Asaf Bitton
Dados Biográficos
| ID | 98760 |
|---|---|
| NOME | Asaf Bitton |
| PRENOMES | Asaf |
| SOBRENOME | Bitton |
| ASSINATURA | BITTON A |
| AFILIAÇÕES | Brigham and Women's Hospital |
| ORCID | 0000-0002-3633-3806 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2006 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2022 |
| ÍNDICE H | 0 |
Measuring Graduate Medical Education Outcomes to Honor the Social Contract
The graduate medical education (GME) system is heavily subsidized by the public in return for producing physicians who meet society’s needs. Under the terms of this implicit social contract, decisions about how this funding is allocated are deferred to the individual training sites. Institutions receiving public funding face potential conflicts of interest, which have at times prioritized institutional purposes and needs over societal needs, high…
Strengthening data collection and use for quality improvement in primary care
Costa Rica is a bright spot of primary healthcare (PHC) performance, providing first-contact accessibility and continuous, comprehensive, coordinated, and patient-centered care to its citizens. Previous research hypothesized that strong data collection and use for quality improvement are central to Costa Rica’s success. Using qualitative data from 40 interviews with stakeholders across the Costa Rican healthcare system, this paper maps the variou…
Implementing sustainable primary healthcare reforms
As the world strives to achieve universal health coverage by 2030, countries must build robust healthcare systems founded on strong primary healthcare (PHC). In order to strengthen PHC, country governments need actionable guidance about how to implement health reform. Costa Rica is an example of a country that has taken concrete steps towards successfully improving PHC over the last two decades. In the 1990s, Costa Rica implemented three key refo…
Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015
Importance: Recent US health care reforms incentivize improved population health outcomes and primary care functions. It remains unclear how much improving primary care physician supply can improve population health, independent of other health care and socioeconomic factors. Objectives: To identify primary care physician supply changes across US counties from 2005-2015 and associations between such changes and population mortality. Design, Setti…
Does quality influence utilization of primary health care? Evidence from Haiti
BACKGROUND: Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. METHODS:…
Building resilient health systems
Health system resilience begins with measurement of critical capacities ahead of crisis say Margaret E Kruk and colleagues
A systematic tale of two differing reviews
Systematic reviews are powerful tools for summarizing vast amounts of data in controversial areas; but their utility is limited by methodological choices and assumptions. Two systematic reviews of literature on the quality of private sector primary care in low and middle income countries (LMIC), published in the same journal within a year, reached conflicting conclusions. The difference in findings reflects different review methodologies, but mor…
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…
Implications of Workforce and Financing Changes for Primary Care Practice Utilization, Revenue, and Cost
BACKGROUND: Primary care practice transformations require tools for policymakers and practice managers to understand the financial implications of workforce and reimbursement changes. OBJECTIVE: To create a simulation model to understand how practice utilization, revenues, and expenses may change in the context of workforce and financing changes. RESEARCH DESIGN: We created a simulation model estimating clinic-level utilization, revenues, and exp…
Quality and Equity of Primary Care With Patient-Centered Medical Homes
BACKGROUND: The patient-centered medical home (PCMH) model has gained support, but the impact of this model on the quality and equity of care merits further evaluation. OBJECTIVE: To determine if PCMHs are associated with improved quality and equity in pediatric primary care. RESEARCH DESIGN: Using the 2007/2008 National Survey of Children's Health, a nationally representative survey of parents/guardians of children (age, 0-17 y), we evaluated th…
Regarding the Prevention of Global Chronic Disease
It was with great interest that we read the recent article “The Prevention of Global Chronic Disease: Academic Public Health's New Frontier” by Greenberg et al.1 As members of the Young Professionals’ Chronic Disease network, we believe that the importance of educating and training the next generation for global chronic disease prevention and control has been largely missing in current calls to action.2 In light of the projected human resource sh…
Who is on the Home Team? Redefining the Relationship Between Primary and Specialty Care in the Patient-Centered Medical Home
Enabling access to new WHO essential medicines
Nicotine replacement therapies (NRT) are powerful tools for the successful treatment of nicotine addiction and tobacco use. The medicines are clinically effective, supported by the Framework Convention on Tobacco Control, and are now World Health Organization-approved essential medicines. Enabling global access to NRT remains a challenge given ongoing confusion and misperceptions about their efficacy, cost-effectiveness, and availability with res…
Anger expression and lifestyle incongruity interactions on blood pressure in Samoan adults
Prior research on psychosocial stress and blood pressure (BP) in adult Samoans identified the separate influences of lifestyle incongruity and anger expression within the context of societal modernization. The objective of this cross‐sectional study was to determine the interactions between lifestyle incongruity and anger expression on BP in 376 men and women 25–65 years of age from Samoa. Participants were randomly selected from nine villages. B…
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Anger expression and lifestyle incongruity interactions on blood pressure in Samoan adults
Prior research on psychosocial stress and blood pressure (BP) in adult Samoans identified the separate influences of lifestyle incongruity and anger expression within the context of societal modernization. The objective of this cross‐sectional study was to determine the interactions between lifestyle incongruity and anger expression on BP in 376 men and women 25–65 years of age from Samoa. Participants were randomly selected from nine villages. B…
Enabling access to new WHO essential medicines
Nicotine replacement therapies (NRT) are powerful tools for the successful treatment of nicotine addiction and tobacco use. The medicines are clinically effective, supported by the Framework Convention on Tobacco Control, and are now World Health Organization-approved essential medicines. Enabling global access to NRT remains a challenge given ongoing confusion and misperceptions about their efficacy, cost-effectiveness, and availability with res…
Regarding the Prevention of Global Chronic Disease
It was with great interest that we read the recent article “The Prevention of Global Chronic Disease: Academic Public Health's New Frontier” by Greenberg et al.1 As members of the Young Professionals’ Chronic Disease network, we believe that the importance of educating and training the next generation for global chronic disease prevention and control has been largely missing in current calls to action.2 In light of the projected human resource sh…
Who is on the Home Team? Redefining the Relationship Between Primary and Specialty Care in the Patient-Centered Medical Home
Quality and Equity of Primary Care With Patient-Centered Medical Homes
BACKGROUND: The patient-centered medical home (PCMH) model has gained support, but the impact of this model on the quality and equity of care merits further evaluation. OBJECTIVE: To determine if PCMHs are associated with improved quality and equity in pediatric primary care. RESEARCH DESIGN: Using the 2007/2008 National Survey of Children's Health, a nationally representative survey of parents/guardians of children (age, 0-17 y), we evaluated th…
Implications of Workforce and Financing Changes for Primary Care Practice Utilization, Revenue, and Cost
BACKGROUND: Primary care practice transformations require tools for policymakers and practice managers to understand the financial implications of workforce and reimbursement changes. OBJECTIVE: To create a simulation model to understand how practice utilization, revenues, and expenses may change in the context of workforce and financing changes. RESEARCH DESIGN: We created a simulation model estimating clinic-level utilization, revenues, and exp…
Building resilient health systems
Health system resilience begins with measurement of critical capacities ahead of crisis say Margaret E Kruk and colleagues
A systematic tale of two differing reviews
Systematic reviews are powerful tools for summarizing vast amounts of data in controversial areas; but their utility is limited by methodological choices and assumptions. Two systematic reviews of literature on the quality of private sector primary care in low and middle income countries (LMIC), published in the same journal within a year, reached conflicting conclusions. The difference in findings reflects different review methodologies, but mor…
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 quality influence utilization of primary health care? Evidence from Haiti
BACKGROUND: Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. METHODS:…
Association of Primary Care Physician Supply With Population Mortality in the United States, 2005-2015
Importance: Recent US health care reforms incentivize improved population health outcomes and primary care functions. It remains unclear how much improving primary care physician supply can improve population health, independent of other health care and socioeconomic factors. Objectives: To identify primary care physician supply changes across US counties from 2005-2015 and associations between such changes and population mortality. Design, Setti…
Implementing sustainable primary healthcare reforms
As the world strives to achieve universal health coverage by 2030, countries must build robust healthcare systems founded on strong primary healthcare (PHC). In order to strengthen PHC, country governments need actionable guidance about how to implement health reform. Costa Rica is an example of a country that has taken concrete steps towards successfully improving PHC over the last two decades. In the 1990s, Costa Rica implemented three key refo…
Strengthening data collection and use for quality improvement in primary care
Costa Rica is a bright spot of primary healthcare (PHC) performance, providing first-contact accessibility and continuous, comprehensive, coordinated, and patient-centered care to its citizens. Previous research hypothesized that strong data collection and use for quality improvement are central to Costa Rica’s success. Using qualitative data from 40 interviews with stakeholders across the Costa Rican healthcare system, this paper maps the variou…
Measuring Graduate Medical Education Outcomes to Honor the Social Contract
The graduate medical education (GME) system is heavily subsidized by the public in return for producing physicians who meet society’s needs. Under the terms of this implicit social contract, decisions about how this funding is allocated are deferred to the individual training sites. Institutions receiving public funding face potential conflicts of interest, which have at times prioritized institutional purposes and needs over societal needs, high…
Medicine (10 obras) · Health care (8 obras) · Nursing (8 obras) · Primary Care and Health Outcomes (7 obras) · Healthcare Policy and Management (6 obras) · Business (5 obras) · Environmental health (5 obras) · Healthcare Systems and Reforms (5 obras) · Political science (5 obras) · Public health (5 obras)