L Jay Helms
Biographic Data
| ID | 5534740 |
|---|---|
| NAME | L Jay Helms |
| GIVEN NAMES | L Jay |
| FAMILY NAME | Helms |
| SIGNATURE | HELMS L J |
| AFFILIATIONS | University of California, Davis |
| VERIFIED | No |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 7 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1985 |
| LATEST PUBLICATION YEAR | 2008 |
| H-INDEX | 0 |
Tamoxifen for Breast Cancer Risk Reduction: Impact of Alternative Approaches to Quality-of-Life Adjustment on Cost-Effectiveness Analysis
BACKGROUND: In cost-effectiveness analysis (CEA), the effects of health-care interventions on multiple health dimensions typically require consideration of both quantity and quality of life. OBJECTIVES: To explore the impact of alternative approaches to quality-of-life adjustment using patient preferences (utilities) on the outcome of a CEA on use of tamoxifen for breast cancer risk reduction. RESEARCH DESIGN: A state transition Markov model trac…
Comparing the Use of Physician Time and Health Care Resources Among Patients Speaking English, Spanish, and Russian
BACKGROUND AND OBJECTIVES: The number of US residents with limited English proficiency (LEP) is 14 million and rising. The goal of this study was to estimate the effects of LEP on physician time and resource use. DESIGN: This was a prospective, observational study. SETTING AND SUBJECTS: The study included 285 Medicaid patients speaking English (n = 112), Spanish (n = 62), or Russian (n = 111) visiting the General Medicine and Family Practice Clin…
Differences Between Family Physicians' and General Internists' Medical Charges
OBJECTIVES: Data from 509 primary care patients were analyzed to determine whether practice style differences between family physicians and general internists generate differential utilization of health care resources leading to differential medical charges. METHODS: New adult patients were prospectively randomized to care by family physicians and general internists. Utilization of medical care services and associated charges then were monitored …
Determining Costs of Health Care Services for Cost-Effectiveness Analyses: The Case of Cervical Cancer Prevention and Treatment
OBJECTIVES: To estimate costs for the prevention and treatment of cervical cancer based on resource utilization and to compare those costs to published estimates and to local charges and reimbursements. DESIGN: Cost estimates for cervical cancer prevention services were based on clinic staff time, use of specialized equipment and supplies, laboratory costs, and clinic overhead. Cost estimates for cervical cancer treatment were based on HMO expend…
Physician Practice Styles and Patient Outcomes: Differences Between Family Practice and General Internal Medicine
OBJECTIVES: This study compared patient health status, patient satisfaction, and physician practice style between family practice and internal medicine. METHODS: New adult patients (n = 509) were prospectively and randomly assigned to family practice or internal medicine clinics at a university medical center and followed for 1 year of care. Practice styles were characterized by the Davis Observation Code. Self-reported health status (Medical Out…
The Influence of Gender on Physician Practice Style
As more women enter medicine, intriguing questions arise about how physician gender impacts practice style. To measure this influence in primary care encounters, 118 male and 132 female adult new patients, having no stated preference for a specific physician, were randomly assigned to university hospital primary care residents, and their initial encounters were videotaped. Forty-eight male and 33 female physicians participated. Patient health sta…
The Effect of State and Local Taxes on Economic Growth: A Time Series--Cross Section Approach
Results based on pooled time series and cross section data are presented, which indicate that state and local tax increases significantly retard economic growth when the revenue is used to fund transfer payments. However, when the revenue is used instead to finance improved public services (such as education, highways, and public health and safety) the favorable impact on location and production decisions provided by the enhanced services may mor…
No prominent works on this page.
The Effect of State and Local Taxes on Economic Growth: A Time Series--Cross Section Approach
Results based on pooled time series and cross section data are presented, which indicate that state and local tax increases significantly retard economic growth when the revenue is used to fund transfer payments. However, when the revenue is used instead to finance improved public services (such as education, highways, and public health and safety) the favorable impact on location and production decisions provided by the enhanced services may mor…
The Influence of Gender on Physician Practice Style
As more women enter medicine, intriguing questions arise about how physician gender impacts practice style. To measure this influence in primary care encounters, 118 male and 132 female adult new patients, having no stated preference for a specific physician, were randomly assigned to university hospital primary care residents, and their initial encounters were videotaped. Forty-eight male and 33 female physicians participated. Patient health sta…
Physician Practice Styles and Patient Outcomes: Differences Between Family Practice and General Internal Medicine
OBJECTIVES: This study compared patient health status, patient satisfaction, and physician practice style between family practice and internal medicine. METHODS: New adult patients (n = 509) were prospectively and randomly assigned to family practice or internal medicine clinics at a university medical center and followed for 1 year of care. Practice styles were characterized by the Davis Observation Code. Self-reported health status (Medical Out…
Differences Between Family Physicians' and General Internists' Medical Charges
OBJECTIVES: Data from 509 primary care patients were analyzed to determine whether practice style differences between family physicians and general internists generate differential utilization of health care resources leading to differential medical charges. METHODS: New adult patients were prospectively randomized to care by family physicians and general internists. Utilization of medical care services and associated charges then were monitored …
Determining Costs of Health Care Services for Cost-Effectiveness Analyses: The Case of Cervical Cancer Prevention and Treatment
OBJECTIVES: To estimate costs for the prevention and treatment of cervical cancer based on resource utilization and to compare those costs to published estimates and to local charges and reimbursements. DESIGN: Cost estimates for cervical cancer prevention services were based on clinic staff time, use of specialized equipment and supplies, laboratory costs, and clinic overhead. Cost estimates for cervical cancer treatment were based on HMO expend…
Comparing the Use of Physician Time and Health Care Resources Among Patients Speaking English, Spanish, and Russian
BACKGROUND AND OBJECTIVES: The number of US residents with limited English proficiency (LEP) is 14 million and rising. The goal of this study was to estimate the effects of LEP on physician time and resource use. DESIGN: This was a prospective, observational study. SETTING AND SUBJECTS: The study included 285 Medicaid patients speaking English (n = 112), Spanish (n = 62), or Russian (n = 111) visiting the General Medicine and Family Practice Clin…
Tamoxifen for Breast Cancer Risk Reduction: Impact of Alternative Approaches to Quality-of-Life Adjustment on Cost-Effectiveness Analysis
BACKGROUND: In cost-effectiveness analysis (CEA), the effects of health-care interventions on multiple health dimensions typically require consideration of both quantity and quality of life. OBJECTIVES: To explore the impact of alternative approaches to quality-of-life adjustment using patient preferences (utilities) on the outcome of a CEA on use of tamoxifen for breast cancer risk reduction. RESEARCH DESIGN: A state transition Markov model trac…
Medicine (6 works) · Health care (5 works) · MEDLINE (5 works) · Family medicine (4 works) · Nursing (3 works) · Economics (2 works) · General practice (2 works) · Health Systems, Economic Evaluations, Quality of Life (2 works) · Patient satisfaction (2 works) · Patient Satisfaction in Healthcare (2 works)