Category Archives: Scholars in Health Policy Research
Human Capital News Roundup: Medication errors affecting children with cancer, particulate matter, the needs of urban communities, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:
CBS Evening News profiled RWJF Community Health Leader Roseanna Means, MD, who founded the nonprofit Women of Means in 1988 to provide free medical care to homeless women in the Boston area. Today, 16 volunteer doctors and staff nurses provide care at the city’s shelters to women with unique sensitivities and needs. Read a post Means wrote about her nonprofit for the RWJF Human Capital Blog.
A study led by RWJF Clinical Scholars alumnus Matthew M. Davis, MD, MAPP, finds more than 40 percent of American parents give over-the-counter cough and cold medicines to children under age 4, despite product label warnings to the contrary. Health Day and the Examiner report on the findings.
Helena Hansen, MD, PhD, an alumna of the RWJF Health & Society Scholars program, is the lead author of an analysis that concludes social determinants—rather than changes in the environment or flawed diagnostic criteria—help explain the dramatic rise in the number of Americans diagnosed with mental disorders in recent years. Health Canal and MedPage Today report on the findings.
Forty-seven percent of children with cancer who receive part of their treatment at home have been exposed to at least one medication error, according to a study led by RWJF Physician Faculty Scholars alumna Kathleen E. Walsh, MD, MSc. Those errors had the potential to harm 36 per 100 patients, and actually did cause injury to four per 100, MedPage Today reports.
Dementia’s Growing Cost to Caregivers
Kathleen J. Mullen, PhD, is an alumna of the Robert Wood Johnson Foundation Scholars in Health Policy Research program, and an economist and associate director of the RAND Center for Disability Research at the nonprofit, nonpartisan RAND Corporation.
Dementia, a chronic disease characterized by significant impairment of cognitive functioning, afflicts 15 of every 100 Americans over age 70 – and it is their caregivers who are perhaps most familiar with the disease’s effects.
Family members are often the ones who find themselves navigating the complex system of nursing homes, in-home health care, and health insurance (Medicare, Medicaid, and private insurance), all while dealing with heartbreaking changes in the physical and mental functioning of their spouses, siblings, parents or grandparents. Indeed, my own family is struggling to sort through an overwhelming number of options and decisions to help ensure that my 86-year old grandmother receives the best available care now that she is unable to live without daily assistance.
For many families, a significant barrier to that best available care is cost: Caring for someone with dementia is extremely expensive. A recent RAND study, the results of which were published in the New England Journal of Medicine, offers some of the most comprehensive and credible estimates to date of the monetary costs of dementia in the United States. These costs include both out-of-pocket spending and spending by Medicare, Medicaid, and other third parties on nursing home and hospital stays, medical visits, outpatient surgery, home health care, special services (such as outpatient rehabilitation), prescription drugs, dental services, and other needs.
Human Capital News Roundup: Teen moms and obesity, female lawmakers, HIV prevention, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:
A study led by RWJF Clinical Scholar Tammy Chang, MD, MPH, finds that women who had their first child before age 20 are more likely to be obese later in life than those who were not teen moms, Health Day reports. “When clinicians care for teen mothers, we have so many immediate considerations— child care, housing, school, social and financial support—that we may fail to consider the long-term health effects of teen pregnancy,” Chang said. Caroline Richardson, MD, a Clinical Scholars alumna, and Matthew Davis, MD, MAPP, an alumnus and program site co-director at the University of Michigan, co-authored the study with Chang.
RWJF Scholars in Health Policy Research alumnus Craig Volden, PhD, was a guest on MSNBC’s The Cycle to discuss his study published in the American Journal of Political Science. Volden and his colleagues examined the sponsorship histories of 140,000 bills introduced in the U.S. House of Representatives over the last 40 years, and concluded that female lawmakers may be more effective at passing legislation than their male counterparts, particularly during times of party polarization, because they tend to work across party lines.
A study led by RWJF Executive Nurse Fellows alumna Margaret Grey, DrPH, RN, FAAN, finds that Internet-based psycho-educational intervention programs improve outcomes for young patients entering adolescence with type 1 diabetes, Monthly Prescribing Reference reports.
Medical News Today and the MinnPost report on an article written by Gary Taubes, MSE, MS, recipient of an RWJF Investigator Award in Health Policy Research, in The British Medical Journal about the non-profit he co-founded, the Nutrition Science Initiative. The Initiative will fund nutrition and obesity research, which Taubes says has been flawed and inconclusive in the past. Learn more about the Nutrition Science Initiative.
Human Capital News Roundup: Conflict resolution strategies, the federal cigarette tax, patient outcomes at Magnet hospitals, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:
RWJF/U.S. Department of Veterans Affairs Physician Faculty Scholars alumnus Amal Trivedi, MD, MPH, is co-author of a study that finds older patients are routinely prescribed potentially harmful drugs, particularly in the South. Although the specific reasons for the regional differences are unknown, the researchers hypothesize factors like education, socioeconomic status, and access to quality medical care might be to blame, the New York Times Well Blog reports. NPR and Nurse.com are among the other outlets to report on the findings.
Fierce Healthcare reports on a study led by RWJF/U.S. Department of Veterans Affairs Clinical Scholar Kelly Doran, MD, that finds frequent use of the emergency department at Veterans Health Administration facilities is often due to “severely compromised life circumstances,” rather than poor access to outpatient health care. The study raises questions about the degree to which increasing access to outpatient care, as the Affordable Care Act aims to do, will reduce emergency department use.
Manish K. Sethi, MD, a health policy associate at the RWJF Center for Health Policy at Meharry Medical College, spoke to the Leaf Chronicle about a program he started at Cameron College Prep Middle School in Nashville to teach teens conflict resolution strategies in an effort to reduce violence in the Nashville area. Read a Q&A with Sethi about the program.
Human Capital News Roundup: Lead exposure from soil, breast cancer mortality, climate change, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
Asthmapolis, founded and directed by RWJF Health & Society Scholars alumnus David Van Sickle, PhD, MA, has secured a $5 million investment that will be used to expand operations and further enhance its product, the Milwaukee Business Journal and Journal-Sentinel report. The company has engineered a GPS-enabled asthma inhaler called the Spiroscout, which sends a signal with the time and location to a remote server every time a patient uses it, allowing patients and providers to track and analyze the onset of asthma symptoms. Read more about Asthmapolis here and here.
Health & Society Scholar Sammy Zahran, PhD, is co-author of a study that finds that children in Detroit are being exposed to lead from an overlooked source: contaminated soil. Zahran and his team examined seasonal fluctuations in children’s blood lead levels and found that levels were highest in the summertime, when contaminated soil turns into airborne dust. The researchers were able to rule out exposure to lead-based paint as the main source of the contamination, NPR’s Shots Blog reports, because blood lead levels were lower in the winter, when children are more likely to be indoors.
A study from the Center for Climate Change Communication at George Mason University, which is directed by RWJF Investigator Awards in Health Policy Research recipient Edward W. Maibach, PhD, MPH, finds a majority of Republicans and Republican-leaning Independents think action should be taken to address climate change, United Press International reports. The New York Times Dot Earth Blog also reported on the findings.
Human Capital News Roundup: Weight loss programs, cybersecurity policy, employees who smoke, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
A study led by RWJF/U.S. Department of Veterans Affairs Clinical Scholars alumnus Jeffrey Kullgren, MD, MPH, finds that weight loss programs motivate patients to lose more weight when they offer financial prizes in group competitions, rather than individual rewards. MedPage Today and Medscape [registration required] report on the findings.
Healthcare Finance News reports on a study co-authored by RWJF Investigator Award in Health Policy Research recipient Mark A. Hall, JD, that finds insurers subject to the medical loss ratio requirements in 2011 spent less than one percent of premium revenue on quality improvements (0.74%) or rebates (0.35%). The researchers write that “current market forces do not strongly reward insurers’ investments in this area.”
In a post on the New York Times’ Room for Debate blog about prenuptial agreements, Investigator Award recipient Celeste Watkins-Hayes, PhD, writes: “There is no doubt that women need to be savvy about protecting their assets and ensuring that their contributions and hard work are valued, even in marriage. But prenups can only protect a certain demographic. What is needed is a comprehensive strengthening of all women’s safety nets through access to jobs that build wealth, increased financial literacy and a better infrastructure for raising children with or without a significant other.”
Human Capital News Roundup: Testing for genetic conditions, discussing spirituality with patients, using emergency rooms, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
Patient-centered end-of-life care leads to happier patients who are in less pain and whose care costs less, RWJF/U.S. Department of Veterans Affairs Clinical Scholar Jonathan Bergman, MD, and his colleagues write in the journal JAMA Surgery. Such care is already provided, the Los Angeles Times reports, at the UCLA Health System, where urology residents are receiving education about end-of-life care, and at the West L.A. Veterans Affairs Medical Center where researchers are integrating palliative care into cancer treatment.
The current system used to evaluate the appropriateness of emergency department visits—and sometimes to deny payment—is flawed, according to a study co-authored by RWJF Physician Faculty Scholars alumna Renee Hsia, MD, MSc, because it only takes into account a patient’s discharge diagnosis (for example, acid reflux), which is often not the reason they originally presented at the ER (chest pain). The researchers warn this could have serious implications, including dissuading patients from using the ER even when their symptoms indicate that they should, United Press International reports.
Susan Wolf, JD, recipient of an RWJF Investigator Award in Health Policy Research, spoke to the Boston Globe about new recommendations from a national organization of genetics specialists that “urge doctors who sequence a patient’s full set of genes for any medical reason to also look for two dozen unrelated genetic conditions, and to tell the individual if they find any of those conditions lurking in the DNA.” All of the genetic mutations on the list are rare, but some indicate an increased risk of cancer or heart disease. In some cases, the genetic results could also indicate that the patients' blood relatives have increased risk, as well.
Human Capital News Roundup: Television ads for statins, advanced nursing education, treatment for gunshot wounds, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
In a piece about the growing need for advanced nursing education, Nurse.com interviewed a group of nurse leaders working to fulfill a recommendation from the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, which calls for doubling the number of doctorate-level nurses by 2020. Among those quoted: Christine Kovner, RN, PhD, FAAN, co-principal of RWJF’s RN Work Project; RWJF Executive Nurse Fellows alumna Jane Kirschling, RN, DNS, FAAN; and Susan Bakewell-Sachs, RN, PhD, PNP-BC, program director for the New Jersey Nursing Initiative, a program of RWJF and the New Jersey Chamber of Commerce Foundation.
Nurse.com and Infection Control Today report on an RWJF-supported study that finds hospitals that have higher percentages of nurses with baccalaureate degrees have lower rates of postsurgical mortality. The study, published in the March issue of Health Affairs, stems from the Future of Nursing: Campaign for Action. Read more about the study.
“I recently traveled to Singapore, where I met with other doctors and told about being the emergency department (ED) doctor at the University of Colorado Hospital the morning of the Aurora theater shootings on July 20, 2012,” RWJF Clinical Scholars alumna Comilla Sasson, MD, MS, FACEP, writes in an op-ed for the Denver Post. “One thing dawned on me as I spoke: I had seen more gunshot wound victims in that one night than these doctors will see in their entire careers.” Read a post Sasson wrote for the RWJF Human Capital Blog about the Aurora theater shootings, and learn more about her experience talking to the national news media afterward.
Human Capital News Roundup: Emergency department ‘sticker prices,’ longevity among women, asthma control, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
The average emergency room visit costs 40 percent more than a month’s rent, according to a study led by RWJF Physician Faculty Scholar Renee Hsia, MD, MSc. The study also found the “sticker price” for emergency department care varies widely, the Washington Post Wonk Blog reports, with a sprained ankle ranging from $4 to $24,110. Among the other outlets to report on Hsia’s findings: Health Day, Bloomberg, and MSN.com. Read a post Hsia wrote for the RWJF Human Capital Blog about ambulance diversion and emergency room crowding.
RWJF Health & Society Scholar Jennifer Karas Montez, PhD, was a guest on CNN’s The Situation Room with Wolf Blitzer to comment on a recently released longevity study. Montez' research in this area has focused on longevity among women, and she found that low-educated women (especially those without a high school education) have seen declines in their life expectancy, while life expectancy for men has stayed steady or increased. The Associated Press also reported on Montez research.
Americans support government intervention in matters of public health, such as curbing obesity, U.S. News & World Report says in reporting on research conducted by Michelle M. Mello, JD, PhD, MPhil, an RWJF Investigator Award in Health Policy Research recipient. Three-fourths of respondents in a survey said they support laws that would discourage obesity in adults, with most favoring less-intrusive measures such as posting calorie counts.
Human Capital News Roundup: ‘Dynamic environments’ for older adults, specialty nurses, racial diversity on campuses, and more.
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
Susan B. Hassmiller, PhD, RN, FAAN, RWJF senior adviser for nursing, spoke this month at the Oregon Center for Nursing conference on the future of nursing leadership, according to The Lund Report. “We need to be keeping more data, recording our expertise and speaking up for ourselves so when people say quality of care, they will also say, quality of nursing,” she said.
Alicia I. Arbaje, MD, MPH, an alumna of the RWJF Harold Amos Medical Faculty Development Program and the RWJF Clinical Scholars program, was a guest on NBC Nightly News discussing the need for older adults to live in “dynamic environments” like college towns, where they can stay physically active and socially engaged. See the clips here and here.
A white paper co-authored by RWJF Investigator Award in Health Policy Research recipient Kathleen Sutcliffe, PhD, “breaks down the behaviors of managers who are the best at anticipating, containing, and repairing catastrophes,” Business Insider reports. Among those behaviors: they overcome cognitive biases and update their beliefs, and they don't ignore small problems until they snowball into larger ones.
Science Magazine reports on research by RWJF Scholars in Health Policy Research alumnus Rashawn Ray, PhD, that finds women of color often encounter an unwelcoming environment in graduate school, and have a particularly hard time finding primary mentors who share their experiences and can provide guidance.