Michael J Fine
Dados Biográficos
| ID | 175780 |
|---|---|
| NOME | Michael J Fine |
| PRENOMES | Michael J |
| SOBRENOME | Fine |
| ASSINATURA | FINE M J |
| AFILIAÇÕES | VA Pittsburgh Healthcare System |
| ORCID | 0000-0003-3470-9846 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 34 |
| TOTAL DE CITAÇÕES | 133 |
| TOTAL COMO AUTOR | 34 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2021 |
| ÍNDICE H | 6 |
An Interrupted Time-series Evaluation of the Association Between State Laws Mandating Prescriber Use of Prescription Drug Monitoring Programs and Discontinuation of Chronic Opioid Therapy in US Vetera…
BACKGROUND: Most states have recently passed laws requiring prescribers to use prescription drug monitoring programs (PDMPs) before prescribing opioid medications. The impact of these mandates on discontinuing chronic opioid therapy among Veterans managed in the Veterans Health Administration (VA) is unknown. We assess the association between the earliest of these laws and discontinuation of chronic opioid therapy in Veterans receiving VA health …
National Media Coverage of the Veterans Affairs Waitlist Scandal
BACKGROUND: On April 23, 2014, US media outlets broadcast reports of excessive wait times and "secret" waitlists at some Veterans Affairs (VA) hospitals, precipitating legislation to increase Veterans' access to private sector health care. OBJECTIVE: The aims were to assess changes in Veterans' distrust in the VA health care system before and after the media coverage and explore sex and racial/ethnic differences in the temporal patterns. METHODS:…
Racial/Ethnic Differences in 30-Day Mortality for Heart Failure and Pneumonia in the Veterans Health Administration Using Claims-based, Clinical, and Social Risk-adjustment Variables
BACKGROUND: Prior studies have identified lower mortality in Black Veterans compared with White Veterans after hospitalization for common medical conditions, but these studies adjusted for comorbid conditions identified in administrative claims. OBJECTIVES: The objectives of this study were to compare mortality for non-Hispanic White (hereafter, "White"), non-Hispanic Black (hereafter, "Black"), and Hispanic Veterans hospitalized for heart failur…
Assessing the Quality and Performance of Institutional Review Boards
How well institutional review boards (IRBs) follow Common Rule criteria for levels of initial protocol review has not been systematically evaluated. We compared levels of review as determined using the Office for Human Research Protections (OHRP) human subject regulations decision charts of 313 protocols that had been approved by IRBs. There was a 97.8% agreement between 140 protocols that were reviewed by full board and the levels of review acco…
The Public Health Value of Hospitals
Comparison of toxicant load from waterpipe and cigarette tobacco smoking among young adults in the USA
WTS accounted for over half of the tobacco smoke volume consumed among young US adult waterpipe and cigarette smokers. Toxicant exposures to tar, carbon monoxide and nicotine were lower, but still substantial, for WTS alone compared with WTS and cigarette smoking. Public health and policy interventions to reduce harm from tobacco smoking in young US adults should explicitly address WTS toxicant exposures
Impact of Dual Use of Department of Veterans Affairs and Medicare Part D Drug Benefits on Potentially Unsafe Opioid Use
Objectives. To estimate the prevalence and consequences of receiving prescription opioids from both the Department of Veterans Affairs (VA) and Medicare Part D. Methods. Among US veterans enrolled in both VA and Part D filling 1 or more opioid prescriptions in 2012 (n = 539 473), we calculated 3 opioid safety measures using morphine milligram equivalents (MME): (1) proportion receiving greater than 100 MME for 1 or more days, (2) mean days receiv…
New Evidence Reflecting VA’s Commitment to Achieve Health and Health Care Equity for All Veterans
With passage of the Veterans Choice Act of 2014,1 the Veterans Health Administration (VA) expanded access to community care (ie, by non-VA providers at non-VA medical facilities) for select Veterans enrolled in the VA Healthcare System based on established wait-time criteria for receiving care at local VA facilities and the geographic distance of the Veteran’s residence to these sites of care. Although this transformation of the VA Healthcare Sys…
Mental Health of Transgender Veterans in US States With and Without Discrimination and Hate Crime Legal Protection
Objectives. To examine whether indicators of community- and state-level lesbian, gay, bisexual, and transgender equality are associated with transgender veterans’ mental health. Methods. We extracted Veterans Administration data for patients who were diagnosed with gender identity disorder, had at least 1 visit in 2013, and lived in a zip code with a Municipality Equality Index score (n = 1640). We examined the associations of whether a state inc…
Using the IRB Researcher Assessment Tool to Guide Quality Improvement
Institutional Review Boards (IRBs) are intended to protect those who participate in research. However, because there is no established measure of IRB quality, it is unclear whether these committees achieve their goal. The IRB Researcher Assessment Tool is a previously validated, internally normed, proxy measure of IRB quality that assesses 45 distinct IRB activities and functions. We administered this instrument to a sample of investigators and I…
Racial Differences in Satisfaction with VA Health Care
Associations Between Race, Ethnicity, Religion, and Waterpipe Tobacco Smoking
We surveyed a random sample of 852 students at a large university in 2010-2011 to clarify associations between waterpipe tobacco smoking (WTS), ethnicity, and religion. Current (past 30 day) WTS was reported by 116 (14%) students, and 331 (39%) reported ever WTS. Middle Eastern ethnicity was associated with current WTS (odds ratio [OR] = 2.37; 95% confidence interval [CI] = 1.06, 5.34) and ever WTS (OR = 2.59; 95% CI = 1.22, 5.47). South Asian et…
The Struggle for Health Equity
Patterns of Sex and Racial/Ethnic Differences in Patient Health Care Experiences in US Veterans Affairs Hospitals
BACKGROUND: Few studies have assessed sex or racial/ethnic differences in inpatient experiences in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: This study aimed to compare inpatient experiences by sex and race/ethnicity within and between VA hospitals. RESEARCH DESIGN: We used mixed-effects multinomial regression to assess within-facility and between-facility sex and racial/ethnic differences in the 2010 VA Survey of Healthcare Experi…
Understanding Racial and Ethnic Differences in Patient Experiences With Outpatient Health Care in Veterans Affairs Medical Centers
BACKGROUND: Racial and ethnic differences in patient health care experiences have not been well examined in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: To examine racial/ethnic differences in outpatient health care experiences within and between VA medical facilities. RESEARCH DESIGN: We assessed within-facility and between-facility racial/ethnic differences in responses to the 2010 VA Survey of Healthcare Experiences of Patients usi…
US Health Policy Related to Hookah Tobacco Smoking
Objectives. Although US cigarette smoking is decreasing, hookah tobacco smoking (HTS) is an emerging trend associated with substantial toxicant exposure. We assessed how a representative sample of US tobacco control policies may apply to HTS. Methods. We examined municipal, county, and state legal texts applying to the 100 largest US cities. We developed a summary policy variable that distinguished among cities on the basis of how current tobacco…
Use of Antipsychotics Among Older Residents in VA Nursing Homes
BACKGROUND: Antipsychotic medications are commonly prescribed to nursing home residents despite their well-established adverse event profiles. Because little is known about their use in Veterans Affairs (VA) nursing homes [ie, Community Living Centers (CLCs)], we assessed the prevalence and risk factors for antipsychotic use in older residents of VA CLCs. METHODS: This cross-sectional study included 3692 Veterans age 65 or older who were admitted…
Association Between Media Use in Adolescence and Depression in Young Adulthood
Results: Of the 4142 participants (47.5% female and 67.0% white) who were not depressed at baseline and who underwent follow-up assessment, 308 (7.4%) reported symptoms consistent with depression at follow-up. Controlling for all covariates including baseline Center for Epidemiologic Studies–Depression Scale score, those reporting more television use had significantly greater odds of developing depression (odds ratio [95% confidence interval], 1.…
Racial and Ethnic Disparities in Pneumonia Treatment and Mortality
BACKGROUND: The extent to which racial/ethnic disparities in pneumonia care occur within or between hospitals is unclear. OBJECTIVE: Examine within and between-hospital racial/ethnic disparities in quality indicators and mortality for patients hospitalized for pneumonia. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: A total of 1,183,753 non-Hispanic white, African American, and Hispanic adults hospitalized for pneumonia between January 2…
Informed Decision-Making and Colorectal Cancer Screening
BACKGROUND: Current recommendations advise patients to participate in the decision-making for selecting a colorectal cancer (CRC) screening option. The degree to which providers communicate the information necessary to prepare patients for participation in this process is not known. OBJECTIVE: To assess the level of informed decision-making occurring during actual patient-provider communications on CRC screening and test for the association betwe…
Where do people go when they first become homeless? A survey of homeless adults in the USA
The longer a person is homeless, the more likely he or she is to experience poor health and be placed at higher risk for premature death. This makes interventions early in one's homelessness an important prevention strategy. However, little is known about where someone goes for help when they first become homeless and how well those sites are prepared to address the multitude of issues facing a homeless person. In order to address this question, …
Racial Differences in 30-Day Mortality for Pulmonary Embolism
Objectives. Previous studies reported a higher incidence of in-hospital mortality for Black patients who had pulmonary embolism than for White patients. We used a large statewide database to compare 30-day mortality (defined as death within 30 days from the date of latest hospital admission) for Black and White patients who were hospitalized because of pulmonary embolism. Methods. The study cohort consisted of 15531 discharged patients who had be…
Advancing Health Disparities Research Within the Health Care System
We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when d…
The Inner Consultation – how to develop an effective and intuitive consulting style (2e)
By Neighbour, Roger . Radcliffe Publishing Ltd , 2005 , PB £24.95 , 275 pp. ISBN 1-85775-679-7 The Inner Consultation, a sophisticated training manual for general practitioners and primary care physicians, aims to bridge the physician side of a critical gap between patients and physicians: we approach each other with very different expectations. Patients, according to Neighbour, want to know what has happened, why it has happened, why it has happ…
The Role of Race and Genetics in Health Disparities Research
editorial
Advancing Health Disparities Research Within the Health Care System
We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when d…
Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data
Objectives. We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences. Methods. We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients’ health status, clinical management, and adherence to medication by race. Results. Nationally, minority veterans had higher mortality rate…
Health Disparities
Mental Health of Transgender Veterans in US States With and Without Discrimination and Hate Crime Legal Protection
Objectives. To examine whether indicators of community- and state-level lesbian, gay, bisexual, and transgender equality are associated with transgender veterans’ mental health. Methods. We extracted Veterans Administration data for patients who were diagnosed with gender identity disorder, had at least 1 visit in 2013, and lived in a zip code with a Municipality Equality Index score (n = 1640). We examined the associations of whether a state inc…
Where do people go when they first become homeless? A survey of homeless adults in the USA
The longer a person is homeless, the more likely he or she is to experience poor health and be placed at higher risk for premature death. This makes interventions early in one's homelessness an important prevention strategy. However, little is known about where someone goes for help when they first become homeless and how well those sites are prepared to address the multitude of issues facing a homeless person. In order to address this question, …
The Role of Race and Genetics in Health Disparities Research
editorial
Assessing the Quality and Performance of Institutional Review Boards
How well institutional review boards (IRBs) follow Common Rule criteria for levels of initial protocol review has not been systematically evaluated. We compared levels of review as determined using the Office for Human Research Protections (OHRP) human subject regulations decision charts of 313 protocols that had been approved by IRBs. There was a 97.8% agreement between 140 protocols that were reviewed by full board and the levels of review acco…
US Health Policy Related to Hookah Tobacco Smoking
Objectives. Although US cigarette smoking is decreasing, hookah tobacco smoking (HTS) is an emerging trend associated with substantial toxicant exposure. We assessed how a representative sample of US tobacco control policies may apply to HTS. Methods. We examined municipal, county, and state legal texts applying to the 100 largest US cities. We developed a summary policy variable that distinguished among cities on the basis of how current tobacco…
Achieving Health Equity
Using the IRB Researcher Assessment Tool to Guide Quality Improvement
Institutional Review Boards (IRBs) are intended to protect those who participate in research. However, because there is no established measure of IRB quality, it is unclear whether these committees achieve their goal. The IRB Researcher Assessment Tool is a previously validated, internally normed, proxy measure of IRB quality that assesses 45 distinct IRB activities and functions. We administered this instrument to a sample of investigators and I…
Racial Differences in Satisfaction with VA Health Care
Self-Reported Changes in Drug and Alcohol Use After Becoming Homeless
Objectives. We identified substance use patterns and factors associated with increased substance use after users become homeless. Methods. We carried out a 2-city, community-based survey that used population-proportionate sampling of 91 sites with random selection at each site. Results. Five hundred thirty-one adults were interviewed; 78.3% of them met Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition criteria for subst…
The Veterans Health Administration’s Promotion of Health Equity for Racial and Ethnic Minorities
The Department of Veterans Affairs(VA) Health Services Research and Development Service( HSRD) is proud to collaborate with the Journal to publish this special edition highlighting the Third Annual National Minority Health Leadership Summit. The summit, held in Pittsburgh, Pa, in January 2003, was titled “Eliminating Racial and Ethnic Health Disparities: The Role of Community- Based Participatory Research.” It was organized by the Center for Mino…
Differences in Length of Hospital Stay in Patients with Community-Acquired Pneumonia
Fine, Michael J. MD; Singer, Daniel E. MD; Phelps, Amy L. MSc; Hanusa, Barbara H. PhD; Kapoor, Wishwa N. MD Author Information
Variation in the Use of Red Blood Cell Transfusions; A Study of Four Common Medical and Surgical Conditions
This study assessed variation in red cell transfusion practice among adult patients hospitalized with ulcer disease (ULCER), and those undergoing coronary artery bypass grafting (CABG), hip surgery (HIP), or total knee replacement (KNEE). The study design was a retrospective analysis of the 1989 MedisGroups Hospital Comparative Database, and the participants were adult patients presenting for their first admission with ULCER (N = 4,664), CABG (N …
Relationship of Provider Characteristics To Outcomes, Process, And Costs of Care for Community-Acquired Pneumonia
OBJECTIVES: The authors describe the relation of provider characteristics to processes, costs, and outcomes of medical care for elderly patients hospitalized for community-acquired pneumonia. METHODS: Using Medicare claims data, Medicare beneficiaries discharged from Pennsylvania hospitals during 1990 with community-acquired pneumonia were identified. Claims data were used to ascertain mortality, readmissions, use of procedures and physician cons…
The Veterans Health Administration’s Promotion of Health Equity for Racial and Ethnic Minorities
The Department of Veterans Affairs(VA) Health Services Research and Development Service( HSRD) is proud to collaborate with the Journal to publish this special edition highlighting the Third Annual National Minority Health Leadership Summit. The summit, held in Pittsburgh, Pa, in January 2003, was titled “Eliminating Racial and Ethnic Health Disparities: The Role of Community- Based Participatory Research.” It was organized by the Center for Mino…
Achieving Health Equity
Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data
Objectives. We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences. Methods. We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients’ health status, clinical management, and adherence to medication by race. Results. Nationally, minority veterans had higher mortality rate…
Self-Reported Changes in Drug and Alcohol Use After Becoming Homeless
Objectives. We identified substance use patterns and factors associated with increased substance use after users become homeless. Methods. We carried out a 2-city, community-based survey that used population-proportionate sampling of 91 sites with random selection at each site. Results. Five hundred thirty-one adults were interviewed; 78.3% of them met Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition criteria for subst…
Health Disparities
The Inner Consultation – how to develop an effective and intuitive consulting style (2e)
By Neighbour, Roger . Radcliffe Publishing Ltd , 2005 , PB £24.95 , 275 pp. ISBN 1-85775-679-7 The Inner Consultation, a sophisticated training manual for general practitioners and primary care physicians, aims to bridge the physician side of a critical gap between patients and physicians: we approach each other with very different expectations. Patients, according to Neighbour, want to know what has happened, why it has happened, why it has happ…
The Role of Race and Genetics in Health Disparities Research
editorial
Bridging the Gaps Between Race and Genetics
Racial Differences in 30-Day Mortality for Pulmonary Embolism
Objectives. Previous studies reported a higher incidence of in-hospital mortality for Black patients who had pulmonary embolism than for White patients. We used a large statewide database to compare 30-day mortality (defined as death within 30 days from the date of latest hospital admission) for Black and White patients who were hospitalized because of pulmonary embolism. Methods. The study cohort consisted of 15531 discharged patients who had be…
Advancing Health Disparities Research Within the Health Care System
We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when d…
Where do people go when they first become homeless? A survey of homeless adults in the USA
The longer a person is homeless, the more likely he or she is to experience poor health and be placed at higher risk for premature death. This makes interventions early in one's homelessness an important prevention strategy. However, little is known about where someone goes for help when they first become homeless and how well those sites are prepared to address the multitude of issues facing a homeless person. In order to address this question, …
Informed Decision-Making and Colorectal Cancer Screening
BACKGROUND: Current recommendations advise patients to participate in the decision-making for selecting a colorectal cancer (CRC) screening option. The degree to which providers communicate the information necessary to prepare patients for participation in this process is not known. OBJECTIVE: To assess the level of informed decision-making occurring during actual patient-provider communications on CRC screening and test for the association betwe…
Association Between Media Use in Adolescence and Depression in Young Adulthood
Results: Of the 4142 participants (47.5% female and 67.0% white) who were not depressed at baseline and who underwent follow-up assessment, 308 (7.4%) reported symptoms consistent with depression at follow-up. Controlling for all covariates including baseline Center for Epidemiologic Studies–Depression Scale score, those reporting more television use had significantly greater odds of developing depression (odds ratio [95% confidence interval], 1.…
Racial and Ethnic Disparities in Pneumonia Treatment and Mortality
BACKGROUND: The extent to which racial/ethnic disparities in pneumonia care occur within or between hospitals is unclear. OBJECTIVE: Examine within and between-hospital racial/ethnic disparities in quality indicators and mortality for patients hospitalized for pneumonia. RESEARCH DESIGN: Retrospective cohort study. SUBJECTS: A total of 1,183,753 non-Hispanic white, African American, and Hispanic adults hospitalized for pneumonia between January 2…
US Health Policy Related to Hookah Tobacco Smoking
Objectives. Although US cigarette smoking is decreasing, hookah tobacco smoking (HTS) is an emerging trend associated with substantial toxicant exposure. We assessed how a representative sample of US tobacco control policies may apply to HTS. Methods. We examined municipal, county, and state legal texts applying to the 100 largest US cities. We developed a summary policy variable that distinguished among cities on the basis of how current tobacco…
Use of Antipsychotics Among Older Residents in VA Nursing Homes
BACKGROUND: Antipsychotic medications are commonly prescribed to nursing home residents despite their well-established adverse event profiles. Because little is known about their use in Veterans Affairs (VA) nursing homes [ie, Community Living Centers (CLCs)], we assessed the prevalence and risk factors for antipsychotic use in older residents of VA CLCs. METHODS: This cross-sectional study included 3692 Veterans age 65 or older who were admitted…
Understanding Racial and Ethnic Differences in Patient Experiences With Outpatient Health Care in Veterans Affairs Medical Centers
BACKGROUND: Racial and ethnic differences in patient health care experiences have not been well examined in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: To examine racial/ethnic differences in outpatient health care experiences within and between VA medical facilities. RESEARCH DESIGN: We assessed within-facility and between-facility racial/ethnic differences in responses to the 2010 VA Survey of Healthcare Experiences of Patients usi…
Associations Between Race, Ethnicity, Religion, and Waterpipe Tobacco Smoking
We surveyed a random sample of 852 students at a large university in 2010-2011 to clarify associations between waterpipe tobacco smoking (WTS), ethnicity, and religion. Current (past 30 day) WTS was reported by 116 (14%) students, and 331 (39%) reported ever WTS. Middle Eastern ethnicity was associated with current WTS (odds ratio [OR] = 2.37; 95% confidence interval [CI] = 1.06, 5.34) and ever WTS (OR = 2.59; 95% CI = 1.22, 5.47). South Asian et…
The Struggle for Health Equity
Patterns of Sex and Racial/Ethnic Differences in Patient Health Care Experiences in US Veterans Affairs Hospitals
BACKGROUND: Few studies have assessed sex or racial/ethnic differences in inpatient experiences in the Veterans Affairs (VA) Healthcare System. OBJECTIVES: This study aimed to compare inpatient experiences by sex and race/ethnicity within and between VA hospitals. RESEARCH DESIGN: We used mixed-effects multinomial regression to assess within-facility and between-facility sex and racial/ethnic differences in the 2010 VA Survey of Healthcare Experi…
Using the IRB Researcher Assessment Tool to Guide Quality Improvement
Institutional Review Boards (IRBs) are intended to protect those who participate in research. However, because there is no established measure of IRB quality, it is unclear whether these committees achieve their goal. The IRB Researcher Assessment Tool is a previously validated, internally normed, proxy measure of IRB quality that assesses 45 distinct IRB activities and functions. We administered this instrument to a sample of investigators and I…
Racial Differences in Satisfaction with VA Health Care
Medicine (29 obras) · Internal Medicine (14 obras) · Internal Medicine (12 obras) · Political science (10 obras) · Demography (9 obras) · Environmental health (9 obras) · Primary Care and Health Outcomes (9 obras) · Psychology (9 obras) · Family medicine (8 obras) · Gerontology (8 obras)