2024
Measuring Equity in Readmission as a Distinct Assessment of Hospital Performance
Nash K, Weerahandi H, Yu H, Venkatesh A, Holaday L, Herrin J, Lin Z, Horwitz L, Ross J, Bernheim S. Measuring Equity in Readmission as a Distinct Assessment of Hospital Performance. JAMA 2024, 331: 111-123. PMID: 38193960, PMCID: PMC10777266, DOI: 10.1001/jama.2023.24874.Peer-Reviewed Original ResearchConceptsBlack patientsPatient populationHospital characteristicsHospital-wide readmission measureDual-eligible patientsHospital patient populationCross-sectional studyMeasures of hospitalHealth care qualityPatient demographicsReadmission ratesClinical outcomesPatient raceEligible hospitalsReadmissionMAIN OUTCOMEReadmission measuresMedicare dataUS hospitalsHospitalCare qualityPatientsMedicaid ServicesOutcomesLower percentage
2019
The Value of Interracial Contact for Reducing Anti-Black Bias Among Non-Black Physicians: A Cognitive Habits and Growth Evaluation (CHANGE) Study Report
Onyeador IN, Wittlin NM, Burke SE, Dovidio JF, Perry SP, Hardeman RR, Dyrbye LN, Herrin J, Phelan SM, van Ryn M. The Value of Interracial Contact for Reducing Anti-Black Bias Among Non-Black Physicians: A Cognitive Habits and Growth Evaluation (CHANGE) Study Report. Psychological Science 2019, 31: 18-30. PMID: 31743078, PMCID: PMC6966250, DOI: 10.1177/0956797619879139.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanCurriculumEducation, Medical, GraduateFemaleHealthcare DisparitiesHumansInternship and ResidencyInterprofessional RelationsLongitudinal StudiesMalePhysician-Patient RelationsPrejudiceRacismRegression AnalysisSchools, MedicalSocioeconomic FactorsStudents, MedicalUnited StatesConceptsAnti-Black biasNon-Black physiciansInterracial contactImplicit biasDiversity trainingImplicit racial biasQuality of contactPrejudice reductionBaseline biasCognitive habitsRacial biasLongitudinal studyRacial climateImpactful experiencesTrainingMedical school environmentBiasPrevious contactMedical residencySchoolsPrejudiceExperienceMedical schoolsInquiryRacial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults With Diabetes
Rodriguez-Gutierrez R, Herrin J, Lipska KJ, Montori VM, Shah ND, McCoy RG. Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults With Diabetes. JAMA Network Open 2019, 2: e1913249. PMID: 31603490, PMCID: PMC6804020, DOI: 10.1001/jamanetworkopen.2019.13249.Peer-Reviewed Original ResearchMeSH KeywordsAdministrative Claims, HealthcareAgedAged, 80 and overAsianBlack or African AmericanComorbidityDiabetes ComplicationsEthnicityFemaleHispanic or LatinoHospital Bed Capacity, 300 to 499Hospital Bed Capacity, 500 and overHospitals, UniversityHospitals, VoluntaryHumansIncomeMaleMiddle AgedMinority GroupsPatient ReadmissionRacial GroupsRetrospective StudiesUnited StatesWhite PeopleConceptsCause readmissionIndex hospitalizationBlack patientsWhite patientsUS adultsHigh riskAdministrative claims data setsHospital-level risk factorsEthnic differencesLarge hospitalsPlace of hospitalizationDays of dischargeRetrospective cohort studyLow-income patientsMedicare Advantage beneficiariesSystem-level factorsClaims data setsHealth care qualityRace/ethnicityCohort studyReadmission ratesAdult patientsHospital readmissionHispanic patientsReadmission riskAssociation of Racial Bias With Burnout Among Resident Physicians
Dyrbye L, Herrin J, West CP, Wittlin NM, Dovidio JF, Hardeman R, Burke SE, Phelan S, Onyeador IN, Cunningham B, van Ryn M. Association of Racial Bias With Burnout Among Resident Physicians. JAMA Network Open 2019, 2: e197457. PMID: 31348503, PMCID: PMC6661712, DOI: 10.1001/jamanetworkopen.2019.7457.Peer-Reviewed Original ResearchConceptsSymptoms of burnoutResident physiciansFT scoreRacial disparitiesDose-response associationHealth careDirect patient interactionResident physician trainingCohort studyBlack patientsMultivariable analysisPhysician respondentsHigh prevalenceMAIN OUTCOMEWhite raceMedical careBurnout itemsSymptomsPhysiciansPatient interactionsMaslach Burnout InventoryPhysician trainingTime pointsCareScarce evidence
2015
Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report
van Ryn M, Hardeman R, Phelan SM, PhD D, Dovidio JF, Herrin J, Burke SE, Nelson DB, Perry S, Yeazel M, Przedworski JM. Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report. Journal Of General Internal Medicine 2015, 30: 1748-1756. PMID: 26129779, PMCID: PMC4636581, DOI: 10.1007/s11606-015-3447-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelBlack or African AmericanCurriculumEducation, Medical, UndergraduateFemaleHealthcare DisparitiesHumansInterprofessional RelationsLongitudinal StudiesMaleMiddle AgedPhysician-Patient RelationsRacismSchools, MedicalSocioeconomic FactorsStudents, MedicalYoung AdultConceptsMedical schoolsSelf-assessed skillsBlack-White Implicit Association TestSchool experiencesLast semesterMedical school experienceU.S. medical schoolsImplicit racial attitudesRole model behaviorsInformal curriculumRacial biasFormal curriculumStudent reportsFirst semesterMedical educationRacial attitudesRacial climateImplicit racial biasSchoolsAfrican American physiciansCultural competenceSemesterCurriculumNegative commentsStudents
2013
HIV Screening Practices and Hospital Characteristics in the U.S., 2009–2010
Herrin J, Wesolowski LG, Heffelfinger JD, Bostick N, Hall HI, Ethridge SF, Branson BM. HIV Screening Practices and Hospital Characteristics in the U.S., 2009–2010. Public Health Reports 2013, 128: 161-169. PMID: 23633731, PMCID: PMC3610068, DOI: 10.1177/003335491312800306.Peer-Reviewed Original ResearchConceptsHospital characteristicsU.S. health care settingsMultivariate logistic regression analysisHIV screening practicesUndiagnosed HIV infectionHIV testing practicesNational hospital surveyLogistic regression analysisHealth care settingsType of hospitalCharacteristics of hospitalsAreas of prevalenceHIV screeningHIV infectionMultivariable analysisHIV prevalenceScreening practicesTeaching hospitalAnnual admissionsMedicaid patientsHospital SurveyPatientsHospitalBivariate analysisDisease control
2010
Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure
Chaudhry SI, Herrin J, Phillips C, Butler J, Mukerjhee S, Murillo J, Onwuanyi A, Seto TB, Spertus J, Krumholz HM. Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure. Journal Of Cardiac Failure 2010, 17: 122-127. PMID: 21300301, PMCID: PMC3053061, DOI: 10.1016/j.cardfail.2010.09.016.Peer-Reviewed Original ResearchConceptsHeart failure patientsHealth literacyFailure patientsHeart failureInsurance statusWorse health literacyOutpatient medical careRacial differencesImportant racial differencesNoncardiac comorbiditiesUnadjusted analysesBlack raceCare existMedical homePatientsMedical careRacial disparitiesSocioeconomic statusStrong associationPotential mediatorsHealth carePoor accessCareSocial supportStatusPatterns of moderate and vigorous physical activity in obese and overweight compared with non‐overweight children
DORSEY KB, HERRIN J, KRUMHOLZ HM. Patterns of moderate and vigorous physical activity in obese and overweight compared with non‐overweight children. Pediatric Obesity 2010, 6: e547-e555. PMID: 20883127, PMCID: PMC3815589, DOI: 10.3109/17477166.2010.490586.Peer-Reviewed Original ResearchConceptsVigorous physical activityOW/OBNon-overweight childrenMVPA boutsPhysical activityGreater body mass index z-scoreVPA boutsOW/OB groupBody mass index z-scoreMean daily MVPANon-overweight groupLess physical activityIndex z-scoreMinutes of MVPANon-overweight peersObese childrenObese participantsOverweight childrenOB groupDaily MVPASustained MVPADistinct patternsOB participantsMVPAConsecutive bouts
2004
Predictors of cardiologist care for older patients hospitalized for heart failure
Foody JM, Rathore SS, Wang Y, Herrin J, Masoudi FA, Havranek EP, Radford MJ, Krumholz HM. Predictors of cardiologist care for older patients hospitalized for heart failure. American Heart Journal 2004, 147: 66-73. PMID: 14691421, DOI: 10.1016/j.ahj.2003.07.005.Peer-Reviewed Original ResearchConceptsHeart failureSpecialty careOlder patientsMultivariable hierarchical logistic regression modelsCoronary Artery Bypass GraftingChronic obstructive pulmonary diseasePercutaneous transluminal coronary angioplastyArtery Bypass GraftingHeart failure careObstructive pulmonary diseaseTransluminal coronary angioplastyHierarchical logistic regression modelsLogistic regression modelsCardiologist careBypass GraftingHospital factorsPatient characteristicsCardiology consultCoronary angioplastyCoronary diseasePulmonary diseaseClinical presentationCardiology carePatient raceMedicare patients
2003
Race, Quality of Care, and Outcomes of Elderly Patients Hospitalized With Heart Failure
Rathore SS, Foody JM, Wang Y, Smith GL, Herrin J, Masoudi FA, Wolfe P, Havranek EP, Ordin DL, Krumholz HM. Race, Quality of Care, and Outcomes of Elderly Patients Hospitalized With Heart Failure. JAMA 2003, 289: 2517-2524. PMID: 12759323, DOI: 10.1001/jama.289.19.2517.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngiotensin-Converting Enzyme InhibitorsBlack or African AmericanFee-for-Service PlansFemaleHeart FailureHospitalsHumansMaleMedicareMultivariate AnalysisOutcome Assessment, Health CarePatient ReadmissionQuality of Health CareRetrospective StudiesSurvival AnalysisUnited StatesVentricular Function, LeftWhite PeopleConceptsLeft ventricular ejection fractionQuality of careACE inhibitor useWhite patientsBlack patientsHeart failureYear of dischargeACE inhibitorsMultivariable adjustmentInhibitor useLVEF assessmentCrude rateMedicare beneficiariesMortality rateAngiotensin receptor blocker useNational Heart Failure ProjectBlack Medicare patientsHeart Failure ProjectPrescription of angiotensinReceptor blocker useHigh rateVentricular ejection fractionYear of admissionHigher crude ratesService Medicare beneficiaries