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A School of Public Health Like No Other

Reuel A. Stallones Building in the Texas Medical Center in Houston

Reuel A. Stallones Building in the Texas Medical Center in Houston

At six campuses across Texas, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health works to improve the state of public health in Texas every day. Each of our campuses is strategically placed to meet the public health education and research needs of the diverse populations across Texas. UTHealth School of Public Health is the only school of public health in the nation with regional campuses.

The main campus, located in the heart of Houston’s Texas Medical Center, offers students unmatched opportunities for research and employment.  The School of Public Health’s five regional campuses are in Austin, Brownville, Dallas, El Paso and San Antonio. Each campus has its own faculty and research specialties. Students can attend class at any of the six campuses via Interactive Television (ITV).

UTHealth School of Public Health is one of six schools of The University of Texas Health Science Center at Houston (UTHealth), the most comprehensive academic health system in The University of Texas System and the U.S. Gulf Coast region. In addition to the School of Public Health, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, medicine and nursing. It also includes a psychiatric hospital, multiple institutes and centers, a growing network of clinics and outreach programs in education and care throughout the region.

The School of Public Health is accredited by the Council on Education for Public Health (CEPH) and the university is accredited by the Southern Association of Colleges and Schools (SACS).

Center for Health Services Research

Center for Health Services Research - CHSR Banner

About Us

The Center for Health Services Research (CHSR) conducts research and provides technical assistance and training in the organization, financing, and outcomes of health services, systems, and policies. The center focuses on the development and application of health services research methods in the design and evaluation of individually targeted healthcare and community-based public health.

Mission

The mission of the Center for Health Services Research (CHSR) is to conduct research and provide technical assistance and training in the organization, financing, and outcomes of health services, systems and policies. The Center focuses on the development and application of health services research methods in the design and evaluation of individually targeted healthcare and community-based public health.

Research Areas

  • Clarify the costs and benefits of health promotion, protection, prevention, treatment and rehabilitation services
  • Identify and evaluate financing and service delivery initiatives to better serve uninsured, low-income populations
  • Identify and evaluate relevant federal, state and local health policy related to these issues

Our Team

Begley, Charles E., PhD – Professor
Research interests: Economic evaluation of health policy and programs particularly regarding Medicaid, Medicare, state and local safety net, neurological diseases, and breast cancer.
Campus: Houston (RAS E317)
Email: charles.e.begley@uth.tmc.edu
Phone: (713) 500-9179

Brown III, Henry S., PhD – Associate Professor
Research interests: Effects of and demand for health insurance, immigrants and minority groups, economic evaluation of public health interventions, productivity costs of chronic illnesses.
Campus: Houston (UTA 6.348)
Email: henry.s.brown@uth.tmc.edu
Phone: (512) 391-2521

Du, Xianglin L., MD, PhD – Associate Professor
Research interests: Clinical Epidemiology of cardiovascular disease and cancer; health services and outcomes research; claims-based healthcare studies.
Campus: Houston (RAS E631)
Email: xianglin.l.du@uth.tmc.edu
Phone: (713) 500-9956

Lairson, David R., PhD – Professor
Research interests: Health care economics; economics of health promotion/disease prevention with special interest in cancer; economic evaluation of health care technology.
Campus: Houston (RAS E307)
Email: david.r.lairson@uth.tmc.edu
Phone: (713) 500-9176

Mikhail, Osama I., PhD – Professor
Research interests: Hospital industry structure; strategic planning; health care finance; technology assessment.
Campus: Houston (RAS E315)
Email: osama.i.mikhail@uth.tmc.edu
Phone: (713) 500-9175

Morgan, Robert, PhD – Professor
Research interests: Measurement in health services research; system policies and patient factors affecting access to care; interactions among health care systems; patient knowledge about health care.
Campus: Houston (RAS E343)
Email: robert.o.morgan@uth.tmc.edu
Phone: (713) 500-9187

Rajan, Suja, PhD - Assistant Professor
Research interests: Health economics and application of econometric techniques; women’s health; breast and cervical cancer; impact of obesity on cancer care outcomes; comparative effectiveness and treatment evaluations in the area of cancer.  
Campus: Houston (RAS E319)
Email: suja.s.rajan@uth.tmc.edu
Phone: (713) 500-9194

Rowan, Paul, PhD – Assistant Professor
Research interests: The influence of psychological factors upon health care outcomes; organization of health care systems for detecting and treating psychological difficulties.
Campus: Houston (RAS E303)
Email: paul.j.rowan@uth.tmc.edu
Phone: (713) 500-9183

Swint, J. Michael, PhD – George McMillan Fleming Professorship in Health Administration
Research interests: Economic evaluation of public health and health care interventions and health care policy alternatives; comparative healthcare systems; health care system reform; health and economic development.
Campus: Houston (RAS E933)
Email: john.m.swint@uth.tmc.edu
Phone: (713) 500-9158

Weber, Ellerie - Assistant Professor
Research Interests: 
Campus: Houston (RAS E919)
Email:ellerie.s.weber@uth.tmc.edu
Phone: (713) 500-9195

Affiliates & Staff

Lu Ann Aday, PhD, Lorne D. Bain Distinguished Professor Emerita in Public Health and Medicine
Tonghan Chung
Dangmeng Huang
Jung Hyun Kim
Bumyang Kim

Graduate Assistants

Parisa Asgarisabet
Jarrod Eska
Shuangshuang Fu
Siddharth Karanth
Shweta Pathek
Hilda Sekabira
Chi-Fang Wu


Research and Projects

The Center for Health Services Research (CHSR) complements other research activities within UTHealth and the School of Public Health by applying basic research on causal relationships, intervention design, and population surveillance to service, system and policy questions.
We provide graduate and postgraduate training, practice opportunities for students & fellows, and collaborative research opportunities with other centers, institutes, and external organizations where knowledge of financing, evaluation, organizational relationships and policy is important. The CHSR collaborates with faculty and students at all UTHealth School of Public Health campuses, the Texas Medical Center, and other public and private organizations. 

Cost, Quality, & Outcome of Health Services

CHSR Faculty

Role

Primary Investigator

Project Title

Sponsor

Start Date

End Date

Begley, Charles Co-Investigator Revere, Frances Southeast Texas Healthcare Transformation and Quality Improvement Program Learning Collaborative Support Project HC Hospital DISTRICT 3/1/13 2/28/17
Begley, Charles Co-Investigator Davis, Barry R. Methods Training in Patient-Centered Cancer Outcomes Research U of Tx MDACC 7/1/14 6/30/19
Begley, Charles PI Begley, Charles E. CDC Epilepsy Program CDC 9/1/14 8/31/17
Begley, Charles PI Begley, Charles E. SIP 14-007 Managing Epilepsy Well (MEW) Network Collaborating Center U OF ARIZONA 9/30/14 9/29/19
Begley, Charles Co-Investigator Wells, Rebecca Statewide Evaluation of the 1115 Medicaid Waiver TAMU HSC 1/20/15 1/31/17
Begley, Charles Co-Investigator Wells, Rebecca Integrating Primary Care into Behavioral Health Settings for Adults with Severe and Persistent Mental Illnesses (SPMI) TAMU HSC 1/20/15 1/31/17
Begley, Charles  Co-Investigator Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas MEADOWS MENTAL HEALTH POLICY 9/1/15 2/29/16
Brown III, Henry S. Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Brown III, Henry S. Co-Investigator Perry, Cheryl Tobacco Center of Regulatory Science on Youth and Young Adults NIH 9/19/13 8/31/18
Du, Xianglin L. PI Du, Xianglin L. Comparative Effectiveness and Cost Effectiveness of Cancer Chemotherapy AHRQ 4/1/12 1/31/17
Du, Xianglin L. Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Du, Xianglin L. Co-Investigator Vernon, Sally W. Graduate Training Program in Breast Cancer Disparity at UTSPH Susan B. Komen 10/30/14 10/29/17
Lairson, David  Co-Investigator Du, Xianglin L. Comparative Effectiveness and Cost Effectiveness of Cancer Chemotherapy AHRQ 4/1/12 1/31/17
Lairson, David  Mentor Mullen, Patricia Dolan Behavioral Science Education-Cancer Prevention and Control NIH 9/1/13 8/31/18
Lairson, David  PI Lairson, David R. HPV Economic Modeling U of Tx MDACC 9/1/15 8/31/17
Lairson, David  Co-Investigator Yamal, Jose-Miguel Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit Compared to Standard Management by Emergency Hermann HOSP. 9/1/16 8/31/21
Lairson, David  Co-Investigator Vernon, Sally W. Multi-component interventions for patients and providers to increase HPV vaccination in a network of pediatric clinics in Houston CPRIT 3/1/15 2/28/18
Morgan, Robert Project Director McPherson, David D. Center for Clinical and Translational Sciences (CCTS) NIH 6/27/12 5/31/17
Morgan, Robert Co-Investigator Davis, Barry R. Methods Training in Patient-Centered Cancer Outcomes Research U of Tx MDACC 7/1/14 6/30/19
Morgan, Robert Co-Investigator Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas MEADOWS MENTAL HEALTH POLICY 9/1/15 2/29/16
Rajan, Suja S. Co-Investigator Highfield, Linda Evidence-based Dissemination for Mammography Adherence in Safety Net Communities AHRQ 7/1/14 6/30/17
Rajan, Suja S. Contract PI Rajan, Suja S.

Comparative Effectiveness of Physicians versus Non-physicians for the Delivery of Outpatient Diabetes Care: Implications for Access to Care under the Affordable Care Act


American Diabetes Association Clinical Science and Epidemiology Award 01/01/16 12/31/17
Rajan, Suja S. Co-Investigator Grotta, James C. Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit Compared to Standard Management by Emergency

PCORI

9/1/16 8/31/21
Rajan, Suja S. Contract PI Rajan, Suja S.

Improving the Measurement of VA Facility Performance to Foster a Learning Healthcare System

Houston Veterans Affairs Health Services Research & Development

01/01/17 12/31/19
Rajan, Suja S. Contract PI Rajan, Suja S.

Less is More: Improving antimicrobial stewardship for asymptomatic bacteriuria

Houston Veterans Affairs Health Services Research & Development

01/01/17 12/31/19
Rowan, Paul Co-Investigator Wells, Rebecca Integrating Primary Care into Behavioral Health Settings for Adults with Severe and Persistent Mental Illnesses (SPMI)

TAMU HSC

1/20/15 1/31/17
Rowan, Paul PI Rowan, Paul Study of serious and persistent mental illness in medicaid descriptive analysis and policy options for Texas

MEADOWS MENTAL HEALTH POLICY

9/1/15 2/29/16
Weber, Ellerie Co-Investigator Schick, Vanessa Evaluation of an Innovative Approach to Improving Health Outcomes Among Formerly Incarcerated Homeless Women

ANGELA HOUSE

7/15/16

7/14/18

Publications

2016     2015     2014     2013     Reports


2016

JE Hamilton, Pratikkumar VD, NR Hoot, RE Gearing, S Jeong, TD Meyer, JC Soares, CE Begley, Factors Associated with the Likelihood of Hospitalization Following Emergency Department Visits for Behavioral Health Conditions, Acad Emerg Med. 2016 Nov;23(11):1257-1266.

Martha Sajatovic, Barbara C. Jobst, Ross Shegog, Yvan A. Bamps, Charles E. Begley, Robert T. Fraser, Erica K. Johnson, Dilip K. Pandey, Rakale C. Quarells, Peter Scal, Tanya M. Spruill, Nancy J. Thompson, Rosemarie Kobau. 2016. The Managing Epilepsy Well Network: Advancing Epilepsy Self-management. American Journal of Preventive Medicine. In Press.

 Revere L, Semaan A, Lievsay N, Hall J, Wang ZM, C Begley, Collaborative Learning in the Texas Medicaid 1115 Waiver Program. J Healthc Qual. 2016 Sep 13. [Epub ahead of print]

 C Begley, J Hall, A Shenoy, J Hanke, R Wells, L Revere, N Lievsay. 2016. Design and Implementation of the Texas Medicaid DSRIP Program, Population Health Management, In Press.

 Lee, C. Begley. 2016. Delays in Seeking Healthcare: Comparison of Veterans and the General Population, Journal of Public Health Management & Practice. In Press.

J Hamilton, I Passos, T Azevedo Cardoso, K Jansen, M Allen, C Begley, J Soares, F Kapczinski, Predictors of Psychiatric Readmission Among Patients with Bipolar Disorder at an Academic Safety-Net Hospital, Australian and New Zealand Journal of Psychiatry, In Press.

S Murty, CE Begley, L Franzini, M Swint, 2016. Primary Care Availability, Safety Net Clinics, and Health Insurance Coverage: The Association of these Access Factors with Preventable Hospitalizations, Journal of Ambulatory Care Management, July/September, 39(3); 253–263.

Xu DR, Gong W, Caine ED, Xiao S, Hughes JP, Ng M, Simoni J, He H, Smith KL, Brown HS 3rd, Gloyd S. Lay health supporters aided by a mobile phone messaging system to improve care of villagers with schizophrenia in Liuyang, China: protocol for a randomised control trial. BMJ Open. 2016; 6 (1):e010120. PMCID: PMC4735204. PMID: 26792221. doi: 10.1136/bmjopen-2015-010120. 

Li L, Pérez A, Wu LT, Ranjit N, Brown HS, Kelder SH. Cardiometabolic Risk Factors among Severely Obese Children and Adolescents in the United States, 1999-2012. Childhood Obesity (Print). 2016 Feb; 12 (1):12-9. PMID: 26785314. doi: 10.1089/chi.2015.0136. 

Du XL, Zhang Y, Hardy D. Temporal and Geographic Variations in the Receipt of Colony-Stimulating Factors and Erythropoiesis-Stimulating Agents in a Large Retrospective Cohort of Older Women with Breast Cancer from 2000 to 2009. American Journal of Therapeutics. 2016;23(2):e411-e421. 

Parikh RC, Du XL, Morgan RO, Lairson DR. Patterns of Treatment Sequences in Chemotherapy and Targeted Biologics for Metastatic Colorectal Cancer: Findings from a Large Community-based Cohort of Elderly Patients. Drugs Real World Outcomes. 2016;3(1):69-82.

Farias AJ, Du XL. Ethnic differences in initiation and timing of adjuvant endocrine therapy among older women with hormone receptor-positive breast cancer enrolled in Medicare Part D. Medical Oncology. 2016;33(2):19 (pages 1-14).

Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Newmann A, Streckfus C, Chan W, Walji M. Partial-mouth periodontal examination protocol for estimating periodontitis extent and severity in a United States population. Clinical and Experimental Dental Research. 2016;2(1):73-79. DOI: 10.1002/cre2.24.

Du XL, Zhang Y, Hardy D. Associations between Hematopoietic Growth Factors and Risks of Venous Thromboembolism, Stroke, Heart Disease and Myelodysplastic Syndrome: Findings from a Large Population-based Cohort of Women with Breast Cancer. Cancer Causes and Control. 2016;27(5):695-707.

Liu Z, Zhang K, Du XL. Risks of Developing Breast and Colorectal Cancer in Association with Incomes and Geographic Locations in Texas: a Retrospective Cohort Study. BMC Cancer. 2016;16(1):294. doi: 10.1186/s12885-016-2324-z..

Li D, Du XL, Ren Y, Liu P, Li S, Yang J, Lv M, Chen L, Wang X, Li E, Yang J, Yi M. Comparative Analysis of Clinicopathologic Features of, Treatment in, and Survival of Americans with Lung or Bronchial Cancer. PLoS One. 2016 May 31;11(5):e0156617.

Parikh RC, Du XL, Morgan RO, Lairson DR. Cost Effectiveness of Treatment Sequences of Chemotherapies and Targeted Biologics for Elderly Metastatic Colorectal Cancer Patients. Journal of Managed Care and Specialty Pharmacy. 2016; In press.

Farias AJ, Du XL. The association between out-of-pocket costs, race/ethnicity, and adjuvant endocrine therapy adherence among Medicare patients with breast cancer. Journal of Clinical Oncology. 2016; In press.

Taylor, Jolyn et al. “The DISINFECT Initiative: Decreasing the Incidence of Surgical INFECTions in Gynecologic Oncology. Annals of Surgical Oncology (2016; in Press).

Poonawalla, Insiya B., Linda B. Piller, David R. Lairson, Wenyaw Chan, and Xianglin L. Du. " Use of Hematopoietic Growth Factors and Risk of Thromboembolic and Pulmonary Toxicities in Elderly Patients with Advanced Ovarian Cancer" International Journal of Gynecological Cancer (2016; in Press).

Prescott, Lauren et al. “How Low Should We Go: A Systematic Review and Meta-Analysis of the Impact of Restrictive Red Blood Cell Transfusion Strategies” Oncology Cancer Treatment Reviews (2016 in press).

Lairson, D.R., Misra, S., Huang, D., Chan, W., Vernon, S.W., Fernandez, M.E. Cost Effectiveness of Lay Health Worker Delivered Interventions to promote Colorectal Cancer Screening: A Randomized Trial. J. Healthcare Communications, 2016, Vol. 1, No. 1: 7.

Calo, William A., Sally W. Vernon, David R. Lairson, and Stephen H. Linder. "Area-level Socioeconomic Inequalities in the Use of Mammography Screening: A Multilevel Analysis of the Health of Houston Survey." Women's Health Issues (2016) Jan. 22.

Poonawalla, Insiya B., Linda B. Piller, David R. Lairson, Wenyaw Chan, and Xianglin L. Du. "Impact of Hematopoietic Growth Factors on Blood Transfusion Needs, Incidence of Neutropenia, and Overall Survival Among Elderly Advanced Ovarian Cancer Patients Treated With Chemotherapy." International Journal of Gynecological Cancer 26, no. 1 (2016): 95-103.

Rajan SS, Suryavanshi MS, Karanth S, Lairson DR. The Immediate Impact of the 2009 USPSTF Screening Guideline Change on Physician Recommendation of a Screening Mammogram: Findings from a National Ambulatory and Medical Care Survey-Based Study. Popul Health Manag. 2016 Aug 26. PMID: 27564582

Le, P., Nghiem, V., Swint, J.M. (2016) Post-GAVI sustainability of the Haemophilus influenzae type b vaccine program: the potential role of economic evaluation. Human Vaccines and Immunotherapeutics. Vol. 12, Issue 9. DOI:10.1080/21645515.2016.1175695. Epub ahead of print, May 2, 2016. PMID 27135964.

Brosnan, C, Swint, J.M. (2016) Economic evaluation, in Evaluation of Health Care Quality for the Doctor of Nursing Practice. C. Brosnan and J. Hickey, editors. Springer Publishing Company, New York, 2016.


2015 

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CE Begley, T Durgin, 2015. The Direct Cost of Epilepsy in the United States: A Systematic Review of Estimates, Epilepsia, 56(9): 1376-87. 

Zhang K., Chen T., Begley C. (2015). Impact of the 2011 heat wave on mortality and emergency department visits in Houston, Texas -No section-. Environmental Health: A Global Access Science Source. 14(1), 10.1186/1476-069X-14-11

E Faught, SL Helmers, CE Begley, DJ Thurman, C Dilley; C Clark, P Fritz, Newer Antiepileptic Drug Use and other Factors Decreasing Hospital Encounters, Epilepsy and Behavior, In Press.

CE Begley, R Shegog, A Harding, C Goldsmith, O Hope, M Newmark, Longitudinal Feasibility of MINDSET: A Clinic Decision Aid for Epilepsy Self-management, Epilepsy and Behavior, In Press.

D Lee, CE Begley, Physician Report of Industry Gifts and Quality of Care, Health Care Management Review, 4(1); Jan-Mar, 2015.

NJ Thompson, AH Patel, LM Selwa, SC Stoll, CE Begley, EK Johnson, RT Fraser, The Efficacy of Project UPLIFT for Prevention: Distance Delivery of Mindfulness-based Depression Prevention. Journal of Consulting and Clinical Psychology, In Press.

Carey FR, Singh GK, Brown HS 3rd, Wilkinson AV. Educational outcomes associated with childhood obesity in the United States: cross-sectional results from the 2011-2012 National Survey of Children’s Health. The International Journal of Behavioral Nutrition and Physical Activity. 2015 Jul 27; 12:S3. PMCID: PMC4663995. PMID: 26222699. doi: 10.1186/1479-5868-12-S1-S3.

Huo J, Du XL, Lairson DR, Chan WY, Jiang J, Buchholz TA, Guadagnolo BA. Utilization of Surgery, Chemotherapy, Radiation Therapy, and Hospice at the End of Life for Patients Diagnosed with Metastatic Melanoma. American Journal of Clinical Oncology. 2015;38(3):235-41.

Liu Z, Zhang Y, Franzini L, Cormier JN, Chan W, Xu H, Du XL. Trends and Variations in Breast and Colorectal Cancer Incidence from 1995 to 2011: A Comparative Study between the Texas Cancer Registry and National Cancer Institute’s Surveillance, Epidemiology and End Results Data. International Journal of Oncology. 2015;46(4):1819-1826.

Du XL, Zhang Y, Parikh RC, Lairson DR, Cai Y. Comparative Effectiveness of Chemotherapy Regimens in Prolonging Survival for Two Large Population-based Cohorts of Elderly Adults with Breast and Colon Cancer in 1992-2009. Journal of the American Geriatrics Society. 2015;63(8):1570-82. PMID: 26200214

Ludwig MS, Kuban DA, Du XL, Lopez DS, Yamal JM, Strom SS. The Role of Androgen Deprivation Therapy on Biochemical Failure and Distant Metastasis in Intermediate-Risk Prostate Cancer: A Retrospective Study of the Effects of Radiation Dose Escalation. BMC Cancer. 2015;15(1):190.

Ludwig MS, Kuban DA, Strom SS, Du XL, Lopez DS, Yamal JM. Assessing the Optimum use of Androgen-Deprivation Therapy in High Risk Prostate Cancer Patients Undergoing External Beam Radiation Therapy. American Journal of Men's Health. 2015 April 19. [Epub ahead of print].

Wang X, Du XL. Socio-demographic and Geographic Variations in the Utilization of Hormone Therapy in Older Women with Breast Cancer after Medicare Part-D Coverage. Medical Oncology. 2015;32(5):154 (pages 1-14).

Zhang Y, Franzini L, Chan W, Xu H, Du XL. Effects of Health Insurance on Tumor Stage, Treatment, and Survival in Large Cohorts of Patients with Breast and Colorectal Cancer. Journal of Health Care for the Poor and Underserved. 2015;26(4):1336-58.

Poonawalla IB, Parikh RC, Du XL, VonVille HM, Lairson DR. Cost-Effectiveness of Chemotherapeutic Agents and Targeted Biologics in Ovarian Cancer: A Systematic Review. PharmacoEconomics. 2015;33(11):1155-85. (Invited systematic review).

Du XL, Zhang Y. Risks of Venous Thromboembolism, Stroke, Heart Disease and Myelodysplastic Syndrome Associated with Hematopoietic Growth Factors in a Large Population-based Cohort of Patients with Colorectal Cancer. Clinical Colorectal Cancer. 2015;14(4):e21-31.

Park M, Lai D, Du XL, Delclos GP, Moye LA. General Linear Models in a Missing Outcome Environment of Clinical Trials Incorporating with Splines for Time-Invariant Continuous Adjustment. American Journal of Biostatistics. 2015;5(1):7-51. DOI: 10.3844/amjbsp.2015.7.51.

Lairson DR, Parikh RC, Cormier JN, Chan W, Du XL. Cost-Utility Analysis of Treatments for Advanced Non-Small Cell Lung Cancer. American Journal of Pharmacy Benefits. 2015;7(6):271-279.

Kim, J., Lairson, D.R.,Byrd, T., Salaiz, R., Shokar, N.K. Implementation Cost of A Community-Based Colorectal Cancer Screening Enhancement Program: Against Colorectal Cancer in our Neighborhoods (ACCION). J J of Commun Med. 2015, 1(2): 8.

Deshmukh, Ashish A., Hui Zhao, Luisa Franzini, David R. Lairson, Elizabeth Y. Chiao, Prajnan Das, Michael D. Swartz, Sharon H. Giordano, and Scott B. Cantor. "Total Lifetime and Cancer-related Costs for Elderly Patients Diagnosed With Anal Cancer in the United States." American journal of clinical oncology (Oct. 29, 2015).

Jung, Hye-Min, Jin-Seok Lee, David R. Lairson, and Yoon Kim. "The Effect of National Cancer Screening on Disparity Reduction in Cancer Stage at Diagnosis by Income Level." PloS one 10, no. 8 (2015): e0136036. DOI:10.1371/journal.pone.0136036 August 18, 2015.

Poonawalla, Insiya B., Lairson, David R., Chan, Wenyaw, Piller, Linda B., & Du, Xianglin L. Cost-Effectiveness of Neoadjuvant Chemotherapy versus Primary Surgery in Elderly Patients with Advanced Ovarian Cancer. Value in Health, Volume 18, Issue 4, June 2015, Pages 387-395.

Calo, W. A., Vernon, S. W., Lairson, D. R., & Linder, S. H. (2015). Associations between contextual factors and colorectal cancer screening in a racially and ethnically diverse population in Texas. Cancer epidemiology, 39(6), 798-804.

Shokar, N. K., Byrd, T., Lairson, D. R., Salaiz, R., Kim, J., Calderon-Mora, J., ... & Ortiz, M. (2015). Against Colorectal Cancer in Our Neighborhoods, a Community-Based Colorectal Cancer Screening Program Targeting Low-Income Hispanics Program Development and Costs. Health promotion practice, 16(5), 656-666. DOI: 10.1177/1524839915587265

Lairson D.R., Chung, T.H., Smith, L.G., Springston, J.K, Champion, V.L. Estimating Development Cost of an Interactive Website Based Cancer Screening. Evaluation and Program Planning, PII: S0149-7189(15)00014-2, DOI: 10.1016/j.evalprogplan.2015.01.009 

Jinhai Huo, Xianglin L. Du, David R. Lairson, Wenyaw Chan, Jing Jiang, Thomas A. Buchholz, and B. Ashleigh Guadagnolo. "Utilization of surgery, chemotherapy, radiation therapy, and hospice at the end of life for patients diagnosed with metastatic melanoma." American journal of clinical oncology 38, no. 3 (2015): 235-241.

Fernández ME, Savas LS, Carmack CC, Chan W, Lairson DR, Byrd TL, Wilson KM, Arvey SR, Krasny S,Vernon SW. A randomized controlled trial of two interventions to increase colorectal cancer screening among Hispanics on the Texas Mexico border. Cancer Causes and Control. Cancer Causes Control 2015: 26: 1-10. DOI 10.1007/s10552-014-0472-5

Tullar, J.M., Amick, B.C., Brewer, S., Diamond, P.M., Kelder, S.H., Mikhail, O. (2015). Improve Employee Engagement to Retain your Workforce. Healthcare Management Review - In Press

Rajan SS, Begley CE, Highfield LD, Kim B. Survival benefits of treatment access among underserved breast cancer patients diagnosed through the Texas Breast and Cervical Cancer Services program. J Public Health Manag Pract. 2015 Sep-Oct;21(5):477-486. PMID: 25794245

Kadakia A, Rajan SS, Abughosh S, Du XL, Johnson ML. CMF-regimen preferred as first-course chemotherapy for older and sicker women with breast cancer: SEER-Medicare based population study. American Journal of Clinical Oncology. Am J Clin Oncol. 2015 Apr;38(2):165-173. PMID: 23608830

Feinberg, B., Lal, L, Swint, J.M. (2015) Is there a mathematical resolution to the cost-versus-value debate. American Journal of Managed Care: Evidence-Based Oncology, Special Issue 16, Volume 21: 541-544. ISSN 1088-0224. Epub ahead of print, Evidence-Based Oncology December 11, 2015. ISSN 1936-2692.

Le, P., Griffiths, U., Anh, D., Chan, W., Franzini, L., Swint, J.M. (2015). Cost-effectiveness of Haemophilus influenzae type b vaccine in Vietnam. Vaccine. Vol. 33(36): 4639-46. DOI: 10.1016/j.vaccine.2015.05.050. Epub June 1, 2015. PMID: 26044493.

Abbass, I., Krause, T., Virani, S., Swint, J.M., Chan, W., Franzini, L. (2015). Revisiting the economic efficiencies of observation units. Managed Care. Vol. 24(3):46-52. PMID: 25939196.


2014

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EB Leaffer, CE Begley, D Hesdorffer, Psychosocial and sociodemographic associates of felt stigma in epilepsy, Epilepsy and Behavior, In Press.

J Hamilton, CE Begley, R Culler. Evaluation of Partner Collaboration to Improve Community-Based Mental Health Services for Low-Income Minority Children and Their Families. Evaluation and Program Planning. In Press. 

Gong W, Xu D, Zhou L, Brown HS 3rd, Smith KL, Xiao S. Village doctor-assisted case management of rural patients with schizophrenia: protocol for a cluster randomized control trial. Implementation Science : IS. 2014; 9:13. PMCID: PMC3929227. PMID: 24433461. doi: 10.1186/1748-5908-9-13.

Wilson KJ, Brown HS 3rd, Bastida E. Cost-Effectiveness of a Community-Based Weight Control Intervention Targeting a Low-Socioeconomic-Status Mexican-Origin Population. Health Promotion Practice. 2014 Jun 3. PMID: 24893680.

Yarnell LM, Pasch KE, Brown HS 3rd, Perry CL, Komro KA. Cross-gender social normative effects for violence in middle school: do girls carry a social multiplier effect for at-risk boys? Journal of Youth and Adolescence. 2014 Sep; 43 (9):1465-85. PMCID: PMC4130766. PMID: 24567165. doi: 10.1007/s10964-014-0104-0.

Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Newmann A, Streckfus C, Chan W, Walji M. Assessment of Partial-Mouth Periodontal Examination Protocols for Periodontitis Surveillance. Journal of Clinical Periodontology. 2014;41(9):846-52.

Tong L, Ahn C, Symanski E, Lai D, Du XL. Temporal trends in the leading causes of death among a large national cohort of patients with colorectal cancer from 1975 to 2009 in the United States. Annals of Epidemiology. 2014;24(6):411-417. 

Tong L, Ahn C, Symanski E, Lai D, Du XL. Effects of newly developed chemotherapy regimens, comorbidities, chemotherapy-related toxicity on the changing patterns of the leading causes of death in elderly patients with colorectal cancer. Annals of Oncology. 2014;25(6):1234-42.

Tong L, Ahn C, Symanski E, Lai D, Du XL. Relative impact of earlier diagnosis and improved treatment on survival for colorectal cancer: A US database study among elderly patients. Cancer Epidemiology. 2014;38(6):733-740. 

Wendt JK, Symanski E, Stock TH, Chan W, Du XL. Association of Short-Term Increases in Ambient Air Pollution and Timing of Initial Asthma Diagnosis among Medicaid-Enrolled Children in a Metropolitan Area. Environmental Research. 2014;131:50-58.

Sheth R, Flescher-Peskin M, Du XL. Duration of Hepatitis B Vaccine Immunity in Pediatric Dialysis Patients. Pediatric Nephrology. 2014;29(10):2029-37.

Kowalkowski MA, Mims MA, Day RS, Du XL, Chan W, Chiao EY. Longer duration of combination antiretroviral therapy reduces the risk of Hodgkin lymphoma: A cohort study of HIV-infected male veterans. Cancer Epidemiology. 2014;38(4):386-92.

Kowalkowski MA, Day RS, Du XL, Chan W, Chiao E. Cumulative HIV viremia and non-AIDS-defining malignancies among a sample of HIV-infected male veterans. Journal of Acquired Immune Deficiency Syndromes. 2014;67(2):204-11. 

Clague J, Reynolds P, Henderson KD, Sullivan-Halley J, Ma H, Lacey JV Jr, Chang S, Delclos GL, Du XL, Forman MR, Bernstein L. Menopausal Hormone Therapy and Lung Cancer-Specific Mortality Following Diagnosis: The California Teachers Study. PLoS One. 2014;9(7):e103735.

Zhang Y, Fu S, Du XL. Increasing Utilization and Predictors of Hematopoietic Growth Factors in Patients Diagnosed with Colorectal Cancer: Findings From a Large National Population-based Cohort in the United States, 1992-2009. Medical Oncology. 2014;31(10):242 (pages 1-11).

Ren Y, Black DM, Mittendorf EA, Liu P, Li X, Du XL, He J, Yang J, Hunt KK, Yi M. Crossover Effects of Estrogen Receptor Status on Breast Cancer-Specific Hazard Rates by Age and Race. PLoS One. 2014 Oct 21;9(10):e110281. 

Lairson, David R., Rohan C. Parikh, Janice N. Cormier, and Xianglin L. Du. "Cost-utility analysis of platinum-based chemotherapy versus taxane and other regimens for ovarian cancer." Value in Health 17, no. 1 (2014): 34-42., http://dx.doi.org/10.1016/j.jval.2013.11.007

Lairson D.R., Parikh, R., Chan, W., Cormier, J.N., Du, X.L. “Cost-utility analysis of chemotherapy regimens in elderly patients with stage III colon cancer”. PharmacoEconomics, 2014: 32 (10) 1005-1013 DOI: 10.1007/s40273-014-0180-8.

Lairson, D.R., DiCarlo, M., Deshmukh, et al. "Cost-effectiveness of Standard vs. a Navigated Intervention on Colorectal Cancer Screening Use in Primary Care". Cancer 2014: 120(7), 1042-1049. doi:10.1002/cncr.28535

Lairson, D.R., Chang, Yu-Chia, Byrd, T. L., Smith, J.L., Fernandez, M.E., Wilson, K.M. “Cervical Cancer Screening With AMIGAS: A Cost-Effectiveness Analysis.” American Journal of Preventive Medicine. 2014: Vol 46, No. 6, 617-623.

Huo JH, Lairson DR, Du XL, Chan WY, Buchholz TA, Guadagnolo BA. Survival and cost-effectiveness of hospice care for metastatic melanoma patients. Am J Manag Care. The American Journal of Managed Care. 2014; 20(5):366-373.

Franzini, L., Chapin, W., Taychakhoonavudh, S., Parikh, R., Zezza. M., & Mikhail, O. (2014). Variation in Inpatient Hospital Prices and Outpatient Service Quantities Drive Geographic Differences in Private Spending in Texas. Health Services Research. DOI: 10.1111/1475-6773.12192.

Rajan SS, Begley CE, Kim B. Breast cancer stage at diagnosis among medically underserved women screened through the Texas Breast and Cervical Cancer Services. Popul Health Manag. 2014 Aug;17(4):202-210. PMID: 24921895

Rajan SS, Cai Y, Yi M, Tsai CL, Du XL. Use of Hematopoietic Growth Factors in Elderly Lung Cancer Patients Receiving Chemotherapy: A SEER-Medicare Based Study. American Journal of Clinical Oncology. 2014 July 25. [Epub ahead of print]. 

Le, P., Griffiths, U., Anh, D., Chan, W., Franzini, L., Pham, H., Swint, J.M. (2014). The economic burden of pneumonia and meningitis among children less than 5 years old in Vietnam. Tropical Medicine and International Health. Vol. 19, Issue 11: 1321-1327. DOI:10.1111/tmi.12370.

Delgado, R., Swint, J.M., Lairson, D., Johnson, N., Gould, L., Sdringola, S. (2014). Cost analysis of positron emission tomography and comprehensive lifestyle modification for the reversal of atherosclerosis. Journal of Nuclear Medicine. 2014, Vol. 55(1): 80-87. PMID: 24337601. DOI:10.2967/jnumed/.113.119511.

Russell HV, Okcu MF, Kamdar K, Shah MD, Swint JM, Chan W, Du XL, Franzini L, Ho V. (2014). Algorithm for categorizing childhood cancer admissions identified from administrative data according to intention for admission. BMC Medical Informatics and Decision Making. 2014, Vol. 14, Issue 1: 1-14. DOI:10.1186/1472-6947-14-88. PMID: 25275165. 

Abbass, I., Krause, T., Virani, S., Swint, J.M., Chan, W., Franzini, L. (2014). One year costs and outcomes associated with using observation services in triaging patients with non-specific chest pain. Clinical Cardiology. Vol. 37, Issue 10: 591-596. DOI: 10.1002/clc.22319.

Avritscher E., Cooksley C.D., Rolston K.V., Swint, J.M., Delclos G.L., Franzini L., Swisher S.G., Walsh G.L., Mansfield P.F., Elting L.S. (2014) Serious postoperative infections following re-section of common solid tumors: outcomes, costs, and impact of hospital surgical volume. Supportive Care in Cancer. 2014, 22 (2) 527-35. DOI.1007/s00520-013-2006-1. PMID: 24141699.

Russell, H., Swint, J.M., Lal, L., Meza, J., Walterhouse, D., Hawkins, D., Okcu, F. (2014) Cost minimization analysis of two treatment regimens for low-risk rhabdomyosarcoma in children: A report from the Children's Oncology Group. Pediatric Blood and Cancer, 2014, vol. 61, issue 6, 970-976. DOI: 10.1002/pbc.24950. Epub January 2014.PMID: 24453105.

Taychakhoonavudh S., Franzini L, Lal L.S., Chang, E. Meyers, C.A., Wefel, J.S., Swint, J.M. (2014) The relationship between patient utilities, quality of life measures and neurocognitive function (NCF) in patients with metastatic brain disease. Journal of Radiation Oncology. 2014, Vol. 89, issue 3, 754-61. DOI: 10.1007/s13566-013-0093-8.


2013

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R Shegog, CE Begley, A Harding, S Dubinsky, C Goldsmith, O Hope, M Newmark, 2013, Description and Feasibility of MINDSET: A Clinic Decision Aid for Epilepsy Self-management, Epilepsy and Behavior, 29;527-536.

Begley, C.E.; Lairson, D.R.; Morgan, R.O.; Rowan, P. J. “Evaluating the Health Care System: Effectiveness, Efficiency, and Equity.” 4th ed. Ann Arbor, MI: Health Administration Press, 2013.

M Seo, CE Begley, J Langabeer, J Dellifraine, Barriers and Disparities in EMS 911 Calls for Stroke Symptoms in the U.S. Adult Population: 2009 BRFSS Survey, Western Journal of Emergency Medicine, 2013.

DC Hesdorffer, CE Begley, Surveillance of epilepsy and prevention of epilepsy and its sequelae: Lessons from the Institute of Medicine Report, Current Opinions in Neurology, 2013.

DC Hesdorffer, V Beck, CE Begley, ML Bishop, S Cushner-Weinstein, GL Holmes, PO Shafer, JI Sirven, JK Austin. Research implications of the Institute of Medicine Report, Epilepsy Across the Spectrum: Promoting Health and Understanding. Epilepsia. 2013.

Brown HS 3rd, Yarnell LM. The price of access: capitalization of neighborhood contextual factors. The International Journal of Behavioral Nutrition and Physical Activity. 2013; 10:95. PMCID: PMC3765120. PMID: 23927010. doi: 10.1186/1479-5868-10-95.

Yarnell LM, Brown HS 3rd, Pasch KE, Perry CL, Komro KA. Influence of grade-level drinking norms on individual drinking behavior. American Journal of Health Behavior. 2013 Jan; 37 (1):70-9. PMCID: PMC3707398. PMID: 22943103.

Brown HS, Karson S. Cigarette quitlines, taxes, and other tobacco control policies: a state-level analysis. Health Economics. 2013 Jun; 22 (6):741-8. PMID: 22619147. doi: 10.1002/hec.2846.

Brown HS 3rd, Stigler M, Perry C, Dhavan P, Arora M, Reddy KS. The cost-effectiveness of a school-based smoking prevention program in India. Health Promotion International. 2013 Jun; 28 (2):178-86. PMCID: PMC3651691. PMID: 22271928. doi: 10.1093/heapro/dar095. 

Brown HS 3rd, Herrera AP, Angel JL. Opportunity costs associated with caring for older Mexican-Americans. Journal of Cross-cultural Gerontology. 2013 Sep; 28 (3):375-89. PMCID: PMC3875294. PMID: 23979263. doi: 10.1007/s10823-013-9208-3.

Du XL, Parikh RC, Lairson DR. Racial and Geographic Disparities in the Patterns of Care and Costs at the End of Life for Patients with Lung Cancer in 2007-2010 after the 2006 Introduction of Bevacizumab. Lung Cancer. 2015;90(3):442-250.2013 

Li N, Du XL, Reitzel L, Xu L, Sturgis E. Impact of enhanced detection on the increase in thyroid cancer incidence in the US: review of incidence trends by socioeconomic status within the Surveillance, Epidemiology, and End Results registry, 1980-2008. Thyroid. 2013;23(1):103-110.

Liu L, Wang H, Chen Y, Liu G, Rustveld L, Du XL. Splenic Marginal Zone Lymphoma: a population-based study on the incidence and survival in the United States from 2001 to 2008. Leukemia and Lymphoma. 2013;54(7):1380-86. 

Wang GD, Lai DJ, Burau KD, Du XL. Potential gains in life expectancy from reducing heart disease, cancer, Alzheimer’s disease, kidney disease or HIV/AIDS as major causes of death in the USA. Public Health. 2013;127(4):348-356. 

Cai Y, Lai D, Waller K, Du XL, Burau K, Symanski E. Statistical Analysis of the Day of the Week Effect on Births in Harris County, Texas. Journal of Biological Systems. 2013;21(2):1350014 (pages 1-8).

Du XL, Parikh RC, Lairson DR, Giordano SH, Cen P. Comparative Effectiveness of Platinum-based Chemotherapy versus Taxane and Other Regimens for Ovarian Cancer. Medical Oncology. 2013;30(1):440 (pages 1-14).

Du XL, Cai Y, Symanski E. Association between Chemotherapy and Cognitive Impairments in a Large Cohort of Patients with Colorectal Cancer. International Journal of Oncology. 2013;42(6):2123-2133.

Yi M, Xu J, Liu P, Chang GJ, Du XL, Hu CY, Song Y, He J, Ren Y, Wei Y, Yang J, Hunt KK, Li X. Comparative analysis of lifestyle factors, screening test use, and clinicopathologic features in association with survival among Asian Americans with colorectal cancer. British Journal of Cancer. 2013;108:1508-1514. 

Liu P , Li X, Mittendorf EA, Li J, Du XL, He J, Ren Y, Yang J, Hunt KK, Yi M. Comparison of clinicopathologic features, and survival in young American women aged 18-39 years in different ethnic groups with breast cancer. British Journal of Cancer. 2013;109(5):1302-9.

Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Newmann A, Streckfus C, Chan W, Walji M. Assessing Periodontitis in Populations: A Systematic Review of the Validity of Partial Mouth Examination Protocols. Journal of Clinical Periodontology. 2013;40(12):1064-71. 

Lairson, D.R., Huo, J., Ball-Hicks, K. Savas, L., Fernandez, M.E. The Cost of Implementing a 2-1-1 Call Center-Based Cancer Control Navigator Program. Evaluation and Program Planning, 2013: (39)51-56. PMID: 23669647.

Panchal, J.M., Lairson, D.R., Chan, W., Du, X.L. (2013). Geographic Variation and Socio-Demographic Disparity in the Use of Oxaliplatin-Containing Chemotherapy in patients with Stage III Colon Cancer. Clin. Colorectal Cancer, 12(2)113-121; pii: S1533-0028(12)00133-8. Doi: 10.1016/j.clcc.2012.0.007. PMID: 23137549

Byrd, T.L., Wilson, K.M., Smith, J.L., Coronado, G., Vernon, S.W., Fernandez-Esquer, M.E., Thompson, B., Ortiz, M., Lairson, D.R., Fernandez, M.E. (2013). AMIGAS: A multi-city, multi-component cervical cancer prevention trial among Mexican American women. Cancer. 119(7):1365-72. Doi: 10.1002/cncr.27926. PMID: 23280399.

Nurgalieva Z, Franzini L, Morgan R, Vernon SW, Du XL. Surveillance mammography use after treatment of primary breast cancer and racial disparities in survival. Medical Oncology. 2013;30(4):691 (pages 1-8).

Nurgalieva Z, Franzini L, Morgan R, Vernon SW, Liu CC, Du XL. Impact of timing of adjuvant chemotherapy initiation and completion after surgery on racial disparities in survival among women with breast cancer. Medical Oncology. 2013;30:419 (pages 1-9).

Nurgalieva Z, Franzini L, Morgan R, Vernon SW, Du XL. Utilization of lymph node dissection, race/ethnicity and breast cancer outcomes. American Journal of Managed Care. 2013;19(10):805-810.

Rajan SS, Carpenter WR, Stearns SC, Lyman GH. Short-term Costs Associated with Primary Prophylactic G-CSF Use during Chemotherapy. Am J Manag Care. 2013 Feb;19(2):150-159. PMID: 23448112

Russell, H.V., Panchal, J., VonVille, H., Franzini, L., Swint. J.M. (2013) Economic evaluation of pediatric cancer treatment: a systemic literature review. Pediatrics. Vol. 131(1): 273-287. DOI: 10.1542/peds.2012-0912. PMID: 23266919.

 Pathak, S., Low, D., Franzini, L., Swint, J.M. (2012) A Review of Canadian Policy on Social Determinants of Health. Review of European Studies. The Canadian Center of Science and Education. Vol. 4 (4), September 2012, 8-22. DOI:10.5539/res.v4n4p8.


Previous Publications

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2010
2009

Reports

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Healthcare Utilization and Cost of the SMI Population in Texas Medicaid: Year 3 Final Report of the UTSPH Medicaid SMI Study, March 2017

Serious and Persistent Mental Illness in Texas Medicaid: Descriptive Analysis and Policy Options Final Report - February 2015

Serious and Persistent Mental Illness in Texas: County-Level Enrollee Characteristics of Medicaid-Supported SMI Care, Texas, 2012 - March 2015

Serious Mental Illness in Texas Medicaid: Descriptive Analysis and Policy Options Year 2 Final Report - April 2016

Harris County Emergency Department Use Study (2012-2013)

New Connections Conceptual Models, June 2008, Luisa Franzini (Flash)