconomic disparities in trajectories of morbidity accumulation among older Americans
These findings have implications for addressing health disparities through more precise targeting of public health interventions. This work highlights the imperative to address socioeconomic inequalities that interact with race/ethnicity in complex ways to erode health
Best Practice Recommendations for Integrating Health Equity into Pragmatic Clinical Trials for Dementia Care
Although specifically focused on ePCTs involving dementia care, the best practices are applicable to any ePCT and can be useful to advance health equity in traditional clinical trials. This guidance document provides a first step toward promoting holistic, structured integration of health equity into the design and conduct of ePCTs as a matter of good science
Racial Disparities in Covid-19 Experiences Among Older Adults With Disabling Conditions
This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults
Trajectories of cognitive functioning in later life
Evaluating multimorbidity combinations, racial/ethnic background, educational attainment, and sex associations with age-related cognitive changes is critical to clarifying the health, sociodemographic, and socioeconomic mechanisms associated with cognitive function in later life. Data from the 2011-2018 National Health and Aging Trends Study for respondents aged 65 years and older (N = 10,548, mean age = 77.5) were analyzed using linear mixed eff…
Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults
Our results suggest increasing multimorbidity burden among more recently born cohorts of aging U.S. adults and should inform policy to address diminishing health in aging populations
Prediction of Future Health Care Utilization Through Note-extracted Psychosocial Factors
BACKGROUND: Persons with multimorbidity (≥2 chronic conditions) face an increased risk of poor health outcomes, especially as they age. Psychosocial factors such as social isolation, chronic stress, housing insecurity, and financial insecurity have been shown to exacerbate these outcomes, but are not routinely assessed during the clinical encounter. Our objective was to extract these concepts from chart notes using natural language processing and…
Physical Activity as a Mediator Between Race/Ethnicity and Changes in Multimorbidity
There was a significant increase in multimorbidity over time. Initial levels and changes in multimorbidity over time varied significantly across individuals. Indirect effects of the relationship between race/ethnicity and changes in multimorbidity as mediated by physical activity were significant, consistent with the mediational hypothesis. Black respondents engaged in significantly lower levels of physical activity than White respondents after c…
Racial and Ethnic Differences in Multimorbidity Changes Over Time
BACKGROUND: Our understanding of how multimorbidity progresses and changes is nascent. OBJECTIVES: Assess multimorbidity changes among racially/ethnically diverse middle-aged and older adults. DESIGN, SETTING, AND PARTICIPANTS: Prospective cohort study using latent class analysis to identify multimorbidity combinations over 16 years, and multinomial logistic models to assess change relative to baseline class membership. Health and Retirement Stud…
Measuring Multimorbidity
BACKGROUND: Adults have a higher prevalence of multimorbidity-or having multiple chronic health conditions-than having a single condition in isolation. Researchers, health care providers, and health policymakers find it challenging to decide upon the most appropriate assessment tool from the many available multimorbidity measures. OBJECTIVE: The objective of this study was to describe a broad range of instruments and data sources available to ass…
Accuracy of Hospital Discharge Codes in Medicare Claims for Knee and Hip Replacement Patients
BACKGROUND: Despite the importance of the hospital discharge destination field ("discharge code" hereafter) for research and payment reform, its accuracy is not well established. OBJECTIVES: The aim of this study was to examine the accuracy of discharge codes in Medicare claims. DATA SOURCES: 2012-2015 Medicare claims of knee and hip replacement patients. RESEARCH DESIGN: We identified patients' discharge location in claims and compared it with t…
Racial/ethnic differences in multimorbidity development and chronic disease accumulation for middle-aged adults
BACKGROUND: Multimorbidity-having two or more coexisting chronic conditions-is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and His…
Disputes of Self-reported Chronic Disease Over Time
BACKGROUND: Respondents in longitudinal health interview surveys may inconsistently report their chronic diseases across interview waves. Racial/ethnic minority adults have an increased burden of chronic diseases and may dispute chronic disease reports more frequently. OBJECTIVE: We evaluated the longitudinal association between race/ethnicity, nativity, and language of interview with disputing previously reported chronic diseases. METHODS: We pe…
Health Disparities in Veterans
BACKGROUND: Goals for improving the quality of care for all Veterans and eliminating health disparities are outlined in the Veterans Health Administration Blueprint for Excellence, but the degree to which disparities in utilization, health outcomes, and quality of care affect Veterans is not well understood. OBJECTIVES: To characterize the research on health care disparities in the Veterans Health Administration by means of a map of the evidence.…
Inconsistency in the Self-report of Chronic Diseases in Panel Surveys
Discrepancies in the self-report of diseases across multiple waves of health interview surveys are common. Differences in prevalence between original and adjudicated data may be substantial for some diseases and for some groups, (e.g., the cognitively impaired)
Longitudinal Relationship Between Loneliness and Social Isolation in Older Adults
These results suggest that average level of isolation and increases in the level of isolation are closely tied to loneliness, which has implications for future assessment or monitoring of loneliness in older adult populations
Interventions that Reach into Communities-Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare
Racial and Ethnic Differences in Clinical Outcome Trajectories for Care Managed Patients
BACKGROUND: Care management has demonstrated improvements in quality of care for patients with complex care needs. The extent to which these interventions benefit race/ethnic minority populations is unclear. OBJECTIVES: To characterize race/ethnic differences in the longitudinal control of clinical outcomes for patients with complex care needs enrolled in Care Management Plus, a health information technology-enabled care coordination intervention…
Trajectories of Functional Change Among Long Stayers in Nursing Homes
Baseline functional status is critical to predicting changes in impairment while the impact of medical diagnoses is significant but weaker than the effect of baseline impairment
How Does the Trajectory of Multimorbidity Vary Across Black, White, and Mexican Americans in Middle and Old Age
These results suggest that health differences between Black Americans and other ethnic groups including White and Mexican Americans persist in the trajectory of multimorbidity even when population heterogeneity is adjusted. Further research is needed concerning the impact of health disadvantages and differential mortality that may have occurred before middle age as well as exploring the role of nativity, the nature of self-reported diseases, and …
Ethnic Differences in the Dynamics of Depressive Symptoms in Middle-Aged and Older Americans
Significant ethnic differences exist in both the intercept and rate of change in depressive symptoms in middle-aged and older Americans. These variations are substantially confounded by socioeconomic and health differentials
Gender Differences in Functional Status in Middle and Older Age
A life course perspective can lead to new insights regarding gender variations in health within the context of intrapersonal and interpersonal differences. Smaller gender differences in the level of functional impairment in the younger groups may reflect improvement of women's socioeconomic status, greater rate of increase in chronic diseases among men, and less debilitating effects of diseases
How Does the Trajectory of Multimorbidity Vary Across Black, White, and Mexican Americans in Middle and Old Age
These results suggest that health differences between Black Americans and other ethnic groups including White and Mexican Americans persist in the trajectory of multimorbidity even when population heterogeneity is adjusted. Further research is needed concerning the impact of health disadvantages and differential mortality that may have occurred before middle age as well as exploring the role of nativity, the nature of self-reported diseases, and …
Evolving Self-Rated Health in Middle and Old Age
Significant ethnic differences exist in the evolvement of self-rated health in middle and late life. Further inquiries may include analyzing ethnic heterogeneities from a person-centered perspective, health disparities across subgroups of Hispanics, effects of neighborhood attributes, and implications of left truncation
Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults
Our results suggest increasing multimorbidity burden among more recently born cohorts of aging U.S. adults and should inform policy to address diminishing health in aging populations
Ethnicity and Changing Functional Health in Middle and Late Life
Parallel to the concepts of successful aging, usual aging, and pathological aging, there exist distinct courses of changing functional health over time. The mechanisms underlying changes in disability may vary between Black and Hispanic Americans
Interventions that Reach into Communities-Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare
Ethnic Differences in the Dynamics of Depressive Symptoms in Middle-Aged and Older Americans
Significant ethnic differences exist in both the intercept and rate of change in depressive symptoms in middle-aged and older Americans. These variations are substantially confounded by socioeconomic and health differentials
Longitudinal Relationship Between Loneliness and Social Isolation in Older Adults
These results suggest that average level of isolation and increases in the level of isolation are closely tied to loneliness, which has implications for future assessment or monitoring of loneliness in older adult populations
A Roadmap for Accelerating Research in Intellectual and Developmental Disabilities Using PCORnet®
OBJECTIVE: This project sought to (1) identify critical gaps in knowledge of intellectual/developmental disabilities (IDD) clinical care and accelerate research by identifying a set of high-priority patient-centered comparative clinical effectiveness research (CER) questions that may be answered using PCORnet and (2) provide recommendations to advance CER for people with IDD (PwIDD). BACKGROUND: National-scale research is needed to better identif…
Inconsistency in the Self-report of Chronic Diseases in Panel Surveys
Discrepancies in the self-report of diseases across multiple waves of health interview surveys are common. Differences in prevalence between original and adjudicated data may be substantial for some diseases and for some groups, (e.g., the cognitively impaired)
Does More Health Care Improve Health Among Older Adults? A Longitudinal Analysis
The findings have implications for the quality of care delivered by the American health care system
Gender Differences in Functional Status in Middle and Older Age
A life course perspective can lead to new insights regarding gender variations in health within the context of intrapersonal and interpersonal differences. Smaller gender differences in the level of functional impairment in the younger groups may reflect improvement of women's socioeconomic status, greater rate of increase in chronic diseases among men, and less debilitating effects of diseases
Evolving Self-Rated Health in Middle and Old Age
Significant ethnic differences exist in the evolvement of self-rated health in middle and late life. Further inquiries may include analyzing ethnic heterogeneities from a person-centered perspective, health disparities across subgroups of Hispanics, effects of neighborhood attributes, and implications of left truncation
Ethnicity and Changing Functional Health in Middle and Late Life
Parallel to the concepts of successful aging, usual aging, and pathological aging, there exist distinct courses of changing functional health over time. The mechanisms underlying changes in disability may vary between Black and Hispanic Americans
Ethnic Differences in the Dynamics of Depressive Symptoms in Middle-Aged and Older Americans
Significant ethnic differences exist in both the intercept and rate of change in depressive symptoms in middle-aged and older Americans. These variations are substantially confounded by socioeconomic and health differentials
Trajectories of Functional Change Among Long Stayers in Nursing Homes
Baseline functional status is critical to predicting changes in impairment while the impact of medical diagnoses is significant but weaker than the effect of baseline impairment
How Does the Trajectory of Multimorbidity Vary Across Black, White, and Mexican Americans in Middle and Old Age
These results suggest that health differences between Black Americans and other ethnic groups including White and Mexican Americans persist in the trajectory of multimorbidity even when population heterogeneity is adjusted. Further research is needed concerning the impact of health disadvantages and differential mortality that may have occurred before middle age as well as exploring the role of nativity, the nature of self-reported diseases, and …
Racial and Ethnic Differences in Clinical Outcome Trajectories for Care Managed Patients
BACKGROUND: Care management has demonstrated improvements in quality of care for patients with complex care needs. The extent to which these interventions benefit race/ethnic minority populations is unclear. OBJECTIVES: To characterize race/ethnic differences in the longitudinal control of clinical outcomes for patients with complex care needs enrolled in Care Management Plus, a health information technology-enabled care coordination intervention…
Longitudinal Relationship Between Loneliness and Social Isolation in Older Adults
These results suggest that average level of isolation and increases in the level of isolation are closely tied to loneliness, which has implications for future assessment or monitoring of loneliness in older adult populations
Interventions that Reach into Communities-Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare
Inconsistency in the Self-report of Chronic Diseases in Panel Surveys
Discrepancies in the self-report of diseases across multiple waves of health interview surveys are common. Differences in prevalence between original and adjudicated data may be substantial for some diseases and for some groups, (e.g., the cognitively impaired)
Health Disparities in Veterans
BACKGROUND: Goals for improving the quality of care for all Veterans and eliminating health disparities are outlined in the Veterans Health Administration Blueprint for Excellence, but the degree to which disparities in utilization, health outcomes, and quality of care affect Veterans is not well understood. OBJECTIVES: To characterize the research on health care disparities in the Veterans Health Administration by means of a map of the evidence.…
Racial/ethnic differences in multimorbidity development and chronic disease accumulation for middle-aged adults
BACKGROUND: Multimorbidity-having two or more coexisting chronic conditions-is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and His…
Disputes of Self-reported Chronic Disease Over Time
BACKGROUND: Respondents in longitudinal health interview surveys may inconsistently report their chronic diseases across interview waves. Racial/ethnic minority adults have an increased burden of chronic diseases and may dispute chronic disease reports more frequently. OBJECTIVE: We evaluated the longitudinal association between race/ethnicity, nativity, and language of interview with disputing previously reported chronic diseases. METHODS: We pe…
Accuracy of Hospital Discharge Codes in Medicare Claims for Knee and Hip Replacement Patients
BACKGROUND: Despite the importance of the hospital discharge destination field ("discharge code" hereafter) for research and payment reform, its accuracy is not well established. OBJECTIVES: The aim of this study was to examine the accuracy of discharge codes in Medicare claims. DATA SOURCES: 2012-2015 Medicare claims of knee and hip replacement patients. RESEARCH DESIGN: We identified patients' discharge location in claims and compared it with t…
Physical Activity as a Mediator Between Race/Ethnicity and Changes in Multimorbidity
There was a significant increase in multimorbidity over time. Initial levels and changes in multimorbidity over time varied significantly across individuals. Indirect effects of the relationship between race/ethnicity and changes in multimorbidity as mediated by physical activity were significant, consistent with the mediational hypothesis. Black respondents engaged in significantly lower levels of physical activity than White respondents after c…
Racial and Ethnic Differences in Multimorbidity Changes Over Time
BACKGROUND: Our understanding of how multimorbidity progresses and changes is nascent. OBJECTIVES: Assess multimorbidity changes among racially/ethnically diverse middle-aged and older adults. DESIGN, SETTING, AND PARTICIPANTS: Prospective cohort study using latent class analysis to identify multimorbidity combinations over 16 years, and multinomial logistic models to assess change relative to baseline class membership. Health and Retirement Stud…
Measuring Multimorbidity
BACKGROUND: Adults have a higher prevalence of multimorbidity-or having multiple chronic health conditions-than having a single condition in isolation. Researchers, health care providers, and health policymakers find it challenging to decide upon the most appropriate assessment tool from the many available multimorbidity measures. OBJECTIVE: The objective of this study was to describe a broad range of instruments and data sources available to ass…
Trajectories of cognitive functioning in later life
Evaluating multimorbidity combinations, racial/ethnic background, educational attainment, and sex associations with age-related cognitive changes is critical to clarifying the health, sociodemographic, and socioeconomic mechanisms associated with cognitive function in later life. Data from the 2011-2018 National Health and Aging Trends Study for respondents aged 65 years and older (N = 10,548, mean age = 77.5) were analyzed using linear mixed eff…
Cohort Trends in the Burden of Multiple Chronic Conditions Among Aging U.S. Adults
Our results suggest increasing multimorbidity burden among more recently born cohorts of aging U.S. adults and should inform policy to address diminishing health in aging populations
Prediction of Future Health Care Utilization Through Note-extracted Psychosocial Factors
BACKGROUND: Persons with multimorbidity (≥2 chronic conditions) face an increased risk of poor health outcomes, especially as they age. Psychosocial factors such as social isolation, chronic stress, housing insecurity, and financial insecurity have been shown to exacerbate these outcomes, but are not routinely assessed during the clinical encounter. Our objective was to extract these concepts from chart notes using natural language processing and…
Racial, ethnic, and socioeconomic disparities in trajectories of morbidity accumulation among older Americans
These findings have implications for addressing health disparities through more precise targeting of public health interventions. This work highlights the imperative to address socioeconomic inequalities that interact with race/ethnicity in complex ways to erode health
Best Practice Recommendations for Integrating Health Equity into Pragmatic Clinical Trials for Dementia Care
Although specifically focused on ePCTs involving dementia care, the best practices are applicable to any ePCT and can be useful to advance health equity in traditional clinical trials. This guidance document provides a first step toward promoting holistic, structured integration of health equity into the design and conduct of ePCTs as a matter of good science
Racial Disparities in Covid-19 Experiences Among Older Adults With Disabling Conditions
This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults
A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries—Differences by Chronic Disease and Race/Ethnicity
These findings highlight the variability of personalized risk in examining interdependent outcomes among older adults
Medicine (27 works) · Gerontology (23 works) · Ethnic group (16 works) · Health disparities and outcomes (15 works) · Chronic Disease Management Strategies (13 works) · Psychology (13 works) · Demography (12 works) · Internal Medicine (10 works) · Demography (9 works) · Health care (9 works)