2021
Physician variation in the de‐adoption of ineffective statin and fibrate therapy
Everhart A, Desai NR, Dowd B, Herrin J, Higuera L, Jeffery MM, Jena AB, Ross JS, Shah ND, Smith LB, Karaca‐Mandic P. Physician variation in the de‐adoption of ineffective statin and fibrate therapy. Health Services Research 2021, 56: 919-931. PMID: 33569804, PMCID: PMC8522575, DOI: 10.1111/1475-6773.13630.Peer-Reviewed Original ResearchMeSH KeywordsAgedDiabetes Mellitus, Type 2Drug Therapy, CombinationDrug UtilizationFemaleFibric AcidsGuideline AdherenceHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypoglycemic AgentsHypolipidemic AgentsLongitudinal StudiesMaleMedicare Part CMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Risk FactorsUnited StatesConceptsMedicare Advantage patientsType 2 diabetic patientsACCORD lipid trialFibrate useAdvantage patientsCommercial patientsPhysician characteristicsLIPID trialFibrate therapyDiabetic patientsPhysician variationDiabetes careType 2 diabetes diagnosisContinuous insurance enrollmentPatient diabetes carePhysician random effectsGlucose-lowering drugsElectronic health record dataHealth record dataReal-world data assetConcurrent statinCardiovascular eventsStatin usersClinical evidenceManagement visits
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 schoolsInquiryContact and role modeling predict bias against lesbian and gay individuals among early-career physicians: A longitudinal study
Wittlin NM, Dovidio JF, Burke SE, Przedworski JM, Herrin J, Dyrbye L, Onyeador IN, Phelan SM, van Ryn M. Contact and role modeling predict bias against lesbian and gay individuals among early-career physicians: A longitudinal study. Social Science & Medicine 2019, 238: 112422. PMID: 31391147, PMCID: PMC6744977, DOI: 10.1016/j.socscimed.2019.112422.Peer-Reviewed Original ResearchThe Effects of Racism in Medical Education on Students' Decisions to Practice in Underserved or Minority Communities.
Phelan SM, Burke SE, Cunningham BA, Perry SP, Hardeman RR, Dovidio JF, Herrin J, Dyrbye LN, White RO, Yeazel MW, Onyeador IN, Wittlin NM, Harden K, van Ryn M. The Effects of Racism in Medical Education on Students' Decisions to Practice in Underserved or Minority Communities. Academic Medicine 2019, 94: 1178-1189. PMID: 30920443, DOI: 10.1097/acm.0000000000002719.Peer-Reviewed Original ResearchConceptsMedical schoolsManifestations of racismStudents' decisionsStudents' intentionPractice intentionsService-learning experienceU.S. medical schoolsUnderserved communitiesHigh-need communitiesMedical students' intentionsCulture/climateLearning experienceMinority studentsMedical educationSchoolsAttitudes/behaviorsStudentsExplicit racial attitudesMinority communitiesEffects of racismCurriculumMatriculationStructural racismRacismAttitudesPersistent Use of Extended Fractionation Palliative Radiotherapy for Medicare Beneficiaries With Metastatic Breast Cancer, 2011 to 2014
Yu JB, Pollack CE, Herrin J, Zhu W, Soulos PR, Xu X, Gross CP. Persistent Use of Extended Fractionation Palliative Radiotherapy for Medicare Beneficiaries With Metastatic Breast Cancer, 2011 to 2014. American Journal Of Clinical Oncology 2019, 42: 493-499. PMID: 31033511, PMCID: PMC6538429, DOI: 10.1097/coc.0000000000000548.Peer-Reviewed Original ResearchConceptsPalliative radiotherapyBone metastasesMedicare beneficiariesBreast cancerAssociation of clinicalProportion of patientsChoice of treatmentHospital-based practiceService Medicare beneficiariesSingle-fraction treatmentProvider financial incentivesLogistic regression modelsDifferent fractionation schemesProlonged courseRadiation courseRadiotherapy usePayer perspectiveProvider characteristicsMean costMultiple guidelinesPatientsRadiotherapyMetastasisCancerNumber of daysA Prognostic Index to Identify the Risk of Developing Depression Symptoms Among U.S. Medical Students Derived From a National, Four-Year Longitudinal Study
Dyrbye LN, Wittlin NM, Hardeman RR, Yeazel M, Herrin J, Dovidio JF, Burke SE, Cunningham B, Phelan SM, Shanafelt TD, van Ryn M. A Prognostic Index to Identify the Risk of Developing Depression Symptoms Among U.S. Medical Students Derived From a National, Four-Year Longitudinal Study. Academic Medicine 2019, 94: 217-226. PMID: 30188367, DOI: 10.1097/acm.0000000000002437.Peer-Reviewed Original ResearchConceptsRisk groupsBaseline depression symptomsPrognostic indexDepression symptomsIndependent prognostic factorHigh-risk groupLow-risk groupSocial supportPrimary prevention approachReplication datasetU.S. medical studentsBaseline factorsPrognostic factorsC-statisticOdds ratioMedical studentsMultivariate analysisSymptomsBaseline individualDepressionPrevention approachesLongitudinal studyMedical schoolsRiskDiscovery dataset
2016
Association Between Hospital Penalty Status Under the Hospital Readmission Reduction Program and Readmission Rates for Target and Nontarget Conditions
Desai NR, Ross JS, Kwon JY, Herrin J, Dharmarajan K, Bernheim SM, Krumholz HM, Horwitz LI. Association Between Hospital Penalty Status Under the Hospital Readmission Reduction Program and Readmission Rates for Target and Nontarget Conditions. JAMA 2016, 316: 2647-2656. PMID: 28027367, PMCID: PMC5599851, DOI: 10.1001/jama.2016.18533.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramAcute myocardial infarctionReadmission ratesReadmissions Reduction ProgramHeart failurePenalty statusNontarget conditionsMedicare feeMean readmission rateThirty-day riskRetrospective cohort studyUnplanned readmission rateReduction programsHRRP announcementHRRP implementationPenalized hospitalsCohort studyService patientsMyocardial infarctionMAIN OUTCOMEExcess readmissionsMedicare beneficiariesService beneficiariesHospitalPatients
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
2011
Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative
Bradley E, Thompson JW, Byam P, Webster TR, Zerihun A, Alpern R, Herrin J, Abebe Y, Curry L. Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative. International Journal For Quality In Health Care 2011, 23: 222-230. PMID: 21467077, DOI: 10.1093/intqhc/mzr013.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCommunity Health CentersDelivery of Health CareDelivery, ObstetricEthiopiaFemaleHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPostnatal CarePrenatal CareQuality of Health CareRural PopulationYoung AdultConceptsPrimary healthcare unitsAntenatal care coverageHealth centersAntenatal careCare coverageHealth post levelOutpatient visit ratesHealthcare unitsHealthcare servicesHealth postsRural careUnmet needVisit ratesHIVFocus group participantsRural initiativesOutpatient volumeSystems-based approachGroup participantsRural settingsCareSignificant increaseRural healthcare servicesRural healthcareFocus group data
2009
National Efforts to Improve Door-to-Balloon Time Results From the Door-to-Balloon Alliance
Bradley EH, Nallamothu BK, Herrin J, Ting HH, Stern AF, Nembhard IM, Yuan CT, Green JC, Kline-Rogers E, Wang Y, Curtis JP, Webster TR, Masoudi FA, Fonarow GC, Brush JE, Krumholz HM. National Efforts to Improve Door-to-Balloon Time Results From the Door-to-Balloon Alliance. Journal Of The American College Of Cardiology 2009, 54: 2423-2429. PMID: 20082933, DOI: 10.1016/j.jacc.2009.11.003.Peer-Reviewed Original ResearchConceptsST-segment elevation myocardial infarctionD2B AllianceBalloon (D2B) AllianceHospital presentationD2B timeNational Cardiovascular Data Registry CathPCI RegistryPrimary percutaneous coronary interventionElevation myocardial infarctionPercutaneous coronary interventionLikelihood of patientsCathPCI RegistryCoronary interventionBalloon timeMyocardial infarctionAmerican CollegePatientsHospitalLongitudinal studyNational Quality CampaignOne-halfPresentationMinNational effortsInfarctionRegistry