Funded by Holden Research Fund Award
Funding Years: 2011
PI: Naomi Laventhal
PI: Naomi Laventhal
Julie Wright Nunes, MD, MPH
Assistant Professor, Internal Medicine
Title: Patient Education and Care: Challenges and Opportunities in Chronic Kidney Disease
Abstract: Twenty million people, or 20% of U.S. adults ages 60 and older, have chronic kidney disease (CKD). CKD is a significant public health threat carrying high risk of morbidity, mortality, and renal failure. Health behavior theory suggests that patient motivation and healthy behavior change require patients to have knowledge of their chronic condition, as well as the self-efficacy and skills to do what is needed to stay healthy. The chronic care model promotes early patient engagement in care. Yet, less than 20% of patients with CKD are aware of their diagnosis. Even patients who are aware often do not understand the implications of their CKD diagnosis or what they need to do to optimize their health. Dr. Wright Nunes will discuss her research aimed to develop, test, and disseminate sustainable patient-centric education and coaching support interventions to improve quality of care and outcomes in patients who have CKD.
Chithra Perumalswami, MD, MSc
CBSSM Postdoctoral Fellow
Defining High Quality Health Care at the End of Life: Obesity in Hospice
Little is known about the challenges of providing high quality health care at the end of life for patients with obesity. We conducted 22 semi-structured telephone interviews with hospice medical directors from each major geographic region of the US to understand physicians’ clinical and administrative perspectives regarding the effects of obesity on quality of hospice care for patients, caregivers, nurses, and other members of the hospice team.
Reshma Jagsi, MD, PhD
Associate Professor, Radiation Oncology
"Stewardship and Value: Are we choosing wisely in managing breast cancer?"
Abstract: This lecture will begin with a brief discussion of the moral foundations of physicians' obligations to serve society, in addition to the patients they directly serve. It will then consider analogies between financial stewardship and antibiotic stewardship, and it will conclude by focusing on several examples of opportunities for better physician stewardship in breast cancer, including slow uptake of short courses of breast radiation and rapid increases in the use of bilateral mastectomy for unilateral disease.
Jeff Kullgren, MD, MS, MPH
Assistant Professor, Internal Medicine
Consumer Behaviors among Americans in High-Deductible Health Plans
More than 1 in 3 Americans with private health insurance now face high out-of-pocket expenditures for their care because they are enrolled in high-deductible health plans (HDHPs), which have annual deductibles of at least $1,300 for an individual or $2,600 for a family before most services are covered. Though it is well known that HDHPs lead patients to use fewer health services, what is less known is the extent to which Americans who are enrolled in HDHPs are currently using strategies to optimize the value of their out-of-pocket health care spending such as (1) budgeting for necessary care, (2) accessing tools to select providers and facilities based on their prices and quality, (3) engaging clinicians in shared decision making which considers cost of care, and (4) negotiating prices for services. Such strategies could be particularly helpful for people living with chronic conditions, who are even more likely to delay or forego necessary care when enrolled in an HDHP. In this seminar we will examine these issues and review preliminary results from a recent national survey of US adults enrolled in HDHPs that aimed to determine how often these strategies are being utilized and how helpful patients have found them to be, which patients choose to use or not use these strategies and why, and identify opportunities for policymakers, health plans, and employers to better support the growing number of Americans enrolled in HDHPs.
Co-sponsored by the Center for Ethics in Public Life and the Center for Bioethics and Social Sciences in Medicine, the 2nd annual Bioethics Colloquium took place on Friday, May 20, 8:30-3:30 pm, in the Alumni Center. The colloquium featured presentations of research in or about bioethics conducted by U-M faculty, fellows, and students.
The keynote speaker was Susan Dorr Goold, MD, MHSA, MA, who gave a talk entitled, "Market failures, moral failures, and health reform."
Nearly 70 people attended the event, which featured 10 presentations by faculty, graduate students, and undergraduate students drawn from a variety of disciplines.
Funded by American Academy of Otolaryngology
PI: Andrew Shuman, MD
CBSSM Co-Is: Michele Gornick, PhD, MA; Wendy Uhlmann, MS, CGC
Please consider attending the Health Services Research Group Launch Symposium at the North Campus Research Complex (Building 18) on Thursday, May 26, 7:30am - 5:00 pm. The purpose is to discuss the HSR Group's goals and future plans, discuss relevant topics in healthcare policy, and network with colleagues. Even if you are unable to attend, go to the registration page to indicate your interest in health services research and health policy so that you may be contacted again in the future. Click here to register.
In addition, there is an effort to collect information on all HSR groups on campus for purposes of networking and for junior investigators or newcomers to U-M to find colleagues and collaborators. Preliminary information will be provided at the Symposium and later a Wiki website will be created. Please send the main research theme(s) of the group/center; rough idea about the investigators, divisions, departments, schools; website URL, if applicable; seminar information, if applicable; and contact information to Joe Zogaib at email@example.com.