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Journal of General Internal Medicine

By Nirav Shah and Jason Wang

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Journal Article

Seth A. Berkowitz, Hilary K. Seligman, Joseph Rigdon, James B. Meigs, Sanjay Basu
JAMA Internal Medicine, 2017

Objective

To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures.

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Journal Article

Dario Tedesco, Davide Gori, Karishma Desai, Steven M. Asch, Ian R. Carroll, Catherine Curtin, Kathryn M. McDonald, Maria P. Fantini, Tina Hernandez-Boussard
JAMA Surgery, 2017

To systematically review and meta-analyze evidence of nonpharmacological interventions for postoperative pain management after total knee arthroplasty.

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Journal Article

Jonathan Shaw, Monica Farid, Claire Noel-Miller, Neesha Joseph, Ari Houser, Steven M. Asch, Jay Bhattacharya, Lynda Flowers
SAGE Journals, 2017

Objective: The purpose of this study was to evaluate the impact of objective isolation and loneliness on Medicare spending and outcomes. Method: We linked Health and Retirement Study data to Medicare claims to analyze objective isolation (scaled composite of

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Working Paper

Maya Rossin-Slater, Maya Rossin-Slater, Petra Persson
American Economic Review, 2017

This paper studies how in utero exposure to maternal stress from family ruptures affects later mental health. We find that prenatal exposure to the death of a maternal relative increases take-up of ADHD medications during childhood and anti-anxiety and depression medications in adulthood. Further, family ruptures during pregnancy depress birth outcomes and raise the risk of perinatal complications necessitating hospitalization. Our results suggest large welfare gains from preventing fetal stress from family ruptures and possibly from economically induced stressors such as unemployment.

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Journal Article

Sanjay Basu, Russell S. Phillips, Zirui Song, Asaf Bitton, Bruce E. Landon
Health Affairs, 2017
Capitated payments in the form of fixed monthly payments to cover all of the costs associated with delivering primary care could encourage primary care practices to transform the way they deliver care. Using a microsimulation model incorporating data from 969 US practices, we sought to understand whether shifting to team- and non-visit-based care is financially sustainable for practices under traditional fee-for-service, capitated payment, or a mix of the two.
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Journal Article

Marcella Alsan, Marianne Wanamaker
The Quarterly Journal of Economics, 2017

For forty years, the Tuskegee Study of Untreated Syphilis in the Negro Male passively monitored hundreds of adult black males with syphilis despite the availability of effective treatment.

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Journal Article

Anlu Xing, Paul H. Wise, Gary L. Darmstadt, Eran Bendavid
Pediatrics, 2017

Achieving gender equality in education is an important development goal.  We tested the hypothesis that the gender gap in adolescent education is accentuated by illnesses among young children in the household.

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Journal Article

Michelle Mello, Edward H. Livingston, Edward H. Livington
JAMA, 2017

In December 2015, a Boston Globe investigation of Massachusetts General Hospital (MGH) sparked investigations into concurrent and overlapping surgery. Overlapping surgery refers to operations performed by the same primary surgeon such that the start of one surgery overlaps with the end of another. A qualified practitioner finishes noncritical aspects of the first operation while the primary surgeon moves to the next operation.

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Journal Article

Kathryn M. McDonald, George Su, Sarah Lisker, Emily S. Patterson, Urmimala Sarkar
Implementation Science, 2017

Missed evidence-based monitoring in high-risk conditions (e.g., cancer) leads to delayed diagnosis. Current technological solutions fail to close this safety gap. In response, we aim to demonstrate a novel method to identify common vulnerabilities across clinics and generate attributes for context-flexible population-level monitoring solutions for widespread implementation to improve quality.

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Journal Article

Sanjay Basu, Megan Carney, Nora J. Kenworthy
Social Science & Medicine, 2017

The global financial crisis starting in 2007 prompted national governments around the world, and notably many within the European Union, to implement austerity measures. Similar to structural adjustment programs (SAPs) implemented throughout the developing world since the 1980s, much of the pressure to adopt and enforce austerity measures has been levied by global financial institutions such as the IMF.

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Journal Article

Eran Bendavid
Public Library of Science, 2017

The new United States administration’s first budget proposal, previewed in March and released in May, 2017, includes deep cuts to foreign aid, cycling this thorny issue back into the American limelight.

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Journal Article

Adam Isen, Maya Rossin-Slater, W. Reed Walker
Journal of Political Economy, 2017

This paper examines the long-term impacts of early childhood exposure to air pollution on adult outcomes using U.S. administrative data. We exploit changes in air pollution driven by the 1970 Clean Air Act to analyze the difference in outcomes between cohorts born in counties before and after large improvements in air pollution relative to those same cohorts born in counties that had no improvements. We find a significant relationship between pollution exposure in the year of birth and later life outcomes.

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Journal Article

Piya C. Sorcar, Benjamin Strauber, Prashant Loyalka, Neha Kumar, Shelley Goldman
Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 2792–2804, 2017

Cultural taboos can restrict student learning on topics of critical importance. In India, such taboos have led multiple states to ban materials intended to educate youth about HIV, putting millions at risk. We present the design of TeachAIDS, a software application that leverages cultural insights, learning science, and affordances of technology to provide comprehensive HIV education while circumventing taboos.

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Journal Article

Maya Rossin-Slater
America Economic Journal: Applied Economics, 2017

With nearly half of U.S. births occurring out of wedlock, understanding how parents navigate their relationship options is important. This paper examines the consequences of a large exogenous change to parental relationship contract options on parental behavior and child well-being. Identification comes from the staggered timing of state reforms that substantially lowered the cost of legal paternity establishment. I show that the resulting increases in paternity establishment are partially driven by reductions in parental marriage.

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Journal Article

Sheryl Davies, Ellen Schultz, Maria Raven, Nancy Ewen Wang, Carol Stocks, Mucio Kit Delgado, Kathryn McDonald
Health Services Research, 2017

Objective

To develop and validate rates of potentially preventable emergency department (ED) visits as indicators of community health.

Data Sources

Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project 2008–2010 State Inpatient Databases and State Emergency Department Databases.

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Working Paper

Grant Miller, Marcella Alsan, Vincenzo Atella, Jay Bhattacharya, Valentina Conti
2017
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Commentary

Michelle Mello, Allen Kachalia, David Studdert
The New England Journal of Medicine, 2017

Medical malpractice reform appears to be back on the federal policy agenda. The appointment of Tom Price, a long-time proponent of tort reform, as secretary of health and human services, in conjunction with Republican control of both houses of Congress, has created fertile conditions for several Republican proposals that have languished for years without the requisite support. Although it has been debated many times, a major federal foray into medical liability, a state-based area of law, would be unprecedented. The prospect raises several questions: Which reforms are on the table?

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Working Paper

Sonia R. Bhalotra, Alberto Diaz-Cayeros, Grant Miller, Alfonso Miranda, Atheendar S. Venkataramani
National Bureau of Economic Research, 2017

Historically, improvements in the quality of municipal drinking water made important contributions to mortality decline in wealthy countries. However, water disinfection often does not produce equivalent benefits in developing countries today. We investigate this puzzle by analyzing an abrupt, large-scale municipal water disinfection program in Mexico in 1991 that increased the share of Mexico’s population receiving chlorinated water from 55% to 85% within six months.

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Journal Article

Katherine Donato, Grant Miller, Yulya Truskinovsky, Manoj Mohanan, Marcos Vera-Hernández
American Economic Review, 2017

We study how agents respond to performance incentives according to key personality traits (conscientiousness and neuroticism) through a field experiment offering financial incentives for improving maternal and neonatal health outcomes to rural Indian doctors. More conscientious providers performed better – but improved less – under performance incentives.  The effect of the performance incentives was also smaller for providers with higher levels of neuroticism.

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Journal Article

Manoj Mohanan, Soledad Giardili, Veena Das, Tracy L. Rabin, Sunil S. Raj, Jeremy I. Schwartz, Aparna Seth, Jeremy Goldhaber-Fiebert, Grant Miller, Marcos Vera-Hernández
Bulletin of the World Health Organization, 2017

Objective To evaluate the impact on the quality of the care provided for childhood diarrhoea and pneumonia in Bihar, India of a large-scale, social franchising and telemedicine programme– the World Health Partners’ Sky Program.

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Journal Article

Paul H. Wise
Daedalus, 2017

Most civilian casualties in war are not the result of direct exposure to bombs and bullets; they are due to the destruction of the essentials of daily living, including food, water, shelter, and health care. These “indirect” effects are too often invisible and not adequately assessed nor addressed by just war principles or global humanitarian response.

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Journal Article

US Preventive Services Task Force, Kristen Bibbins-Domingo, David C. Grossman, Susan J. Curry, Karina W. Davidson, John W. Epling, Jr., Francisco A. R. Garcia, Matthew W. Gillman, Diane M. Harper, Alex R. Kemper, Douglas K. Owens, William R. Phillips, Maureen G. Phibbs, Michael P. Pignone, Albert L. Siu
Journal of the American Medical Association (JAMA), 2016

Importance  Colorectal cancer is the second leading cause of cancer death in the United States. In 2016, an estimated 134 000 persons will be diagnosed with the disease, and about 49 000 will die from it. Colorectal cancer is most frequently diagnosed among adults aged 65 to 74 years; the median age at death from colorectal cancer is 68 years.

Objective  To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on screening for colorectal cancer.

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