Ashish K. Jha
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View article: Association of Academic Medical Center Presence With Clinical Outcomes at Neighboring Community Hospitals Among Medicare Beneficiaries
Association of Academic Medical Center Presence With Clinical Outcomes at Neighboring Community Hospitals Among Medicare Beneficiaries Open
Importance Studies suggest that academic medical centers (AMCs) have better outcomes than nonteaching hospitals. However, whether AMCs have spillover benefits for patients treated at neighboring community hospitals is unknown. Objective To…
View article: National Estimates of Increase in US Mechanical Ventilator Supply During the COVID-19 Pandemic
National Estimates of Increase in US Mechanical Ventilator Supply During the COVID-19 Pandemic Open
This cross-sectional study assesses whether the increase in adult and pediatric and neonatal mechanical ventilators in US hospitals in response to the COVID-19 pandemic varied across hospital structural features, region, and safety-net sta…
View article: The Association Of HIV With Health Care Spending And Use Among Medicare Beneficiaries
The Association Of HIV With Health Care Spending And Use Among Medicare Beneficiaries Open
An increasingly older population of people with HIV raises concerns about how HIV may influence care for Medicare patients. We therefore sought to determine the extent to which HIV influences additional spending on and utilization of menta…
View article: Health Care Spending in the United States and Other High-Income Countries
Health Care Spending in the United States and Other High-Income Countries Open
This study concludes that higher prices and administration expenses are mostly to blame for why the U.S. spends more on health care than other countries do.
View article: Spending outcomes among patients with cancer in accountable care organizations 4 years after implementation
Spending outcomes among patients with cancer in accountable care organizations 4 years after implementation Open
Background The long‐term impact of affordable care organizations (ACOs) on cancer spending remains unknown. The authors examined whether practices that became ACOs altered their spending for patients with cancer in the first 4 years after …
View article: A methodology for identifying high‐need, high‐cost patient personas for international comparisons
A methodology for identifying high‐need, high‐cost patient personas for international comparisons Open
Objective To establish a methodological approach to compare two high‐need, high‐cost (HNHC) patient personas internationally. Data sources Linked individual‐level administrative data from the inpatient and outpatient sectors compiled by th…
View article: Heterogeneity in Response to India's Initial <scp>COVID</scp>‐19 <scp>Nationwide‐Lockdown</scp>: A <scp>Quasi‐Experimental</scp> Study Using Aggregate Mobility Data
Heterogeneity in Response to India's Initial <span>COVID</span>‐19 <span>Nationwide‐Lockdown</span>: A <span>Quasi‐Experimental</span> Study Using Aggregate Mobility Data Open
Research Objective India's March 2020 nationwide lockdown garnered early support from the World Health Organization, but has also been the subject of criticism due to strict enforcement and the inaccessibility of basic supplies for those u…
View article: Early Social Distancing Policies in Europe, Mobility Change and <scp>COVID</scp>‐19 Case Trajectories: Lessons from Spring 2020
Early Social Distancing Policies in Europe, Mobility Change and <span>COVID</span>‐19 Case Trajectories: Lessons from Spring 2020 Open
Research Objective Nonpharmacological policies aimed at improving physical distancing, such as shelter in place orders or gathering bans are a central strategy used to mitigate disease spread, particularly in the early life‐course of a pan…
View article: Differences in health care spending and utilization among older frail adults in <scp>high‐income</scp> countries: <scp>ICCONIC</scp> hip fracture persona
Differences in health care spending and utilization among older frail adults in <span>high‐income</span> countries: <span>ICCONIC</span> hip fracture persona Open
Objective This study explores differences in spending and utilization of health care services for an older person with frailty before and after a hip fracture. Data Sources We used individual‐level patient data from five care settings. Stu…
View article: Differences in health outcomes for h<scp>igh‐need</scp>h<scp>igh‐cost</scp>patients across h<scp>igh‐income</scp>countries
Differences in health outcomes for h<span>igh‐need</span>h<span>igh‐cost</span>patients across h<span>igh‐income</span>countries Open
Objective This study explores variations in outcomes of care for two types of patient personas—an older frail person recovering from a hip fracture and a multimorbid older patient with congestive heart failure (CHF) and diabetes. Data Sour…
View article: Healthy days at home: A population‐based quality measure for cancer patients at the end of life
Healthy days at home: A population‐based quality measure for cancer patients at the end of life Open
Background Healthy Days at Home (HDAH) is a novel population‐based outcome measure. In this study, its use as a potential measure for cancer patients at the end of life (EOL) was explored. Methods Patient demographics and health care use a…
View article: International comparison of health spending and utilization among people with complex multimorbidity
International comparison of health spending and utilization among people with complex multimorbidity Open
Objective The objective of this study was to explore cross‐country differences in spending and utilization across different domains of care for a multimorbid persona with heart failure and diabetes. Data Sources We used individual‐level ad…
View article: Association of Teaching Status and Mortality After Cancer Surgery
Association of Teaching Status and Mortality After Cancer Surgery Open
Objective: To examine patient outcomes for 9 cancer-specific procedures performed in teaching versus nonteaching hospitals. Background: Few contemporary studies have evaluated patient outcomes in teaching versus nonteaching hospitals acros…
View article: Early social distancing policies in Europe, changes in mobility & COVID-19 case trajectories: Insights from Spring 2020
Early social distancing policies in Europe, changes in mobility & COVID-19 case trajectories: Insights from Spring 2020 Open
Background Social distancing have been widely used to mitigate community spread of SARS-CoV-2. We sought to quantify the impact of COVID-19 social distancing policies across 27 European counties in spring 2020 on population mobility and th…
View article: Impacts of social distancing policies on mobility and COVID-19 case growth in the US
Impacts of social distancing policies on mobility and COVID-19 case growth in the US Open
Social distancing remains an important strategy to combat the COVID-19 pandemic in the United States. However, the impacts of specific state-level policies on mobility and subsequent COVID-19 case trajectories have not been completely quan…
View article: Inclusive Development through Municipal Governance: Issues and Prospects
Inclusive Development through Municipal Governance: Issues and Prospects Open
Since decades the debate is going on about development where social, economic, cultural political etc. In recent years, there has been a growing call for “inclusive development” to meet contemporary development needs and challenges. It is …
View article: Hospital organizational strategies associated with advanced EHR adoption
Hospital organizational strategies associated with advanced EHR adoption Open
Objective To identify organizational complementarities of adoption and use of electronic health records (EHRs) and assess what organizational strategies were associated with more advanced EHR use. Data Sources Primary survey data of US hos…
View article: Disparities in Surgical Readmissions and Use of Observation Status in Hip and Knee Replacements
Disparities in Surgical Readmissions and Use of Observation Status in Hip and Knee Replacements Open
Mehtsun, Winta T. MD, MPH; Orav, E. John PhD; Phelan, Jessica BS, MS; Lipa, Shaina A. MD, MPH; Dimick, Justin B. MD, MPH; Jha, Ashish K. MD, MPH; Figueroa, Jose F. MD, MPHAuthor Information
View article: Politics of disease control in Africa and the critical role of global health diplomacy: A systematic review
Politics of disease control in Africa and the critical role of global health diplomacy: A systematic review Open
Background: Africa is facing the triple burden of communicable diseases, non-communicable diseases (NCDs), and nutritional disorders. Multilateral institutions, bilateral arrangements, and philanthropies have historically privileged econom…
View article: Correction to “Pivoting from decomposing correlates to developing solutions: An evidence‐based agenda to address drivers of health”
Correction to “Pivoting from decomposing correlates to developing solutions: An evidence‐based agenda to address drivers of health” Open
This corrigendum corrects the following article1: In Table 1, a reference is made to Park et al (2015). The reference listed in the original publication was incorrect. The correct reference is: 32. Park H, Roubal AM, Jovaag A, et al. Relat…
View article: Effect of COVID-19 on Critical ICU Capacity in US Acute Care Hospitals
Effect of COVID-19 on Critical ICU Capacity in US Acute Care Hospitals Open
Importance The current wave of COVID-19 infections has led to media reports of ICUs across the country reaching critical capacity. But the degree to which this has happened and community and institutional characteristics of hospitals where…
View article: Adding A Climate Lens To Health Policy In The United States
Adding A Climate Lens To Health Policy In The United States Open
Climate change increasingly threatens the ability of the US health care system to deliver safe, effective, and efficient care to the American people. The existing health care system has key vulnerabilities that will grow more problematic a…
View article: Medicaid Expansion and Mortality Among Patients With Breast, Lung, and Colorectal Cancer
Medicaid Expansion and Mortality Among Patients With Breast, Lung, and Colorectal Cancer Open
Among patients with newly diagnosed breast, colorectal, and lung cancer, Medicaid expansion was associated with a decreased hazard of mortality in the postexpansion period, which was mediated by earlier stage of diagnosis.
View article: Association of Nursing Home Ratings on Health Inspections, Quality of Care, and Nurse Staffing With COVID-19 Cases
Association of Nursing Home Ratings on Health Inspections, Quality of Care, and Nurse Staffing With COVID-19 Cases Open
This study evaluates COVID-19 case rates between high- and low-performing nursing homes based on CMS quality measures.