Stuart R Lipsitz
Dados Biográficos
| ID | 5536880 |
|---|---|
| NOME | Stuart R Lipsitz |
| PRENOMES | Stuart R |
| SOBRENOME | Lipsitz |
| ASSINATURA | LIPSITZ S R |
| AFILIAÇÕES | Brigham and Women's Hospital |
| ORCID | 0000-0003-2619-1389 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAÇÕES | 3 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
Knowledge of Medical Interpretation Rights Among Individuals With Non-English Language Preference
OBJECTIVES: We aimed to identify demographic, acculturation, and health care factors associated with self-reported knowledge of the right to medical interpretation among individuals with non-English language preference (NELP) in California. BACKGROUND: NELP is a significant social determinant of health contributing to adverse health outcomes through barriers in communication, limited health literacy, and biases in care delivery. The ability of pa…
Permutation Tests for Assessing Potential Non-Linear Associations between Treatment Use and Multivariate Clinical Outcomes
In many psychometric applications, the relationship between the mean of an outcome and a quantitative covariate is too complex to be described by simple parametric functions; instead, flexible nonlinear relationships can be incorporated using penalized splines. Penalized splines can be conveniently represented as a linear mixed effects model (LMM), where the coefficients of the spline basis functions are random effects. The LMM representation of …
Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program
This economic evaluation found that fall-related adverse events represented a clinical and financial burden to health care systems and that the current Medicare policy limits reimbursement. In this study, costs of falls only differed marginally by injury level. Policies that incentivize organizations to implement evidence-based strategies that reduce the incidence of all falls may be effective in reducing both harm and costs
Does adherence to evidence-based practices during childbirth prevent perinatal mortality? A post-hoc analysis of 3,274 births in Uttar Pradesh, India
BACKGROUND: Evidence-based practices that reduce childbirth-related morbidity and mortality are core processes to quality of care. In the BetterBirth trial, a matched-pair, cluster-randomised controlled trial of a coaching-based implementation of the WHO Safe Childbirth Checklist (SCC) in Uttar Pradesh, India, we observed a significant increase in adherence to practices, but no reduction in perinatal mortality. METHODS: Within the BetterBirth tri…
The Impact of Alternative Payment in Chronically Ill and Older Patients in the Patient-centered Medical Home
BACKGROUND: Patient-centered medical home (PCMH) has gained prominence as a promising model to encourage improved primary care delivery. There is a paucity of studies that evaluate the impact of payment models in the PCMH. OBJECTIVES: We sought to examine whether coupling coordinated, team-based care transformation plan with a novel reimbursement model affects outcomes related to expenditures and utilization. RESEARCH DESIGN: Interrupted time-ser…
Beyond Volume
BACKGROUND: Hospitals show wide variation in outcomes and systems of care. It is unclear whether hospital complexity-the range of services and technologies provided-affects outcomes and in what direction. We sought to determine whether complexity was associated with inpatient surgical mortality. METHODS: Using national Medicare data, we identified all fee-for-service inpatients who underwent 1 of 5 common high-risk surgical procedures in 2008-200…
Impact of Hospital Teaching Intensity on Quality of Care and Patient Outcomes
BACKGROUND: Proposed changes to financing of teaching hospitals and new quality-based performance incentives may differentially impact the financial health of teaching and safety-net institutions. Few data have examined the potential impact of these financial changes on teaching institutions. OBJECTIVES: To determine the association of hospital teaching intensity with processes and outcomes of care for the most common inpatient diagnoses in the U…
Temporal Variation in Surgical Mortality Within French Hospitals
BACKGROUND: Surgical mortality varies widely across hospitals, but the degree of temporal variation within individual hospitals remains unexplored and may reflect unsafe care. OBJECTIVES: To add a longitudinal dimension to large-scale profiling efforts for interpreting surgical mortality variations over time within individual hospitals. DESIGN: Longitudinal analysis of the French nationwide hospital database using statistical process control meth…
Case Management Intervention in Cervical Cancer Prevention
Case Management Intervention in Cervical Cancer Prevention
Exposure to case management was associated with regular Pap smear screening among women who recently engaged in screening. Future research should focus on systems changes to address social determinants of health, including strategies to facilitate screening for Black women without social support for childcare. To improve follow-up of abnormal results, financial access to care should be addressed
Patient Predictors of Colposcopy Comprehension of Consent Among English- and Spanish-Speaking Women
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
BACKGROUND: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. We hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and deaths associated with surgery. METHODS: Between October 2007 and September 2008, eight h…
Differences in Cardiovascular Disease Mortality Associated With Body Mass Between Black and White Persons
We analyzed cardiovascular disease mortality risks associated with obesity using participant-level meta-analysis of data from the Black Pooling Project for Black and White individuals. The adjusted relative risks (ARRs) were stronger among White participants than among Black participants for coronary heart disease AAR=1.21 (95% confidence interval [CI]=1.07, 1.36) versus 0.87 (95% CI=0.69, 1.09), respectively, and cardiovascular disease ARR=1.18 …
Impact of nutrients on insulin-like growth factor-I, insulin-like growth factor binding protein-3 and their ratio in African American and white males
Objective Higher levels of insulin-like growth factor-I (IGF-I) and lower levels of IGF binding protein-3 (IGFBP-3) have been associated with an increased risk of prostate cancer. Nutrition is known to partially regulate IGF levels and it is possible that nutritional factors mediate the impact of IGF levels on prostate cancer risk. Design A cross-sectional analysis of the impact of nutritional factors measured by a dietary questionnaire on plasma…
Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina
Multiple Imputation in Practice
Missing data frequently complicates data analysis for scientific investigations. The development of statistical methods to address missing data has been an active area of research in recent decades. Multiple imputation, originally proposed by Rubin in a public use dataset setting, is a general purpose method for analyzing datasets with missing data that is broadly applicable to a variety of missing data settings. We review multiple imputation as …
Differences in Cardiovascular Disease Mortality Associated With Body Mass Between Black and White Persons
We analyzed cardiovascular disease mortality risks associated with obesity using participant-level meta-analysis of data from the Black Pooling Project for Black and White individuals. The adjusted relative risks (ARRs) were stronger among White participants than among Black participants for coronary heart disease AAR=1.21 (95% confidence interval [CI]=1.07, 1.36) versus 0.87 (95% CI=0.69, 1.09), respectively, and cardiovascular disease ARR=1.18 …
Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina
Multiple Imputation in Practice
Missing data frequently complicates data analysis for scientific investigations. The development of statistical methods to address missing data has been an active area of research in recent decades. Multiple imputation, originally proposed by Rubin in a public use dataset setting, is a general purpose method for analyzing datasets with missing data that is broadly applicable to a variety of missing data settings. We review multiple imputation as …
Geographical patterns of end-stage renal disease incidence and risk factors in rural and urban areas of South Carolina
Impact of nutrients on insulin-like growth factor-I, insulin-like growth factor binding protein-3 and their ratio in African American and white males
Objective Higher levels of insulin-like growth factor-I (IGF-I) and lower levels of IGF binding protein-3 (IGFBP-3) have been associated with an increased risk of prostate cancer. Nutrition is known to partially regulate IGF levels and it is possible that nutritional factors mediate the impact of IGF levels on prostate cancer risk. Design A cross-sectional analysis of the impact of nutritional factors measured by a dietary questionnaire on plasma…
Differences in Cardiovascular Disease Mortality Associated With Body Mass Between Black and White Persons
We analyzed cardiovascular disease mortality risks associated with obesity using participant-level meta-analysis of data from the Black Pooling Project for Black and White individuals. The adjusted relative risks (ARRs) were stronger among White participants than among Black participants for coronary heart disease AAR=1.21 (95% confidence interval [CI]=1.07, 1.36) versus 0.87 (95% CI=0.69, 1.09), respectively, and cardiovascular disease ARR=1.18 …
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
BACKGROUND: Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. We hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and deaths associated with surgery. METHODS: Between October 2007 and September 2008, eight h…
Patient Predictors of Colposcopy Comprehension of Consent Among English- and Spanish-Speaking Women
Case Management Intervention in Cervical Cancer Prevention
Case Management Intervention in Cervical Cancer Prevention
Exposure to case management was associated with regular Pap smear screening among women who recently engaged in screening. Future research should focus on systems changes to address social determinants of health, including strategies to facilitate screening for Black women without social support for childcare. To improve follow-up of abnormal results, financial access to care should be addressed
Impact of Hospital Teaching Intensity on Quality of Care and Patient Outcomes
BACKGROUND: Proposed changes to financing of teaching hospitals and new quality-based performance incentives may differentially impact the financial health of teaching and safety-net institutions. Few data have examined the potential impact of these financial changes on teaching institutions. OBJECTIVES: To determine the association of hospital teaching intensity with processes and outcomes of care for the most common inpatient diagnoses in the U…
Temporal Variation in Surgical Mortality Within French Hospitals
BACKGROUND: Surgical mortality varies widely across hospitals, but the degree of temporal variation within individual hospitals remains unexplored and may reflect unsafe care. OBJECTIVES: To add a longitudinal dimension to large-scale profiling efforts for interpreting surgical mortality variations over time within individual hospitals. DESIGN: Longitudinal analysis of the French nationwide hospital database using statistical process control meth…
Beyond Volume
BACKGROUND: Hospitals show wide variation in outcomes and systems of care. It is unclear whether hospital complexity-the range of services and technologies provided-affects outcomes and in what direction. We sought to determine whether complexity was associated with inpatient surgical mortality. METHODS: Using national Medicare data, we identified all fee-for-service inpatients who underwent 1 of 5 common high-risk surgical procedures in 2008-200…
The Impact of Alternative Payment in Chronically Ill and Older Patients in the Patient-centered Medical Home
BACKGROUND: Patient-centered medical home (PCMH) has gained prominence as a promising model to encourage improved primary care delivery. There is a paucity of studies that evaluate the impact of payment models in the PCMH. OBJECTIVES: We sought to examine whether coupling coordinated, team-based care transformation plan with a novel reimbursement model affects outcomes related to expenditures and utilization. RESEARCH DESIGN: Interrupted time-ser…
Does adherence to evidence-based practices during childbirth prevent perinatal mortality? A post-hoc analysis of 3,274 births in Uttar Pradesh, India
BACKGROUND: Evidence-based practices that reduce childbirth-related morbidity and mortality are core processes to quality of care. In the BetterBirth trial, a matched-pair, cluster-randomised controlled trial of a coaching-based implementation of the WHO Safe Childbirth Checklist (SCC) in Uttar Pradesh, India, we observed a significant increase in adherence to practices, but no reduction in perinatal mortality. METHODS: Within the BetterBirth tri…
Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program
This economic evaluation found that fall-related adverse events represented a clinical and financial burden to health care systems and that the current Medicare policy limits reimbursement. In this study, costs of falls only differed marginally by injury level. Policies that incentivize organizations to implement evidence-based strategies that reduce the incidence of all falls may be effective in reducing both harm and costs
Permutation Tests for Assessing Potential Non-Linear Associations between Treatment Use and Multivariate Clinical Outcomes
In many psychometric applications, the relationship between the mean of an outcome and a quantitative covariate is too complex to be described by simple parametric functions; instead, flexible nonlinear relationships can be incorporated using penalized splines. Penalized splines can be conveniently represented as a linear mixed effects model (LMM), where the coefficients of the spline basis functions are random effects. The LMM representation of …
Knowledge of Medical Interpretation Rights Among Individuals With Non-English Language Preference
OBJECTIVES: We aimed to identify demographic, acculturation, and health care factors associated with self-reported knowledge of the right to medical interpretation among individuals with non-English language preference (NELP) in California. BACKGROUND: NELP is a significant social determinant of health contributing to adverse health outcomes through barriers in communication, limited health literacy, and biases in care delivery. The ability of pa…
Medicine (13 obras) · Health care (6 obras) · Internal Medicine (6 obras) · Emergency Medicine (5 obras) · Cancer (4 obras) · Demography (4 obras) · Emergency Medicine (4 obras) · Internal Medicine (4 obras) · Mortality rate (4 obras) · Nursing (4 obras)