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
2021
National Trends in Racial and Ethnic Disparities in Antihypertensive Medication Use and Blood Pressure Control Among Adults With Hypertension, 2011–2018
Lu Y, Liu Y, Dhingra LS, Massey D, Caraballo C, Mahajan S, Spatz ES, Onuma O, Herrin J, Krumholz HM. National Trends in Racial and Ethnic Disparities in Antihypertensive Medication Use and Blood Pressure Control Among Adults With Hypertension, 2011–2018. Hypertension 2021, 79: 207-217. PMID: 34775785, DOI: 10.1161/hypertensionaha.121.18381.Peer-Reviewed Original ResearchConceptsAntihypertensive medication usePoor hypertension controlOverall treatment rateLow control rateHypertension controlHypertension awarenessMedication useControl rateHispanic individualsEthnic differencesTreatment ratesBlack individualsGuideline-recommended medicationsBlood pressure controlWhite individualsNutrition Examination SurveyLow awareness rateAntihypertensive medicationsHypertensive peopleExamination SurveyIntensive medicationNational HealthAwareness rateEthnic disparitiesPressure controlTrends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018
Mahajan S, Caraballo C, Lu Y, Valero-Elizondo J, Massey D, Annapureddy AR, Roy B, Riley C, Murugiah K, Onuma O, Nunez-Smith M, Forman HP, Nasir K, Herrin J, Krumholz HM. Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018. JAMA 2021, 326: 637-648. PMID: 34402830, PMCID: PMC8371573, DOI: 10.1001/jama.2021.9907.Peer-Reviewed Original ResearchConceptsHealth care accessFair health statusSelf-reported health statusCare accessHealth statusWhite individualsEthnic differencesLatino/HispanicNational Health Interview Survey dataSerial cross-sectional studySelf-reported functional limitationsBlack individualsHealth Interview Survey dataLow incomeCross-sectional studyCross-sectional survey studyInterview Survey dataSelf-reported raceSelf-report measuresMAIN OUTCOMEUS adultsFunctional limitationsPercentage of peopleSignificant decreaseAdults
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 schoolsInquiryMeasuring hospital‐specific disparities by dual eligibility and race to reduce health inequities
Lloren A, Liu S, Herrin J, Lin Z, Zhou G, Wang Y, Kuang M, Zhou S, Farietta T, McCole K, Charania S, Sheares K, Bernheim S. Measuring hospital‐specific disparities by dual eligibility and race to reduce health inequities. Health Services Research 2019, 54: 243-254. PMID: 30666634, PMCID: PMC6341208, DOI: 10.1111/1475-6773.13108.Peer-Reviewed Original ResearchConceptsAfrican American racePatient case mixDual eligibilityReadmission ratesAmerican raceRisk-standardized outcomesHigher readmission ratesDual eligibility statusAcute myocardial infarctionAfrican American patientsRisk-standardized readmission ratesAcute care hospitalsQuality of careMedicaid Services methodologyHealth care qualityHospital disparitiesCare hospitalHeart failureInpatient admissionsMyocardial infarctionAmerican patientsMedicare patientsCase mixHealth outcomesHospital
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
Variation in Receipt of Radiation Therapy After Breast-conserving Surgery
Feinstein AJ, Soulos PR, Long JB, Herrin J, Roberts KB, Yu JB, Gross CP. Variation in Receipt of Radiation Therapy After Breast-conserving Surgery. Medical Care 2013, 51: 330-338. PMID: 23151590, PMCID: PMC3596448, DOI: 10.1097/mlr.0b013e31827631b0.Peer-Reviewed Original ResearchConceptsUse of RTShort life expectancyRadiation therapyBreast cancerLife expectancyPrimary surgeonStage I breast cancerEarly-stage breast cancerRadiation oncologist densityAdjuvant radiation therapyI breast cancerReceipt of radiationBreast-conserving surgeryImpact of physiciansHierarchical logistic regression modelsLogistic regression modelsLonger life expectancyLE patientsRetrospective cohortLE groupOlder womenPatientsTreatment ratesWomenCancer