2023
Quality, outcome, and cost of care provided to very low birth weight infants in California
Lapcharoensap W, Bennett M, Xu X, Lee H, Profit J, Dukhovny D. Quality, outcome, and cost of care provided to very low birth weight infants in California. Journal Of Perinatology 2023, 44: 224-230. PMID: 37805592, DOI: 10.1038/s41372-023-01792-4.Peer-Reviewed Original ResearchConceptsVery low birth weightCare of VLBW infantsLow birth weightRisk-adjusted costVLBW infantsQuality of careMethodsRetrospective studyBirth weightClinical outcomesHospital discharge recordsClinical factorsCost of careClinical dataHierarchical generalized linear modelsResultsIn totalBirth certificatesPatient outcomesInfantsPearson correlation coefficientAssociation of costDischarge recordsHospitalMeasures of costOutcomesCare
2019
Low‐Interventional Approaches to Intrapartum Care: Hospital Variation in Practice and Associated Factors
Lundsberg LS, Main EK, Lee HC, Lin H, Illuzzi JL, Xu X. Low‐Interventional Approaches to Intrapartum Care: Hospital Variation in Practice and Associated Factors. Journal Of Midwifery & Women's Health 2019, 65: 33-44. PMID: 31502407, DOI: 10.1111/jmwh.13017.Peer-Reviewed Original ResearchConceptsIntrapartum careMultivariable logistic regressionHigh intervention groupLow-intervention groupMedical-legal concernsIntrapartum practicesNewborn morbidityHospital variationCesarean birthAssociated FactorsPatient outcomesInterventional approachesProcedure ratesAmerican CollegeHospital useHospital's likelihoodHospital groupHospitalBivariate analysisLogistic regressionMidwifery modelCalifornia hospitalsCareLatent class analysisHospital culture
2018
Quality Assurance Practices in Obstetric Care
Lundsberg LS, Lee HC, Dueñas GV, Gregory KD, Nardini H, Pettker CM, Illuzzi JL, Xu X. Quality Assurance Practices in Obstetric Care. Obstetrics And Gynecology 2018, 131: 214-223. PMID: 29324608, PMCID: PMC7020098, DOI: 10.1097/aog.0000000000002437.Peer-Reviewed Original ResearchConceptsAbnormal fetal heart rateEvidence-supported practicesFetal heart rateObstetric careHeart rateFrequent simulationLabor arrestCesarean deliveryPostpartum hemorrhageSignificant morbidityObstetric hospitalPerinatal careShoulder dystociaAppropriate statistical testsHospital practiceHospitalBivariate analysisTeaching statusMost hospitalsCareEclampsiaPrivate nonprofit hospitalsInterprofessional simulationStatewide surveyBroad spectrum
2015
Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth
Xu X, Gariepy A, Lundsberg LS, Sheth SS, Pettker CM, Krumholz HM, Illuzzi JL. Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth. Health Affairs 2015, 34: 1212-1219. PMID: 26153317, DOI: 10.1377/hlthaff.2014.1088.Peer-Reviewed Original ResearchConceptsCesarean deliveryHospital costsMaternity staysSerious maternal morbidityNationwide Inpatient SampleCoordination of careValue of careMaternal morbidityHospital admissionInpatient SampleDelivery system reformRural hospitalsUS hospitalsHospital practiceSafe reductionHospitalChildbirthStayLong stayHigh rateCareLower proportionUnited StatesFacility costsThe Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer
Xu X, Herrin J, Soulos PR, Saraf A, Roberts KB, Killelea BK, Wang SY, Long JB, Wang R, Ma X, Gross CP. The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer. Health Services Research 2015, 51: 167-186. PMID: 26119176, PMCID: PMC4722219, DOI: 10.1111/1475-6773.12328.Peer-Reviewed Original ResearchConceptsBreast cancer careHospital referral regionsCancer careMedicare expendituresBreast cancerRadiation therapyTreatment factorsMean Medicare expendituresEnd Results-MedicareSpecific treatment modalitiesContribution of patientCost of careHighest spending quintilePatient factorsTreatment patternsTumor characteristicsCancer characteristicsTreatment modalitiesReferral regionsMedicare beneficiariesQuintilePatientsCancerCareTherapy
2008
Malpractice Burden, Rural Location, and Discontinuation of Obstetric Care: A Study of Obstetric Providers in Michigan
Xu X, Siefert KA, Jacobson PD, Lori JR, Gueorguieva I, Ransom SB. Malpractice Burden, Rural Location, and Discontinuation of Obstetric Care: A Study of Obstetric Providers in Michigan. The Journal Of Rural Health 2008, 25: 33-42. PMID: 19166559, PMCID: PMC3063488, DOI: 10.1111/j.1748-0361.2009.00196.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCareer MobilityFamily PracticeFemaleGynecologyHumansInsurance, LiabilityLiability, LegalMalpracticeMichiganMiddle AgedMultivariate AnalysisObstetricsPractice Management, MedicalPregnancyProfessional Practice LocationRegression AnalysisRiskRural Health ServicesUrban Health ServicesWorkforceConceptsObstetric careFamily physiciansRural family physiciansMalpractice burdenObstetric providersHigher likelihoodUrban family physiciansRural-urban differencesObstetrical servicesPhysicians' likelihoodPhysician's decisionCare supplyPhysiciansFuture interventionsCareRural locationsRural-urban locationDiscontinuationPractice environmentRegression analysisBurdenProfessional liability problemsMedical liability crisisMore researchRural Michigan
2007
The effects of medical liability on obstetric care supply in Michigan
Xu X, Siefert KA, Jacobson PD, Lori JR, Ransom SB. The effects of medical liability on obstetric care supply in Michigan. American Journal Of Obstetrics And Gynecology 2007, 198: 205.e1-205.e9. PMID: 17997388, PMCID: PMC2259238, DOI: 10.1016/j.ajog.2007.08.043.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelDecision MakingDelivery, ObstetricFamily PracticeFemaleHealth Services AccessibilityHumansInsurance, LiabilityLiability, LegalMaleMalpracticeMaternal Health ServicesMichiganMiddle AgedNurse MidwivesObstetricsPregnancyProfessional PracticeRiskSurveys and QuestionnairesWorkforceConceptsObstetric careFamily physiciansCare supplyHigh-risk obstetric careProvider decisionsProvision of careWarrants further researchPatient accessCare provisionCareMalpractice concernsObstetricsProviders' provisionMalpractice litigationPhysiciansPractice decisionsRiskMedical liabilityStatewide surveyFurther researchBabiesFactors
2006
Health Effects of Managed Care Among the Near-Elderly
Xu X, Jensen GA. Health Effects of Managed Care Among the Near-Elderly. Journal Of Aging And Health 2006, 18: 507-533. PMID: 16835387, DOI: 10.1177/0898264306289626.Peer-Reviewed Original ResearchConceptsHealth maintenance organizationChronic health conditionsSelf-reported general health statusHealth statusHealth conditionsGeneral health statusObserved beneficial effectsAdults age 55Care plansNationwide random sampleAge 55Maintenance organizationBeneficial effectsEmployer-sponsored health insuranceOlder adultsNear ElderlyHealth effectsHealth insuranceManaged CareRetirement StudySelection biasRandom sampleCareAdultsProvider organizations