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The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
June 2004 (Volume 82)
Joseph Angelelli is an assistant professor in the Department of Health Policy Administration at Pennsylvania State University. His interests include examining how public policies and organizational practices can improve quality in long-term care settings. He is currently working on evaluating culture change initiatives in nursing homes.
George Davey Smith is a professor of clinical epidemiology in the Department of Social Medicine at the University of Bristol in Bristol, England. His fields of interest include lifecourse epidemiology, inequalities in health, and genetic epidemiology.
Diane L. Gross is a postdoctoral research fellow in the Department of Community and Preventive Medicine at the University of Rochester School of Medicine and Dentistry. She is a cultural anthropologist whose primary research interests are in health care and aging and in the anthropology of work and workplaces, with emphases on political economy, public policy, race, class, and gender. Prior to conducting research on the Program of All-Inclusive Care for the Elderly, she led an ethnographic study of temporary workers in Washington, D.C.
Sam Harper is a doctoral candidate in the Department of Epidemiology at the University of Michigan School of Public Health. His research is in the area of health inequalities and their determinants across time and space.
Marianne M. Hillemeier is an assistant professor of health policy administration at Pennsylvania State University. She is interested in socioeconomics and race and ethnic disparities in the health of infants, children, and adolescents. Recent projects have included conceptualization and measurement of contextual characteristics for community health, examination of relative versus absolute standards for child poverty, and potential interventions to reduce disparities in adverse pregnancy outcomes among urban and rural women in central Pennsylvania.
Stephen J. Kunitz is a professor in the Department of Community and Preventive Medicine at the University of Rochester School of Medicine and Dentistry. His research interests include social epidemiology, population, and medical history, and he has received a Health Policy Investigator Award from the Robert Wood Johnson Foundation for a study on the historic decline of mortality in Europe and North America.
Philip R. Lee, M.D., is a senior scholar at the Institute for Health Policy Studies and professor emeritus of social medicine at the University of California, San Francisco (UCSF) School of Medicine. He has been a member of the UCSF faculty since 1969. His work focuses on Medicare policies, including prescription drugs and graduate medical education; diversity, specifically current research related to diversity at UCSF and Stanford medical schools for the past 40 years and policies to increase diversity in U.S. medical schools; health disparities; and health and the environment, chairing the Health and Environmental Funders Network and Collaborative on Health and the Environment. He also teaches undergraduates in the Program in Human Biology at Stanford and postdoctoral students at the Institute for Health Policy Studies. In addition, he serves on the Board of Directors of the Palo Alto Medical Foundation and the Lucille Packard Children’s Hospital.
Helene Levens Lipton is a professor of health policy and pharmacy in the Department of Clinical Pharmacy and Institute for Health Policy Studies at the Schools of Pharmacy and Medicine at the University of California, San Francisco. She has had a long-standing research and teaching interest in pharmaceutical health policy, focusing on the impact of drug policies on vulnerable patient populations, particularly the elderly. She has published in these areas in leading policy and clinical journals and coauthored with Philip Lee a book entitled Drugs and the Elderly: Clinical, Social and Policy Perspectives (Stanford University Press).
John Lynch is an associate professor of epidemiology at the University of Michigan School of Public Health. His research interests include social determinants of health, health inequalities, and lifecourse processes at the individual and population levels.
Susan C. Miller is an assistant professor in the Department of Community Health at the Center for Gerontology and Health Care Research at Brown University School of Medicine. Her research focuses on access to and utilization of long-term care services by older adults as well as on the evaluation of the effect of health care policy on utilization and outcomes. She is particularly interested in research on vulnerable older adults, especially those with life-limiting illness and/or Alzheimer’s disease or dementia. She recently completed two projects funded by the Agency for Healthcare Research and Quality (AHRQ): the first evaluated care outcomes and government expenditures at the end of life for hospice versus nonhospice nursing home residents, and the second examined how facility- and community-level factors are associated with observed quality indicator rates for African-American and non-Latino, white nursing home residents. She is currently an Open Society Institute, Project on Death in America Faculty Scholar and in this role is conducting qualitative research in Rhode Island nursing homes and hospices to better understand the factors associated with hospice referral, especially later versus earlier referral. Other studies she is conducting include a Robert Wood Johnson–funded project to identify and disseminate “Best Practices for Nursing Home End-of-Life Care” and a physician intervention study funded by Blue Cross and Blue Shield of Rhode Island.
Vincent Mor is a professor and chair of the Department of Community Health at Brown University School of Medicine. For more than a decade, he has been studying the organizational and market level determinants of the quality of long-term care services. He has created resident- and facility-level measures of outcome and quality performance ranging from psychosocial well-being to ambulatory care–sensitive hospitalizations and examined the influence that market factors, state and federal policies, and organizational strategies have on these outcomes.
Dana Mukamel is an associate professor at the University of California, Irvine and a senior fellow at the Center for Health Policy Research. She is also a visiting associate professor at Ben-Gurion University in Israel. Her research focuses on issues related to quality of care and long-term care. Her recent work includes studies of the Program of All-Inclusive Care for the Elderly and nursing homes, quality report cards for nursing homes and cardiac surgeons, and racial disparities in access to high-quality cardiac care. She has served on expert panels for the Centers for Medicare & Medicaid Services, Association for Healthcare Research and Quality, and the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services, and as program chair for the Gerontological Health Section of the American Public Health Association.
Thomas R. Oliver is an associate professor of health policy and management in the Bloomberg School of Public Health at Johns Hopkins University. His most recent work focuses on state efforts to expand health insurance coverage, foundation strategies to shape health policy, the evolution of Medicare payments for graduate medical education, and the role of policy entrepreneurship in the rise of managed care and managed competition in the U.S. health care system.
Helena Temkin-Greener is a research associate professor in the Department of Community and Preventive Medicine at the University of Rochester School of Medicine and Dentistry. Her research interests include end-of-life outcomes and the financing and delivery of health care for the elderly. Recent work has focused on assessment of health outcomes in the Program of All-Inclusive Care for the Elderly (PACE) and on risk-adjusted payment for PACE.
Joan M. Teno, M.D., is a professor of community health and medicine and associate director of the Center for Gerontology and Health Care Research at Brown University Medical School. She is a health services researcher, hospice medical director, and board-certified internist with added qualification in geriatrics and palliative medicine. She has served on numerous advisory panels, including the Institute of Medicine, World Health Organization, and American Bar Association, and as grant peer reviewer for the National Institutes of Health. Her focus has been on measuring and evaluating interventions to improve the quality of medical care for seriously ill and dying patients. She led the effort in the design of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) intervention analysis and was lead author in 12 publications from that research effort, which ranged from the role of advance directives to describing the dying experience of seriously ill and older adults. As both a researcher and clinician, she has devoted her career to understanding how to measure and improve the quality of end-of-life care for vulnerable populations. She is the lead investigator in a research effort to create a “Toolkit of Instruments to Measure Care at the End of Life” (TIME). In this grant, funded by the Robert Wood Johnson Foundation, she led a team that conducted literature reviews to catalogue existing instruments and develop new measures to examine the quality of care at the end of life. She continues this initiative with a current research project entitled “Data Analysis and Reports for Toolkit Instruments,” which shortens the Toolkit instruments developed in the TIME project and makes them more “user-friendly” by creating a computerized system that analyzes the data and returns a report to the health care facility. She has led a statewide effort to improve pain management in nursing homes, for which she has received an award from the American Cancer Society.
Jacqueline S. Zinn is an associate professor in the Department of Risk, Insurance, and Healthcare Management at the Fox School of Business and Management at Temple University. Her research has examined the influence of market competition on quality and access in hospitals, nursing homes, and home health agencies. Her recent work concerns the association between organizational characteristics and quality in health care settings, comparisons of severity-adjusted outcomes of care, and strategic responses of nursing homes to market and regulatory changes.
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Volume 82, Issue 2 (pages 401–405)
Published in 2004
In This Issue
Is Income Inequality a Determinant of Population Health? Part 2. US National and Regional Trends in Income Inequality and Age- and Cause-Specific Mortality