William Encinosa
Dados Biográficos
| ID | 104040 |
|---|---|
| NOME | William Encinosa |
| PRENOMES | William |
| SOBRENOME | Encinosa |
| ASSINATURA | ENCINOSA W |
| AFILIAÇÕES | Agency for Healthcare Research and Quality |
| ORCID | 0000-0002-1970-5620 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 1 |
Racial and ethnic disparities in healthcare costs and outcomes of cigarette smoking in USA
Minority adults may benefit substantially more from antitobacco regulations and past federal cost-benefit analyses would have overlooked this
Racial Disparities in the Perceived Risk of Covid-19 and in Getting Needed Medical Care
The Marginal Costs of Adverse Drug Events Associated With Exposures to Anticoagulants and Hypoglycemic Agents During Hospitalization
BACKGROUND: Anticoagulants and hypoglycemic agents are 2 of the most challenging drug classes for medical management in the hospital resulting in many adverse drug events (ADEs). OBJECTIVE: Estimating the marginal cost (MC) of ADEs associated with anticoagulants and hypoglycemic agents for adults in 5 patient groups during their hospital stay and the total annual ADE costs for all patients exposed to these drugs during their stay. RESEARCH DESIGN…
E-Prescribing and Adverse Drug Events
BACKGROUND: Although the adoption of e-prescriptions among physicians has increased substantially under the Medicare Improvements for Patients and Providers Act and Meaningful Use programs, little is known of its impact on patient outcomes. OBJECTIVE: To examine the impact of e-prescribing on emergency visits or hospitalizations for diabetes-related adverse drug events (ADEs) including hypoglycemia. DESIGN: This is a prospective, observational co…
Health Information Technology and its Effects on Hospital Costs, Outcomes, and Patient Safety
Underlying many reforms in the Patient Protection and Affordable Care Act (ACA) is the use of electronic medical records (EMRs) to help contain costs. We use MarketScan claims data and American Hospital Association information technology (IT) data to examine whether EMRs can contain costs in the ACA's reforms to reduce patient safety events. We find EMRs do not reduce the rate of patient safety events. However, once an event occurs, EMRs reduce d…
Do Patient Safety Events Increase Readmissions
OBJECTIVE: Adverse safety events in the hospital could impose extra costs not only due to longer stays and corrective treatments, but also due to deaths and readmissions. The effects of safety events on readmissions have rarely been analyzed. Large, all-payer and all-diagnosis databases permit new tests. This study will simultaneously test the effects of safety events on risks of deaths and readmission. STUDY DESIGN: The population is a selection…
Recent Improvements in Bariatric Surgery Outcomes
OBJECTIVE: Bariatric surgery is one of the fastest growing hospital procedures, but with a 40% complication rate in 2001. Between 2001 and 2005 bariatric surgeries grew by 113%. Our objective is to examine how 6-month complications improved between 2001 and 2006, using a nationwide, population-based sample. DATA/DESIGN: We examined insurance claims in 2001-2002 and 2005-2006 for 9582 bariatric surgeries, at 652 hospitals, among a population of 16…
Health Care Markets
The Impact of State Laws Limiting Malpractice Damage Awards on Health Care Expenditures
Twenty-eight states have laws that limit payments in malpractice cases, and several studies indicate that these laws reduce the frequency and severity of malpractice claims and lower premiums. Moreover, proponents believe that such laws reduce health care expenditures by reducing the practice of defensive medicine. However, there is a dearth of empirical evidence about the impact of these laws on the cost of health care. We used multivariate mode…
Healthcare Utilization and Outcomes After Bariatric Surgery
OBJECTIVE: Bariatric surgery is one of the fastest growing hospital procedures. Our objective is to examine the safety outcomes and utilization of resources in the 6 months after bariatric surgery using a nationwide, population-based sample. DATA/DESIGN: We examine insurance claims for 2522 bariatric surgeries, at 308 hospitals, among a population of 5.6 million nonelderly people covered by large employers in the 2001-2002 MarketScan data. Outcom…
Health Care Expenditure Burdens Among Adults With Diabetes in 2001
OBJECTIVE: High out-of-pocket costs can pose a significant burden on patients with chronic conditions such as diabetes and contribute to decreased treatment adherence. We examined financial burdens among adults with diabetes using nationally representative data. METHODS: estimated how frequently adults with diabetes live in families in which spending on health insurance premiums and health care services exceed a specified percentage of family-lev…
Response to Letter From Harvey J. Sugerman, MD
Encinosa, William E. PhD; Bernard, Didem PhD; Steiner, Claudia A. MD, MPH Author Information
Hospital Finances and Patient Safety Outcomes
Hospitals recently have experienced greater financial pressures. Whether these financial pressures have led to more patient safety problems is unknown. Using the Healthcare Cost and Utilization Project (HCUP) State Inpatient Data for Florida from 1996 to 2000, this study examines whether financial pressure at hospitals is associated with increases in the rate of patient safety events (e.g., medical errors) for major surgeries. Findings show that …
Inappropriate Drug Combinations Among Privately Insured Patients With HIV Disease
OBJECTIVE: The objective of this study was to examine inappropriate drug combinations among privately insured patients with HIV disease. DATA: Data were obtained from the MarketScan Commercial Claims and Encounter Database for the years 1999 and 2000. METHODS: Each of the 2110 person-years of data examined in this study represents the claims experience of an enrollee with HIV disease who filled an antiretroviral medication prescription in either …
Designing Employer Health Benefits for a Heterogeneous Workforce
Many health economists recommend that employers provide employees with a risk-adjusted choice among competing health insurance plans. However, formal risk adjustment is rarely if ever used by employers. This paper examines a range of health benefit design options available to employers, focusing attention not only on risk adjustment but also on its alternatives. We argue that while formal risk adjustment is rare, employers commonly use strategies…
The Impact of State Laws Limiting Malpractice Damage Awards on Health Care Expenditures
Twenty-eight states have laws that limit payments in malpractice cases, and several studies indicate that these laws reduce the frequency and severity of malpractice claims and lower premiums. Moreover, proponents believe that such laws reduce health care expenditures by reducing the practice of defensive medicine. However, there is a dearth of empirical evidence about the impact of these laws on the cost of health care. We used multivariate mode…
Designing Employer Health Benefits for a Heterogeneous Workforce
Many health economists recommend that employers provide employees with a risk-adjusted choice among competing health insurance plans. However, formal risk adjustment is rarely if ever used by employers. This paper examines a range of health benefit design options available to employers, focusing attention not only on risk adjustment but also on its alternatives. We argue that while formal risk adjustment is rare, employers commonly use strategies…
Hospital Finances and Patient Safety Outcomes
Hospitals recently have experienced greater financial pressures. Whether these financial pressures have led to more patient safety problems is unknown. Using the Healthcare Cost and Utilization Project (HCUP) State Inpatient Data for Florida from 1996 to 2000, this study examines whether financial pressure at hospitals is associated with increases in the rate of patient safety events (e.g., medical errors) for major surgeries. Findings show that …
Inappropriate Drug Combinations Among Privately Insured Patients With HIV Disease
OBJECTIVE: The objective of this study was to examine inappropriate drug combinations among privately insured patients with HIV disease. DATA: Data were obtained from the MarketScan Commercial Claims and Encounter Database for the years 1999 and 2000. METHODS: Each of the 2110 person-years of data examined in this study represents the claims experience of an enrollee with HIV disease who filled an antiretroviral medication prescription in either …
The Impact of State Laws Limiting Malpractice Damage Awards on Health Care Expenditures
Twenty-eight states have laws that limit payments in malpractice cases, and several studies indicate that these laws reduce the frequency and severity of malpractice claims and lower premiums. Moreover, proponents believe that such laws reduce health care expenditures by reducing the practice of defensive medicine. However, there is a dearth of empirical evidence about the impact of these laws on the cost of health care. We used multivariate mode…
Healthcare Utilization and Outcomes After Bariatric Surgery
OBJECTIVE: Bariatric surgery is one of the fastest growing hospital procedures. Our objective is to examine the safety outcomes and utilization of resources in the 6 months after bariatric surgery using a nationwide, population-based sample. DATA/DESIGN: We examine insurance claims for 2522 bariatric surgeries, at 308 hospitals, among a population of 5.6 million nonelderly people covered by large employers in the 2001-2002 MarketScan data. Outcom…
Health Care Expenditure Burdens Among Adults With Diabetes in 2001
OBJECTIVE: High out-of-pocket costs can pose a significant burden on patients with chronic conditions such as diabetes and contribute to decreased treatment adherence. We examined financial burdens among adults with diabetes using nationally representative data. METHODS: estimated how frequently adults with diabetes live in families in which spending on health insurance premiums and health care services exceed a specified percentage of family-lev…
Response to Letter From Harvey J. Sugerman, MD
Encinosa, William E. PhD; Bernard, Didem PhD; Steiner, Claudia A. MD, MPH Author Information
Health Care Markets
Do Patient Safety Events Increase Readmissions
OBJECTIVE: Adverse safety events in the hospital could impose extra costs not only due to longer stays and corrective treatments, but also due to deaths and readmissions. The effects of safety events on readmissions have rarely been analyzed. Large, all-payer and all-diagnosis databases permit new tests. This study will simultaneously test the effects of safety events on risks of deaths and readmission. STUDY DESIGN: The population is a selection…
Recent Improvements in Bariatric Surgery Outcomes
OBJECTIVE: Bariatric surgery is one of the fastest growing hospital procedures, but with a 40% complication rate in 2001. Between 2001 and 2005 bariatric surgeries grew by 113%. Our objective is to examine how 6-month complications improved between 2001 and 2006, using a nationwide, population-based sample. DATA/DESIGN: We examined insurance claims in 2001-2002 and 2005-2006 for 9582 bariatric surgeries, at 652 hospitals, among a population of 16…
Health Information Technology and its Effects on Hospital Costs, Outcomes, and Patient Safety
Underlying many reforms in the Patient Protection and Affordable Care Act (ACA) is the use of electronic medical records (EMRs) to help contain costs. We use MarketScan claims data and American Hospital Association information technology (IT) data to examine whether EMRs can contain costs in the ACA's reforms to reduce patient safety events. We find EMRs do not reduce the rate of patient safety events. However, once an event occurs, EMRs reduce d…
The Marginal Costs of Adverse Drug Events Associated With Exposures to Anticoagulants and Hypoglycemic Agents During Hospitalization
BACKGROUND: Anticoagulants and hypoglycemic agents are 2 of the most challenging drug classes for medical management in the hospital resulting in many adverse drug events (ADEs). OBJECTIVE: Estimating the marginal cost (MC) of ADEs associated with anticoagulants and hypoglycemic agents for adults in 5 patient groups during their hospital stay and the total annual ADE costs for all patients exposed to these drugs during their stay. RESEARCH DESIGN…
E-Prescribing and Adverse Drug Events
BACKGROUND: Although the adoption of e-prescriptions among physicians has increased substantially under the Medicare Improvements for Patients and Providers Act and Meaningful Use programs, little is known of its impact on patient outcomes. OBJECTIVE: To examine the impact of e-prescribing on emergency visits or hospitalizations for diabetes-related adverse drug events (ADEs) including hypoglycemia. DESIGN: This is a prospective, observational co…
Racial Disparities in the Perceived Risk of Covid-19 and in Getting Needed Medical Care
Racial and ethnic disparities in healthcare costs and outcomes of cigarette smoking in USA
Minority adults may benefit substantially more from antitobacco regulations and past federal cost-benefit analyses would have overlooked this
Medicine (12 obras) · Health care (10 obras) · Healthcare Policy and Management (6 obras) · Environmental health (5 obras) · Political science (5 obras) · Adverse effect (4 obras) · Business (4 obras) · Economics (4 obras) · Emergency Medicine (4 obras) · Emergency Medicine (4 obras)