Masahito Jimbo is Professor of Family Medicine and Urology at the University of Michigan. Having worked as a family physician in both urban (Philadelphia) and rural (North Carolina) underserved areas, he has first-hand knowledge and experience of the challenges faced by clinicians and healthcare institutions to be successful in providing patient care that is personal, comprehensive, efficient and timely. Initially trained in basic laboratory research, having obtained his MD and PhD degrees at Keio University in Tokyo, Japan, Dr.
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is the title of a project assessing the impact of different features of a web-based decision aid to improve patient decision making for asymptomatic carotid disease. This project was recently funded by the Foundation for Informed Medical Decision Making. Ethan A. Halm, MD, MPH (Univerity of Texas Southwestern Medical Center) will be working with CBSSM's Brian Zikmund-Fisher, PhD, on this research that will compare two decision aids related to surgery to prevent stroke.
Through a Robert Wood Johnson Foundation grant, a team of IHPI researchers led by Jeff Kullgren, M.D., M.P.H., M.S., an assistant professor of internal medicine at the University of Michigan (U-M) and research scientist with the VA Center for Clinical Management Research, will conduct a nationally representative survey to examine the extent to which consumers enrolled in HDHPs have engaged in certain behaviors to help optimize the value of their out-of-pocket payments.
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Lisa Szymecko recently presented, “Community Voices: Mental Health Research Needs by Consumers and Non-consumers of Mental Health Services” at WMU's Medical Humanities Conference.
Further conference details, including electronic copies of the program and abstracts of each presentation, as well as links to previous conference pages, can be found on the conference website: http://www.wmich.edu/medicalhumanities/conference2016/
CBSSM's Co-Director Raymond De Vries' article, "Giving (Bits of) Your Self to Medicine" was published in Medicine at Michigan. In this article, Dr. De Vries discusses biobank consent and moral concerns related to biobank research.
Click here for the full article.
We are announcing available positions for faculty ethicists in our Clinical Ethics Service. This service is hosted by CBSSM and provides the resources to expand and improve existing clinical ethics services across the institution.
Andrew Shuman, MD and Christian Vercler, MD are the Co-Directors/Leads of the Clinical Ethcs Service.
The detailed descriptions of the open positions can be found below. Application submission deadline is September 25, 2017, with a starting date of January 1, 2018.
Carl E. Schneider is the Chauncey Stillman Professor for Ethics, Morality, and the Practice of Law and is a Professor of Internal Medicine. He was educated at Harvard College and the University of Michigan Law School, where he was editor in chief of the Michigan Law Review. He served as law clerk to Judge Carl McGowan of the United States Court of Appeals for the District of Columbia Circuit and to Justice Potter Stewart of the United States Supreme Court. He became a member of the Law School faculty in 1981 and of the Medical School faculty in 1998.
Funded by Health and Human Services, Department of-National Institutes of Health
Funding Years: 2013 - 2015.
With the aging of society and restructuring of families, it is increasingly important to understand how individuals become disabled. New disability is associated with increased mortality, substantial increases in medical costs (often borne by public payers), and a heavy burden on families and caregivers. While the disablement process?as theorized by Verburgge & Jette and their successors?has traditionally been seen as chronic and gradual, there is increasing recognition that acute events play a critical role in disability. Medical illnesses are not the only potentially disabling events. NIA & NINR recently posted PA-11-265, calling for ?Social and Behavioral Research on the Elderly in Disasters? in recognition that natural disasters are common, but we know little about their impact on health and disability. The National Research Council?s Committee on Population published a report in 2009 documenting not only our ignorance in this area, but, importantly, the potential value of studying disasters to understand fundamental processes in disability and health.
Our long-term research agenda is (a) to test the hypothesis that natural disasters cause enduring morbidity for survivors that is not fully addressed by existing health and welfare programs, and (b) to discover remediable mechanisms that generate that enduring morbidity. Here we propose a nationwide test of the association of living in a disaster area with individuals? long-term disability and health care use. To perform this test, we will combine the unique longitudinal resources of over 16,000 respondents in the linked Health and Retirement Study (HRS) / Medicare files with a newly constructed mapping of all FEMA disaster declarations between 1998 and 2012. We will address key gaps in the existing literature of detailed single-disaster studies with a generalizable perspective across time and space via these Specific Aims:
AIM 1: Quantify the association between the extent of a disaster ? measured as the repair cost to public infrastructure and increases in level of disability among survivors. We will follow respondents for an average of 5 years after the disaster. AIM 2: Quantify the association between the extent of a disaster and increases in the likelihood of hospitalization among survivors. AIM 3: Test the hypothesis that increases in level of disability and likelihood of hospitalization after disasters are worse for those living in counties with higher levels of poverty.
This proposal is specifically responsive to PA-11-265. This proposal is innovative because long-term effects of disasters, particularly for vulnerable older Americans, have been systematically neglected in previous research. It is significant because it will address the public health consequences of a relatively common but understudied exposure. Further, a key contribution of this R21 will be to evaluate the feasibility of the National Research Council conjecture that natural disasters can be studied as exogenous shocks to the environment, and that we can thereby test and elaborate usually endogenous mechanisms in the development of disability.
PI(s): Theodore Iwashyna
Co-I(s): Kenneth Langa, Yun Li, Anne Sales
H. Myra Kim is a Research Scientist at the Center for Statistical Consultation and Research and and Adjunct Professor at the Department of Biostatistics. She received her Sc.D. in Biostatistics from Harvard University in 1995 and worked at Brown University as an Assistant Professor from 1995 to 1997. She has worked at UM since 1997 and has collaborated with various researchers from around the UM community as well as from other universities.