Articles by Steven M. Asch, MD, MPH
Refining a Diagnostic Code List to Investigate Low-Acuity Utilization by Veterans
ByAnu Ramachandran, MD, MPH,Justine Seidenfeld, MD, MHS,Derek Boothroyd, PhD,Steven M. Asch, MD, MPH,Anita A. Vashi, MD, MPH, MHS The authors updated a diagnosis list to identify low-acuity emergency department visits by veterans and applied it to examine trends and predictors of veterans’ low-acuity utilization.
Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient Experiences
ByLaura M. Holdsworth, PhD,Dani L. Zionts, MScPH,Karen Marie De Sola-Smith, PhD,Melissa Valentine, PhD,Marcy D. Winget, PhD,Steven M. Asch, MD, MPH This study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
We developed short patient experience surveys that were sensitive to our broad quality initiative, were meaningful and acceptable to patients, and had good response rates.
Opportunities to Improve the Value of Outpatient Surgical Care
ByFeryal Erhun, PhD,Elizabeth Malcolm, MD, MSHS,Maziyar Kalani, MD,Kimberly Brayton, MD, JD, MS,Christine Nguyen, MD, MS,Steven M. Asch, MD, MPH,Terry Platchek, MD,Arnold Milstein, MD, MPH Outpatient surgeries in the United States account for roughly 7% of annual healthcare expenditures. To exploit substantial opportunities to improve the value of outpatient surgical care, the authors composed an evidence-based care delivery composite for national discussion and pilot testing.
Inappropriate Ordering of Lumbar Spine Magnetic Resonance Imaging: Are Providers Choosing Wisely?
ByRisha Gidwani, DrPH,Patricia Sinnott, PhD,Tigran Avoundjian, MPH,Jeanie Lo, MPH,Steven M. Asch, MD, MPH,Paul G. Barnett, PhD This article analyzes use of lumbar spine magnetic resonance imaging in a national sample of patients with low back pain.
How Do Providers Prioritize Prevention? A Qualitative Study
ByJeffrey L. Solomon, PhD,Allen L. Gifford, MD,Steven M. Asch, MD, MPH,Nora Mueller, MAA,Colin M. Thomas, MD,John M. Stevens, MD,Barbara G. Bokhour, PhD Primary care providers utilize many strategies for prioritizing preventive care during time-constrained clinical encounters, in addition to being prompted by clinical reminders.
Evaluation of Human Immunodeficiency Virus and Hepatitis C Telemedicine Clinics
ByHemen N. Saifu, MPH,Steven M. Asch, MD, MPH,Matthew Bidwell Goetz, MD,Jason P. Smith, PharmD,Christopher J. Graber, MD, MPH,Dennis Schaberg, MD,Benjamin C. Sun, MD, MPP In an integrated health system, human immunodeficiency virus and hepatitis C telemedicine clinics are associated with improved access, high patient satisfaction, and reduction in health visit“related time.
Adoption and Use of Stand-Alone Electronic Prescribing in a Health Plan-Sponsored Initiative
ByJoshua M. Pevnick, MD, MSHS,Steven M. Asch, MD, MPH,John L. Adams, PhD,Soeren Mattke, MD, DSc,Mihir H. Patel, PharmD,Susan L. Ettner, PhD,Douglas S. Bell, MD, PhD In a health plan–sponsored e-prescribing initiative, participating PCPs' mean e-prescribing rate was 1 prescription per 4 pharmacy claims, but some PCPs achieved high use.
Physicians' Perceptions of Relevant Prescription Drug Costs: Do Costs to the Individual Patient or to the Population Matter Most?
ByWilliam H. Shrank, MD, MSHS,George J. Joseph, MS,Niteesh K. Choudhry, MD, PhD,Henry N. Young, PhD,Susan L. Ettner, PhD,Peter Glassman, MBBS, MSc,Steven M. Asch, MD, MPH,Richard L. Kravitz, MD, MSPH Do the Incentives in 3-Tier Pharmaceutical Benefit Plans Operate as Intended? Results From a Physician Leadership Survey
ByWilliam H. Shrank, MD, MSHS,Henry N. Young, PhD,Susan L. Ettner, PhD,Peter Glassman, MBBS, MSc,Steven M. Asch, MD, MPH,Richard L. Kravitz Variation in Implementation and Use of Computerized Clinical Reminders in an Integrated Healthcare System
ByConstance H. Fung, MD, MSHS,Juliet N. Woods, MS,Steven M. Asch, MD, MPH,Peter Glassman, MBBS, MSc,Bradley N. Doebbeling, MD, MSc Cost-Sharing for Prescriptions of Sildenafil and Finasteride: A Case Study in Veteran Patients
ByEmily I. Yu, MPH,Peter A. Glassman, MBBS, MSc,Steven M. Asch, MD, MPH,Neil M. Paige, MD, MSHS,Leigh J. Passman, MD, PhD,Paul G. Shekelle, MD, PhD
