2021
Implementing Measurement Science for Electronic Health Record Use
Melnick ER, Sinsky CA, Krumholz HM. Implementing Measurement Science for Electronic Health Record Use. JAMA 2021, 325: 2149-2150. PMID: 33818587, DOI: 10.1001/jama.2021.5487.Peer-Reviewed Original Research
2020
An Evaluation of the Vulnerable Physician Workforce in the USA During the Coronavirus Disease-19 Pandemic
Khera R, Dhingra LS, Jain S, Krumholz HM. An Evaluation of the Vulnerable Physician Workforce in the USA During the Coronavirus Disease-19 Pandemic. Journal Of General Internal Medicine 2020, 35: 3114-3116. PMID: 32495101, PMCID: PMC7269617, DOI: 10.1007/s11606-020-05854-7.Peer-Reviewed Original Research
2019
Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007–14
Cooper Z, Craig S, Gaynor M, Harish NJ, Krumholz HM, Van Reenen J. Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007–14. Health Affairs 2019, 38: 184-189. PMID: 30715987, DOI: 10.1377/hlthaff.2018.05424.Peer-Reviewed Original ResearchConceptsPhysician pricesHospital pricesHospital-based outpatient careHealth care spendingCare spendingTypes of pricesPrice growthHospital-based outpatient servicesProvider pricesReference pricingAntitrust enforcementPricesPolicy makersPricingSpendingOutpatient careRange of optionsGrowth rateGrowthPaymentsInpatient careOutpatient servicesInsurersMakersPercent
2016
Association between payments from manufacturers of pharmaceuticals to physicians and regional prescribing: cross sectional ecological study
Fleischman W, Agrawal S, King M, Venkatesh AK, Krumholz HM, McKee D, Brown D, Ross JS. Association between payments from manufacturers of pharmaceuticals to physicians and regional prescribing: cross sectional ecological study. The BMJ 2016, 354: i4189. PMID: 27540015, PMCID: PMC4989280, DOI: 10.1136/bmj.i4189.Peer-Reviewed Original ResearchConceptsHospital referral regionsOral anticoagulantsReferral regionsDiabetes drugsDrug classesGreater prescribingMedicare Part D beneficiariesAdditional daysPart D beneficiariesMedicare Part D prescriptionsCross-sectional analysisSectional ecological studyMedicare Part DPart D prescriptionsManufacturers of pharmaceuticalsPrescribingAnticoagulantsPhysiciansDrugsPart DEducational materialsSectional analysisStudy limitationsConsulting feesAssociation
2013
Regional Density of Cardiologists and Rates of Mortality for Acute Myocardial Infarction and Heart Failure
Kulkarni VT, Ross JS, Wang Y, Nallamothu BK, Spertus JA, Normand SL, Masoudi FA, Krumholz HM. Regional Density of Cardiologists and Rates of Mortality for Acute Myocardial Infarction and Heart Failure. Circulation Cardiovascular Quality And Outcomes 2013, 6: 352-359. PMID: 23680965, PMCID: PMC5323047, DOI: 10.1161/circoutcomes.113.000214.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCardiologyCohort StudiesFemaleHealth Services AccessibilityHealth Services Needs and DemandHealthcare DisparitiesHeart FailureHospitalizationHumansLinear ModelsLogistic ModelsMaleMedicareMyocardial InfarctionOdds RatioPhysiciansPneumoniaPrognosisResidence CharacteristicsRisk AssessmentRisk FactorsTime FactorsUnited StatesWorkforceConceptsAcute myocardial infarctionHeart failureHospital referral regionsMortality riskLowest quintileMyocardial infarctionReferral regionsMedicare administrative claims dataCharacteristics of patientsRisk of deathAdministrative claims dataHierarchical logistic regression modelsLogistic regression modelsRate of mortalityRegional densityHighest quintileNumber of cardiologistsWorse outcomesClaims dataPatientsPneumoniaCardiologistsHospitalizationAdmissionQuintile
2012
Hospital Collaboration With Emergency Medical Services in the Care of Patients With Acute Myocardial Infarction: Perspectives From Key Hospital Staff
Landman AB, Spatz ES, Cherlin EJ, Krumholz HM, Bradley EH, Curry LA. Hospital Collaboration With Emergency Medical Services in the Care of Patients With Acute Myocardial Infarction: Perspectives From Key Hospital Staff. Annals Of Emergency Medicine 2012, 61: 185-195. PMID: 23146627, PMCID: PMC3688052, DOI: 10.1016/j.annemergmed.2012.10.009.Peer-Reviewed Original Research
2011
US Cardiologist Workforce From 1995 To 2007: Modest Growth, Lasting Geographic Maldistribution Especially In Rural Areas
Aneja S, Ross JS, Wang Y, Matsumoto M, Rodgers GP, Bernheim SM, Rathore SS, Krumholz HM. US Cardiologist Workforce From 1995 To 2007: Modest Growth, Lasting Geographic Maldistribution Especially In Rural Areas. Health Affairs 2011, 30: 2301-2309. PMID: 22147857, PMCID: PMC3332098, DOI: 10.1377/hlthaff.2011.0255.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansGeographic maldistributionChronic cardiovascular diseaseHospital referral regionsUse of telemedicineCardiology workforceNumber of cardiologistsTotal physician workforceCardiovascular diseaseCardiovascular careReferral regionsElderly populationUS populationTotal physiciansCardiologistsPhysiciansAge sixtyPhysician workforceDisadvantaged areasPercentRural areasPopulationDiseaseVariety of strategiesOperator Experience and Carotid Stenting Outcomes in Medicare Beneficiaries
Nallamothu BK, Gurm HS, Ting HH, Goodney PP, Rogers MA, Curtis JP, Dimick JB, Bates ER, Krumholz HM, Birkmeyer JD. Operator Experience and Carotid Stenting Outcomes in Medicare Beneficiaries. JAMA 2011, 306: 1338-1343. PMID: 21954477, PMCID: PMC3208144, DOI: 10.1001/jama.2011.1357.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAtherosclerosisCarotid StenosisCenters for Medicare and Medicaid Services, U.S.Clinical CompetenceFee-for-Service PlansFemaleHospital MortalityHumansInsurance CoverageMaleMedicarePhysiciansQuality of Health CareRetrospective StudiesStentsStrokeTime FactorsTreatment OutcomeUnited StatesConceptsAnnual operator volumeCarotid stentingOperator volumeMedicare beneficiariesNational coverage decisionHigh riskOperator experienceStudy periodThirty-day mortalityEmbolic protection devicesHigh-volume operatorsLow-volume operatorsService Medicare beneficiariesLow annual volumeMultivariable adjustmentOlder patientsRate of failureClinical trialsCoverage decisionsObservational studyMAIN OUTCOMEPatientsClinical practiceStentingMore procedures
2009
Health Care Workplace Discrimination and Physician Turnover
Nunez-Smith M, Pilgrim N, Wynia M, Desai MM, Bright C, Krumholz HM, Bradley EH. Health Care Workplace Discrimination and Physician Turnover. Journal Of The National Medical Association 2009, 101: 1274-1282. PMID: 20070016, PMCID: PMC3833271, DOI: 10.1016/s0027-9684(15)31139-1.Peer-Reviewed Original ResearchRace/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
Nunez-Smith M, Pilgrim N, Wynia M, Desai MM, Jones BA, Bright C, Krumholz HM, Bradley EH. Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians. Journal Of General Internal Medicine 2009, 24: 1198. PMID: 19727966, PMCID: PMC2771235, DOI: 10.1007/s11606-009-1103-9.Peer-Reviewed Original ResearchAssociation of Physician Certification and Outcomes Among Patients Receiving an Implantable Cardioverter-Defibrillator
Curtis JP, Luebbert JJ, Wang Y, Rathore SS, Chen J, Heidenreich PA, Hammill SC, Lampert RI, Krumholz HM. Association of Physician Certification and Outcomes Among Patients Receiving an Implantable Cardioverter-Defibrillator. JAMA 2009, 301: 1661-1670. PMID: 19383957, PMCID: PMC2805129, DOI: 10.1001/jama.2009.547.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCardiac ElectrophysiologyCertificationClinical CompetenceDefibrillators, ImplantableFemaleHumansIntraoperative ComplicationsLogistic ModelsMaleMedicineMiddle AgedOutcome and Process Assessment, Health CarePhysiciansPostoperative ComplicationsProsthesis ImplantationRegistriesRetrospective StudiesSpecializationTreatment OutcomeUnited StatesConceptsCRT-D devicesThoracic surgeonsICD implantationPhysician certificationImplantable cardioverter-defibrillator (ICD) proceduresRetrospective cohort studyCardiac resynchronization therapyPatients meeting criteriaRisk of complicationsProcedural complication rateImplantable cardioverter defibrillatorHierarchical logistic regression modelsLogistic regression modelsCohort studyComplication rateICD RegistryResynchronization therapyProcedural complicationsIndependent associationPhysician specialtyCardioverter defibrillatorHigh riskPatientsMeeting criteriaNonelectrophysiologists
2008
Updated Estimates of Pharmaceutical Company Payments to Physicians in Vermont
Ross JS, Nazem AG, Lurie P, Lackner JE, Krumholz HM. Updated Estimates of Pharmaceutical Company Payments to Physicians in Vermont. JAMA 2008, 300: 1998-2000. PMID: 18984886, DOI: 10.1001/jama.2008.560.Peer-Reviewed Original ResearchHealthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent
Nunez-Smith M, Curry LA, Berg D, Krumholz HM, Bradley EH. Healthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent. Journal Of General Internal Medicine 2008, 23: 1471-1476. PMID: 18618190, PMCID: PMC2518023, DOI: 10.1007/s11606-008-0709-7.Peer-Reviewed Original ResearchConceptsRace-related issuesAfrican descentRange of perspectivesRace-related concernsConstant comparative methodRace relationsQualitative interviewsExternal support systemsHonest dialogueProfessional identityWorkplace silenceFormal medical trainingWork experienceHealthcare experiencesWorkplace conversationsComparative methodSupportive environmentResultsFive themesRaceNew England statesPerspectiveHealthcare discriminationConversationConstructive wayHealthcare workforce
2007
Pharmaceutical Company Payments to Physicians: Early Experiences With Disclosure Laws in Vermont and Minnesota
Ross JS, Lackner JE, Lurie P, Gross CP, Wolfe S, Krumholz HM. Pharmaceutical Company Payments to Physicians: Early Experiences With Disclosure Laws in Vermont and Minnesota. JAMA 2007, 297: 1216-1223. PMID: 17374816, DOI: 10.1001/jama.297.11.1216.Peer-Reviewed Original ResearchImpact of race on the professional lives of physicians of African descent.
Nunez-Smith M, Curry LA, Bigby J, Berg D, Krumholz HM, Bradley EH. Impact of race on the professional lives of physicians of African descent. Annals Of Internal Medicine 2007, 146: 45-51. PMID: 17200221, DOI: 10.7326/0003-4819-146-1-200701020-00008.Peer-Reviewed Original Research
2006
Physician Board Certification and the Care and Outcomes of Elderly Patients with Acute Myocardial Infarction
Chen J, Rathore SS, Wang Y, Radford MJ, Krumholz HM. Physician Board Certification and the Care and Outcomes of Elderly Patients with Acute Myocardial Infarction. Journal Of General Internal Medicine 2006, 21: 238-244. PMID: 16637823, PMCID: PMC1828098, DOI: 10.1111/j.1525-1497.2006.00326.x.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionBoard-certified physiciansPhysician board certificationMyocardial infarctionFamily practitionersInternal medicineBoard certificationHigher useUse of aspirinQuality of careMultivariate regression analysisBoard-certified internistsElderly patientsHospitalized patientsClinical guidelinesMedicare patientsAspirinPatientsMortalityPhysiciansFamily practiceCareInfarctionRegression analysisCardiologists
2001
Racial Differences in the Use of Cardiac Catheterization after Acute Myocardial Infarction
Chen J, Rathore S, Radford M, Wang Y, Krumholz H. Racial Differences in the Use of Cardiac Catheterization after Acute Myocardial Infarction. New England Journal Of Medicine 2001, 344: 1443-1449. PMID: 11346810, DOI: 10.1056/nejm200105103441906.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionCardiac catheterizationBlack patientsWhite patientsMyocardial infarctionCooperative Cardiovascular ProjectPatterns of careAdjusted mortality rateRacial differencesBlack physiciansStudy cohortCatheterizationInfarctionMedicare beneficiariesMortality ratePatientsPhysiciansWhite physiciansLower ratesSignificant interactionCohortRaceDifferencesCare
1998
Resuscitation Preferences Among Patients With Severe Congestive Heart Failure
Krumholz H, Phillips R, Hamel M, Teno J, Bellamy P, Broste S, Califf R, Vidaillet H, Davis R, Muhlbaier L, Connors A, Lynn J, Goldman L. Resuscitation Preferences Among Patients With Severe Congestive Heart Failure. Circulation 1998, 98: 648-655. PMID: 9715857, DOI: 10.1161/01.cir.98.7.648.Peer-Reviewed Original ResearchConceptsSevere congestive heart failureCongestive heart failureResuscitation preferencesHeart failurePhysicians' perceptionsPatient preferencesMonths of dischargePoor functional statusQuarter of patientsSevere heart failureDiscussion of preferencesWorse prognosisFunctional statusPatientsOlder agePhysiciansSubstantial proportionSignificant correlatesResuscitationMonthsHigh agreementFailureHigher incomeExacerbationPrognosis
1997
Differences in physician compensation for cardiovascular services by age, sex, and race.
Krumholz HM, Fendrick AM, Williams C, Hynes WM. Differences in physician compensation for cardiovascular services by age, sex, and race. The American Journal Of Managed Care 1997, 3: 557-63. PMID: 10169524.Peer-Reviewed Original ResearchConceptsConsecutive patientsCoronary angioplastyCardiovascular servicesPercutaneous transluminal coronary angioplastyPatients 75 yearsTransluminal coronary angioplastyPercutaneous coronary angioplastyPatients 40Patients 65Patient characteristicsPatient groupInsurance statusCardiology practicePhysiciansStress testingAngioplastySignificant differencesPatientsLower ratesSimilar differencesPhysician compensationAgeSexYearsDifferences
1994
Clinical utility of transthoracic two-dimensional and Doppler echocardiography
Krumholz H, Douglas P, Goldman L, Waksmonski C. Clinical utility of transthoracic two-dimensional and Doppler echocardiography. Journal Of The American College Of Cardiology 1994, 24: 125-131. PMID: 8006255, DOI: 10.1016/0735-1097(94)90552-5.Peer-Reviewed Original ResearchConceptsNew diagnosisChart reviewEchocardiographic examinationMitral regurgitationClinical utilityLeft ventricular wall motion abnormalitiesTertiary care teaching hospitalVentricular wall motion abnormalitiesGreater mitral regurgitationProspective observational studyUse of echocardiographyWall motion abnormalitiesPharmacologic treatmentTransthoracic twoDoppler echocardiographyMotion abnormalitiesPhysician interviewsTeaching hospitalObservational studyEchocardiographyClinical practiceOutpatientsInpatientsPatient diagnosisContemporary echocardiography