Search results for: Jonathan A. Finkelstein

Items from 1 to 20 out of 37 results

article

Measuring complications of serious pediatric emergencies using ICD‐10

Kenneth A. Michelson, Arianna H. Dart, Richard G. Bachur, Prashant Mahajan, more

Health Services Research > 56 > 2 > 225 - 234

Objective To create definitions for complications for 16 serious pediatric conditions using the International Classification of Diseases, 10th Revision, Clinical Modification or Procedure Coding System (ICD‐10‐CM/PCS), and to assess whether complication rates are similar to those measured with ICD‐9‐CM/PCS. Data Sources The Healthcare Cost and Utilization Project State Emergency Department and...

article

Use of a National Database to Assess Pediatric Emergency Care Across United States Emergency Departments

Kenneth A. Michelson, Todd W. Lyons, Joel D. Hudgins, Jason A. Levy, more

Academic Emergency Medicine > 25 > 12 > 1355 - 1364

Objectives Differences in emergency care for children exist between general and pediatric emergency departments (EDs). Some pediatric quality measures are available but are not routinely employed nationwide. We sought to create a short list of applied measures that would provide a starting point for EDs to measure pediatric emergency care quality and to compare care between general and pediatric...

article

Impact of an Individual Mandate and Other Health Reforms on Dependent Coverage for Adolescents and Young Adults

Lauren E. Wisk, Jonathan A. Finkelstein, Sara L. Toomey, Gregory S. Sawicki, more

Health Services Research > 53 > 3 > 1581 - 1599

Objective To determine the effect of state‐level dependent coverage expansion (DCE) with and without other state health reforms on exit from dependent coverage for adolescents and young adults (AYA). Data Sources Administrative longitudinal data for 131,542 privately insured AYA in Massachusetts (DCE with other reforms) versus Maine and New Hampshire (DCE without other reforms) across three periods:...

article

Change in Residents' Experience in Continuity Clinic After Patient-Focused Primary Care Redesign

Benjamin N. Fogel, Stephen Warrick, Jonathan A. Finkelstein, Melissa Klein

Academic Pediatrics > 2016 > 16 > 7 > 616-620

Evaluation of efforts to redesign primary care has primarily focused on clinical services, with limited assessment of the effect on learners. This study evaluated the change in pediatric residents' perception of training, teamwork, and patient care in 2 different continuity clinic settings that were implementing patient-focused primary care redesign.Continuity clinic residents at 2 large urban pediatric...

article

Incidence of Urinary Tract Infection Among Siblings of Children With Vesicoureteral Reflux

Caleb P. Nelson, Jonathan A. Finkelstein, Tanya Logvinenko, Mark A. Schuster

Academic Pediatrics > 2016 > 16 > 5 > 489-495

Siblings of children with vesicoureteral reflux (VUR) are at elevated risk of VUR. Screening siblings may identify VUR before a clinical illness such as a urinary tract infection (UTI), but the benefit of screening has not been demonstrated. We sought to determine the incidence of UTI among siblings, and we hypothesized that the sibling UTI rate is similar between screened and unscreened siblings...

article

Parent and Teen Engagement in Pediatric Health Services Research Training

Donna Luff, Brenda Allair, Katherine Litterer, William R. O'Donnell, more

Academic Pediatrics > 2016 > 16 > 5 > 496-498

article

Development and Validation of the Adolescent Assessment of Preparation for Transition: A Novel Patient Experience Measure

Gregory S. Sawicki, Katharine C. Garvey, Sara L. Toomey, Kathryn A. Williams, more

Journal of Adolescent Health > 2015 > 57 > 3 > 282-287

Significant gaps exist in health care transition (HCT) preparation that can impact care and outcomes in young adults with chronic illness. No quality measure exists to directly assess adolescent experiences of HCT preparation. Our objective was to develop an adolescent-reported measure of the quality of HCT preparation received from pediatric health care providers.The Adolescent Assessment of Preparation...

article

Pulmonary support on day of life 30 is a strong predictor of increased 1 and 5-year morbidity in survivors of congenital diaphragmatic hernia

Ryan P. Cauley, Kristina Potanos, Nora Fullington, Sigrid Bairdain, more

Journal of Pediatric Surgery > 2015 > 50 > 5 > 849-855

Pulmonary support (PS) on day-of-life-30 (DOL-30) has been shown to be the strongest predictor of subsequent morbidity and in-patient mortality in congenital diaphragmatic hernia (CDH). We hypothesized that PS on DOL-30 can also predict long-term outcomes in CDH survivors.We analyzed records of 201 CDH survivors followed by a single multidisciplinary clinic (1995–2010). Follow-up was 83 and 70% at...

article

Stability of the pneumococcal population structure in Massachusetts as PCV13 was introduced

Qiuzhi Chang, Abbie E Stevenson, Nicholas J Croucher, Grace M Lee, more

BMC Infectious Diseases > 2015 > 15 > 1 > 1-7

Background The success of 7-valent pneumococcal conjugate vaccination (PCV-7) introduced to the US childhood immunization schedule in 2000 was partially offset by increases in invasive pneumococcal disease (IPD) and pneumococcal carriage due to non-vaccine serotypes, in particular 19A, in the years that followed. A 13-valent conjugate vaccine (PCV-13) was introduced in 2010. As part of an ongoing...

article

Deceased-Donor Split-Liver Transplantation in Adult Recipients: Is the Learning Curve Over?

Ryan P. Cauley, Khashayar Vakili, Nora Fullington, Kristina Potanos, more

Journal of the American College of Surgeons > 2013 > 217 > 4 > 672-684.e1

Infants have the highest wait-list mortality of all liver transplantation candidates. Deceased-donor split-liver transplantation, a technique that provides both an adult and pediatric graft, might be the best way to decrease this disproportionate mortality. Yet concern for an increased risk to adult split recipients has discouraged its widespread adoption. We aimed to determine the current risk of...

article

Deceased Donor Liver Transplantation in Infants and Small Children: Are Partial Grafts Riskier Than Whole Organs?

Ryan P. Cauley, Khashayar Vakili, Kristina Potanos, Nora Fullington, more

Liver Transplantation > 19 > 7 > 721 - 729

Infants have the highest wait‐list mortality of all liver transplant candidates. Although previous studies have demonstrated that young children may be at increased risk when they receive partial grafts from adult and adolescent deceased donors (DDs), with few size‐matched organs available, these grafts have increasingly been used to expand the pediatric donor pool. We aimed to determine the current...

article

Pulmonary support on Day 30 as a predictor of morbidity and mortality in congenital diaphragmatic hernia

Ryan P. Cauley, Alexander Stoffan, Kristina Potanos, Nora Fullington, more

Journal of Pediatric Surgery > 2013 > 48 > 6 > 1183-1189

Congenital diaphragmatic hernia (CDH) is associated with significant in-hospital mortality, morbidity and length-of-stay (LOS). We hypothesized that the degree of pulmonary support on hospital day-30 may predict in-hospital mortality, LOS, and discharge oxygen needs and could be useful for risk prediction and counseling.862 patients in the CDH Study Group registry with a LOS≥30days were analyzed (2007–2010)...

article

Planning and Incorporating Public Health Preparedness Into the Medical Curriculum

Jan K. Carney, Lisa M. Schilling, Scott H. Frank, Paul D. Biddinger, more

American Journal of Preventive Medicine > 2011 > 41 > 4 Supplement 3 > S193-S199

As part of a 2010 conference entitled “Patients and Populations: Public Health in Medical Education,” faculty from four U.S. medical schools (Case Western Reserve University, Harvard Medical School, the University of Colorado School of Medicine, and the University of Vermont College of Medicine), collaborated on a workshop to help other medical educators develop scenario-based learning experiences...

article

Healthcare utilization and cost of pneumococcal disease in the United States

Susan S. Huang, Kristen M. Johnson, G. Thomas Ray, Peter Wroe, more

Vaccine > 2011 > 29 > 18 > 3398-3412

Streptococcus pneumoniae continues to cause a variety of common clinical syndromes, despite vaccination programs for both adults and children. The total U.S. burden of pneumococcal disease is unknown.We constructed a decision tree-based model to estimate U.S. healthcare utilization and costs of pneumococcal disease in 2004. Data were obtained from the 2004–2005 National (Hospital) Ambulatory Medical...

article

Re-emergence of the type 1 pilus among Streptococcus pneumoniae isolates in Massachusetts, USA

Gili Regev-Yochay, William P. Hanage, Krzysztof Trzcinski, Sheryl L. Rifas-Shiman, more

Vaccine > 2010 > 28 > 30 > 4842-4846

Pneumococcal type 1 pilus proteins have been proposed as potential vaccine candidates. Following conjugate pneumococcal vaccination, the prevalence of the pneumococcal type 1 pilus declined dramatically, a decline associated with the elimination of vaccine-type (VT) strains. Here we show that between 2004 and 2007, there has been a significant increase in pilus prevalence, now exceeding rates from...

article

Evidence that pneumococcal serotype replacement in Massachusetts following conjugate vaccination is now complete

William P. Hanage, Jonathan A. Finkelstein, Susan S. Huang, Stephen I. Pelton, more

Epidemics > 2010 > 2 > 2 > 80-84

Invasive pneumococcal disease (IPD) has been reduced in the US following conjugate vaccination (PCV7) targeting seven pneumococcal serotypes in 2000. However, increases in IPD due to other serotypes have been observed, in particular 19A. How much this “serotype replacement” will erode the benefits of vaccination and over what timescale is unknown. We used a population genetic approach to test first...

article

Comparing Medical Homes for Children with ADHD and Asthma

Sara L. Toomey, Charles J. Homer, Jonathan A. Finkelstein

Academic Pediatrics > 2010 > 10 > 1 > 56-63

The aims of our study were, among children with attention-deficit/hyperactivity disorder (ADHD) compared with children with asthma: 1) to assess characteristics associated with parent report of having a medical home for children with either of these 2 conditions; 2) to determine whether, controlling for these characteristics, the likelihood of having a medical home differs between children with ADHD...

article

Reducing the Prescribing of Heavily Marketed Medications: A Randomized Controlled Trial

Robert J. Fortuna, Fang Zhang, Dennis Ross-Degnan, Francis X. Campion, more

Journal of General Internal Medicine > 2009 > 24 > 8 > 897-903

Context Prescription drug costs are a major component of health care expenditures, yet resources to support evidence-based prescribing are not widely available. Objective To evaluate the effectiveness of computerized prescribing alerts, with or without physician-led group educational sessions, to reduce the prescribing of heavily marketed hypnotic medications. Design Cluster-randomized controlled...

article

Direct Health Care Costs of Crohn's Disease and Ulcerative Colitis in US Children and Adults

Michael D. Kappelman, Sheryl L. Rifas–Shiman, Carol Q. Porter, Daniel A. Ollendorf, more

Gastroenterology > 2008 > 135 > 6 > 1907-1913

Data regarding the health care costs of inflammatory bowel disease (IBD) in the United States are limited. The objectives of this study were to estimate the direct costs of Crohn's disease (CD) and ulcerative colitis (UC) in the United States, describe the distribution of costs among inpatient, outpatient, and pharmaceutical services, and identify sociodemographic factors influencing these costs.We...

article

1044 Costs of Treatment of Crohn's Disease and Ulcerative Colitis in U.S. Children and Adults

Michael D. Kappelman, Sheryl Rifas-Shiman, Carol Q. Porter, Daniel A. Ollendorf, more

Gastroenterology > 2008 > 134 > 4 Supplement 1 > A-155-A-156

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Ambulatory Pediatrics (8)
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Journal of Pediatric Surgery (3)
Annals of Allergy, Asthma & Immunology (2)
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INFONA - science communication portal

Search results for: Jonathan A. Finkelstein

Measuring complications of serious pediatric emergencies using ICD‐10

Use of a National Database to Assess Pediatric Emergency Care Across United States Emergency Departments

Impact of an Individual Mandate and Other Health Reforms on Dependent Coverage for Adolescents and Young Adults

Change in Residents' Experience in Continuity Clinic After Patient-Focused Primary Care Redesign

Incidence of Urinary Tract Infection Among Siblings of Children With Vesicoureteral Reflux

Parent and Teen Engagement in Pediatric Health Services Research Training

Development and Validation of the Adolescent Assessment of Preparation for Transition: A Novel Patient Experience Measure

Pulmonary support on day of life 30 is a strong predictor of increased 1 and 5-year morbidity in survivors of congenital diaphragmatic hernia

Stability of the pneumococcal population structure in Massachusetts as PCV13 was introduced

Deceased-Donor Split-Liver Transplantation in Adult Recipients: Is the Learning Curve Over?

Deceased Donor Liver Transplantation in Infants and Small Children: Are Partial Grafts Riskier Than Whole Organs?

Pulmonary support on Day 30 as a predictor of morbidity and mortality in congenital diaphragmatic hernia

Planning and Incorporating Public Health Preparedness Into the Medical Curriculum

Healthcare utilization and cost of pneumococcal disease in the United States

Re-emergence of the type 1 pilus among Streptococcus pneumoniae isolates in Massachusetts, USA

Evidence that pneumococcal serotype replacement in Massachusetts following conjugate vaccination is now complete

Comparing Medical Homes for Children with ADHD and Asthma

Reducing the Prescribing of Heavily Marketed Medications: A Randomized Controlled Trial

Direct Health Care Costs of Crohn's Disease and Ulcerative Colitis in US Children and Adults

1044 Costs of Treatment of Crohn's Disease and Ulcerative Colitis in U.S. Children and Adults

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