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Last Name
Institution

Arnold M. Epstein, M.D.

TitleJohn H. Foster Professor of Health Policy and Management
InstitutionHarvard School of Public Health
DepartmentHealth Policy and Management
AddressHarvard School of Public Health
Kresge, 4th Floor
677 Huntington Ave
Boston MA 02115
Phone617/432-3415
Other Positions
TitleProfessor of Medicine
InstitutionBrigham and Women's Hospital
DepartmentMedicine
DivisionGeneral Medicine

TitleProfessor of Health Care Policy
InstitutionHarvard Medical School
DepartmentHealth Care Policy

TitleChairperson
InstitutionHarvard School of Public Health
DepartmentHealth Policy and Management


 Mentoring 
 completed student projects
Access to Emergency Services for Managed Care Patients
Summer, 06/28/99 - 08/20/99
International Health Care Quality Indicators
Summer, 06/23/03 - 08/31/03

 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Malin JL, Diamant AL, Leake B, Liu Y, Thind A, Kahn KL, Schneider EC, Epstein AM, Maly RC. Quality of care for breast cancer for uninsured women in california under the breast and cervical cancer prevention treatment act. J Clin Oncol. 2010 Jul 20; 28(21):3479-84.
    View in: PubMed
  2. Epstein AM. Geographic variation in Medicare spending. N Engl J Med. 2010 Jul 1; 363(1):85-6.
    View in: PubMed
  3. Boutwell AE. Discharge planning and rates of readmissions. N Engl J Med. 2010 Apr 1; 362(13):1244; author reply 1245.
    View in: PubMed
  4. Chen LM, Jha AK, Guterman S, Ridgway AB, Orav EJ, Epstein AM. Hospital cost of care, quality of care, and readmission rates: penny wise and pound foolish? Arch Intern Med. 2010 Feb 22; 170(4):340-6.
    View in: PubMed
  5. Jha AK, Orav EJ, Epstein AM. Public reporting of discharge planning and rates of readmissions. N Engl J Med. 2009 Dec 31; 361(27):2637-45.
    View in: PubMed
  6. López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Med. 2009 Nov 9; 169(20):1888-94.
    View in: PubMed
  7. Jha A, Epstein A. Hospital governance and the quality of care. Health Aff (Millwood). 2010 Jan-Feb; 29(1):182-7.
    View in: PubMed
  8. Epstein AM, Aaron HJ, Baicker K, Hacker JS, Pauly MV. Health care reform in perspective. N Engl J Med. 2009 Oct 15; 361(16):e30.
    View in: PubMed
  9. Jha AK, Orav EJ, Dobson A, Book RA, Epstein AM. Measuring efficiency: the association of hospital costs and quality of care. Health Aff (Millwood). 2009 May-Jun; 28(3):897-906.
    View in: PubMed
  10. Epstein AM. Revisiting readmissions--changing the incentives for shared accountability. N Engl J Med. 2009 Apr 2; 360(14):1457-9.
    View in: PubMed
  11. Hamel MB, Drazen JM, Epstein AM. The growth of hospitalists and the changing face of primary care. N Engl J Med. 2009 Mar 12; 360(11):1141-3.
    View in: PubMed
  12. Rosenthal MB, Landon BE, Normand SL, Ahmad TS, Epstein AM. Engagement of health plans and employers in addressing racial and ethnic disparities in health care. Med Care Res Rev. 2009 Apr; 66(2):219-31.
    View in: PubMed
  13. Jha AK, Orav EJ, Zheng J, Epstein AM. Patients' perception of hospital care in the United States. N Engl J Med. 2008 Oct 30; 359(18):1921-31.
    View in: PubMed
  14. Fowler FJ, Epstein A, Weingart SN, Annas CL, Bolcic-Jankovic D, Clarridge B, Schneider EC, Weissman JS. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008 Oct; 34(10):583-90.
    View in: PubMed
  15. Schneider EC, Rosenthal M, Gatsonis CG, Zheng J, Epstein AM. Is the type of Medicare insurance associated with colorectal cancer screening prevalence and selection of screening strategy? Med Care. 2008 Sep; 46(9 Suppl 1):S84-90.
    View in: PubMed
  16. Baker CD, Caplan A, Davis K, Dentzer S, Epstein AM, Frist B, Galvin RS, King-Shaw RJ, Lee TH, Oberlander JB, Rosenbaum S, Schroeder SA, Tuckson RV. Health of the nation--coverage for all Americans. N Engl J Med. 2008 Aug 21; 359(8):777-80.
    View in: PubMed
  17. Weissman JS, Schneider EC, Weingart SN, Epstein AM, David-Kasdan J, Feibelmann S, Annas CL, Ridley N, Kirle L, Gatsonis C. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Ann Intern Med. 2008 Jul 15; 149(2):100-8.
    View in: PubMed
  18. Berkman L, Epstein AM. Beyond health care--socioeconomic status and health. N Engl J Med. 2008 Jun 5; 358(23):2509-10.
    View in: PubMed
  19. Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008 Jun; 34(6):318-25.
    View in: PubMed
  20. Landon BE, Rosenthal MB, Normand SL, Frank RG, Epstein AM. Quality monitoring and management in commercial health plans. Am J Manag Care. 2008 Jun; 14(6):377-86.
    View in: PubMed
  21. Clark CR, Hicks LS, Keogh JH, Epstein AM, Ayanian JZ. Promoting access to renal transplantation: the role of social support networks in completing pre-transplant evaluations. J Gen Intern Med. 2008 Aug; 23(8):1187-93.
    View in: PubMed
  22. Jha AK, Orav EJ, Zheng J, Epstein AM. The characteristics and performance of hospitals that care for elderly Hispanic Americans. Health Aff (Millwood). 2008 Mar-Apr; 27(2):528-37.
    View in: PubMed
  23. Greenberg CC, Schneider EC, Lipsitz SR, Ko CY, Malin JL, Epstein AM, Weeks JC, Kahn KL. Do variations in provider discussions explain socioeconomic disparities in postmastectomy breast reconstruction? J Am Coll Surg. 2008 Apr; 206(4):605-15.
    View in: PubMed
  24. Swartz K, Ayanian JZ, Soumerai SB, Epstein AM, Blumenthal D, McNeil BJ, Frank RG. Cures for an ailing system. Newsweek. 2007 Dec 10; 150(24):78, 80, 82 passim.
    View in: PubMed
  25. Rosenthal MB, Landon BE, Normand SL, Frank RG, Ahmad TS, Epstein AM. Employers' use of value-based purchasing strategies. JAMA. 2007 Nov 21; 298(19):2281-8.
    View in: PubMed
  26. Hussey P, Anderson G, Berthelot JM, Feek C, Kelley E, Osborn R, Raleigh V, Epstein A. Trends in socioeconomic disparities in health care quality in four countries. Int J Qual Health Care. 2008 Feb; 20(1):53-61.
    View in: PubMed
  27. Rosenthal MB, Landon BE, Howitt K, Song HR, Epstein AM. Climbing up the pay-for-performance learning curve: where are the early adopters now? Health Aff (Millwood). 2007 Nov-Dec; 26(6):1674-82.
    View in: PubMed
  28. Schneider EC, Malin JL, Kahn KL, Ko CY, Adams J, Epstein AM. Surviving colorectal cancer : patient-reported symptoms 4 years after diagnosis. Cancer. 2007 Nov 1; 110(9):2075-82.
    View in: PubMed
  29. Landon BE, Schneider EC, Normand SL, Scholle SH, Pawlson LG, Epstein AM. Quality of care in Medicaid managed care and commercial health plans. JAMA. 2007 Oct 10; 298(14):1674-81.
    View in: PubMed
  30. Jha AK, Orav EJ, Li Z, Epstein AM. The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures. Health Aff (Millwood). 2007 Jul-Aug; 26(4):1104-10.
    View in: PubMed
  31. Jha AK, Orav EJ, Li Z, Epstein AM. Concentration and quality of hospitals that care for elderly black patients. Arch Intern Med. 2007 Jun 11; 167(11):1177-82.
    View in: PubMed
  32. Kahn KL, Schneider EC, Malin JL, Adams JL, Epstein AM. Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen use. Med Care. 2007 May; 45(5):431-9.
    View in: PubMed
  33. Epstein AM. Pay for performance at the tipping point. N Engl J Med. 2007 Feb 1; 356(5):515-7.
    View in: PubMed
  34. Mehrotra A, Epstein AM, Rosenthal MB. Do integrated medical groups provide higher-quality medical care than individual practice associations? Ann Intern Med. 2006 Dec 5; 145(11):826-33.
    View in: PubMed
  35. Rosenthal MB, Landon BE, Normand SL, Frank RG, Epstein AM. Pay for performance in commercial HMOs. N Engl J Med. 2006 Nov 2; 355(18):1895-902.
    View in: PubMed
  36. Mattke S, Epstein AM, Leatherman S. The OECD Health Care Quality Indicators Project: history and background. Int J Qual Health Care. 2006 Sep; 18 Suppl 1:1-4.
    View in: PubMed
  37. Epstein AM. Paying for performance in the United States and abroad. N Engl J Med. 2006 Jul 27; 355(4):406-8.
    View in: PubMed
  38. Jha AK, Epstein AM. The predictive accuracy of the New York State coronary artery bypass surgery report-card system. Health Aff (Millwood). 2006 May-Jun; 25(3):844-55.
    View in: PubMed
  39. Malin JL, Schneider EC, Epstein AM, Adams J, Emanuel EJ, Kahn KL. Results of the National Initiative for Cancer Care Quality: how can we improve the quality of cancer care in the United States? J Clin Oncol. 2006 Feb 1; 24(4):626-34.
    View in: PubMed
  40. Schneider EC, Zaslavsky AM, Epstein AM. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005 Dec; 118(12):1392-400.
    View in: PubMed
  41. Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance: from concept to practice. JAMA. 2005 Oct 12; 294(14):1788-93.
    View in: PubMed
  42. Jha AK, Fisher ES, Li Z, Orav EJ, Epstein AM. Racial trends in the use of major procedures among the elderly. N Engl J Med. 2005 Aug 18; 353(7):683-91.
    View in: PubMed
  43. Jha AK, Li Z, Orav EJ, Epstein AM. Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl J Med. 2005 Jul 21; 353(3):265-74.
    View in: PubMed
  44. Huskamp HA, Deverka PA, Epstein AM, Epstein RS, McGuigan KA, Muriel AC, Frank RG. Impact of 3-tier formularies on drug treatment of attention-deficit/hyperactivity disorder in children. Arch Gen Psychiatry. 2005 Apr; 62(4):435-41.
    View in: PubMed
  45. Weissman JS, Annas CL, Epstein AM, Schneider EC, Clarridge B, Kirle L, Gatsonis C, Feibelmann S, Ridley N. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005 Mar 16; 293(11):1359-66.
    View in: PubMed
  46. Zaslavsky AM, Epstein AM. How patients' sociodemographic characteristics affect comparisons of competing health plans in California on HEDIS quality measures. Int J Qual Health Care. 2005 Feb; 17(1):67-74.
    View in: PubMed
  47. Donohue JM, Berndt ER, Rosenthal M, Epstein AM, Frank RG. Effects of pharmaceutical promotion on adherence to the treatment guidelines for depression. Med Care. 2004 Dec; 42(12):1176-85.
    View in: PubMed
  48. Hamel MB, Epstein AM. Prior-authorization programs for controlling drug spending. N Engl J Med. 2004 Nov 18; 351(21):2156-8.
    View in: PubMed
  49. Schneider EC, Landon BE, Tobias C, Epstein AM. Quality oversight in medicaid primary care case management programs. Health Aff (Millwood). 2004 Nov-Dec; 23(6):235-42.
    View in: PubMed
  50. Epstein AM. Health care in America--still too separate, not yet equal. N Engl J Med. 2004 Aug 5; 351(6):603-5.
    View in: PubMed
  51. Schneider EC, Malin JL, Kahn KL, Emanuel EJ, Epstein AM. Developing a system to assess the quality of cancer care: ASCO's national initiative on cancer care quality. J Clin Oncol. 2004 Aug 1; 22(15):2985-91.
    View in: PubMed
  52. Hicks LS, Cleary PD, Epstein AM, Ayanian JZ. Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease. Qual Life Res. 2004 Aug; 13(6):1129-37.
    View in: PubMed
  53. Landon BE, Schneider EC, Tobias C, Epstein AM. The evolution of quality management in Medicaid managed care. Health Aff (Millwood). 2004 Jul-Aug; 23(4):245-54.
    View in: PubMed
  54. Hussey PS, Anderson GF, Osborn R, Feek C, McLaughlin V, Millar J, Epstein A. How does the quality of care compare in five countries? Health Aff (Millwood). 2004 May-Jun; 23(3):89-99.
    View in: PubMed
  55. Ayanian JZ, Cleary PD, Keogh JH, Noonan SJ, David-Kasdan JA, Epstein AM. Physicians' beliefs about racial differences in referral for renal transplantation. Am J Kidney Dis. 2004 Feb; 43(2):350-7.
    View in: PubMed
  56. Epstein AM, Lee TH, Hamel MB. Paying physicians for high-quality care. N Engl J Med. 2004 Jan 22; 350(4):406-10.
    View in: PubMed
  57. Schneider EC, Zaslavsky AM, Epstein AM. Use of high-cost operative procedures by Medicare beneficiaries enrolled in for-profit and not-for-profit health plans. N Engl J Med. 2004 Jan 8; 350(2):143-50.
    View in: PubMed
  58. Cubanski J, Frank RG, Epstein AM. Savings from drug discount cards: relief for Medicare beneficiaries? Health Aff (Millwood). 2004 Jan-Jun; Suppl Web Exclusives:W4-198-209.
    View in: PubMed
  59. Huskamp HA, Deverka PA, Epstein AM, Epstein RS, McGuigan KA, Frank RG. The effect of incentive-based formularies on prescription-drug utilization and spending. N Engl J Med. 2003 Dec 4; 349(23):2224-32.
    View in: PubMed
  60. Epstein AM, Weissman JS, Schneider EC, Gatsonis C, Leape LL, Piana RN. Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care? Med Care. 2003 Nov; 41(11):1240-55.
    View in: PubMed
  61. Drazen JM, Epstein AM. Guidance concerning surgery for emphysema. N Engl J Med. 2003 May 22; 348(21):2134-6.
    View in: PubMed
  62. Huskamp HA, Epstein AM, Blumenthal D. The impact of a national prescription drug formulary on prices, market share, and spending: lessons for Medicare? Health Aff (Millwood). 2003 May-Jun; 22(3):149-58.
    View in: PubMed
  63. Fernandopulle R, Ferris T, Epstein A, McNeil B, Newhouse J, Pisano G, Blumenthal D. A research agenda for bridging the 'quality chasm.'. Health Aff (Millwood). 2003 Mar-Apr; 22(2):178-90.
    View in: PubMed
  64. Leape LL, Weissman JS, Schneider EC, Piana RN, Gatsonis C, Epstein AM. Adherence to practice guidelines: the role of specialty society guidelines. Am Heart J. 2003 Jan; 145(1):19-26.
    View in: PubMed
  65. Leape L, Epstein AM, Hamel MB. A series on patient safety. N Engl J Med. 2002 Oct 17; 347(16):1272-4.
    View in: PubMed
  66. Drazen JM, Epstein AM. Rethinking medical training--the critical work ahead. N Engl J Med. 2002 Oct 17; 347(16):1271-2.
    View in: PubMed
  67. Rosenthal MB, Frank RG, Buchanan JL, Epstein AM. Transmission of financial incentives to physicians by intermediary organizations in California. Health Aff (Millwood). 2002 Jul-Aug; 21(4):197-205.
    View in: PubMed
  68. Epstein AM. Volume and outcome--it is time to move ahead. N Engl J Med. 2002 Apr 11; 346(15):1161-4.
    View in: PubMed
  69. Dean Beaulieu N, Epstein AM. National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact. Med Care. 2002 Apr; 40(4):325-37.
    View in: PubMed
  70. Schneider EC, Zaslavsky AM, Epstein AM. Racial disparities in the quality of care for enrollees in medicare managed care. JAMA. 2002 Mar 13; 287(10):1288-94.
    View in: PubMed
  71. Rosenthal MB, Berndt ER, Donohue JM, Frank RG, Epstein AM. Promotion of prescription drugs to consumers. N Engl J Med. 2002 Feb 14; 346(7):498-505.
    View in: PubMed
  72. Landon BE, Huskamp HA, Tobias C, Epstein AM. The evolution of quality management in state Medicaid agencies: a national survey of states with comprehensive managed care programs. Jt Comm J Qual Improv. 2002 Feb; 28(2):72-82.
    View in: PubMed
  73. Schneider EC, Cleary PD, Zaslavsky AM, Epstein AM. Racial disparity in influenza vaccination: does managed care narrow the gap between African Americans and whites? JAMA. 2001 Sep 26; 286(12):1455-60.
    View in: PubMed
  74. Schneider EC, Leape LL, Weissman JS, Piana RN, Gatsonis C, Epstein AM. Racial differences in cardiac revascularization rates: does "overuse" explain higher rates among white patients? Ann Intern Med. 2001 Sep 4; 135(5):328-37.
    View in: PubMed
  75. Rosenthal MB, Frank RG, Buchanan JL, Epstein AM. Scale and structure of capitated physician organizations in California. Health Aff (Millwood). 2001 Jul-Aug; 20(4):109-19.
    View in: PubMed
  76. Epstein AM, Ayanian JZ. Racial disparities in medical care. N Engl J Med. 2001 May 10; 344(19):1471-3.
    View in: PubMed
  77. Landon BE, Epstein AM. For-profit and not-for-profit health plans participating in Medicaid. Health Aff (Millwood). 2001 May-Jun; 20(3):162-71.
    View in: PubMed
  78. Epstein AM, Drazen JM, Steinbrook R. Health policy 2001--a new series. N Engl J Med. 2001 Mar 1; 344(9):673.
    View in: PubMed
  79. Epstein AM, Ayanian JZ, Keogh JH, Noonan SJ, Armistead N, Cleary PD, Weissman JS, David-Kasdan JA, Carlson D, Fuller J, Marsh D, Conti RM. Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse? N Engl J Med. 2000 Nov 23; 343(21):1537-44, 2 p preceding 1537.
    View in: PubMed
  80. Zaslavsky AM, Hochheimer JN, Schneider EC, Cleary PD, Seidman JJ, McGlynn EA, Thompson JW, Sennett C, Epstein AM. Impact of sociodemographic case mix on the HEDIS measures of health plan quality. Med Care. 2000 Oct; 38(10):981-92.
    View in: PubMed
  81. Guadagnoli E, Epstein AM, Zaslavsky A, Shaul JA, Veroff D, Fowler FJ, Cleary PD. Providing consumers with information about the quality of health plans: the Consumer Assessment of Health Plans demonstration in Washington State. Jt Comm J Qual Improv. 2000 Jul; 26(7):410-20.
    View in: PubMed
  82. Hadley J, Rabin D, Epstein A, Stein S, Rimes C. Posthospitalization home health care use and changes in functional status in a Medicare population. Med Care. 2000 May; 38(5):494-507.
    View in: PubMed
  83. Epstein AM. Public release of performance data: a progress report from the front. JAMA. 2000 Apr 12; 283(14):1884-6.
    View in: PubMed
  84. Ayanian JZ, Weissman JS, Chasan-Taber S, Epstein AM. Quality of care by race and gender for congestive heart failure and pneumonia. Med Care. 1999 Dec; 37(12):1260-9.
    View in: PubMed
  85. Ayanian JZ, Cleary PD, Weissman JS, Epstein AM. The effect of patients' preferences on racial differences in access to renal transplantation. N Engl J Med. 1999 Nov 25; 341(22):1661-9.
    View in: PubMed
  86. Landon BE, Epstein AM. Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA. 1999 Nov 10; 282(18):1769-75.
    View in: PubMed
  87. Weissman JS, Ayanian JZ, Chasan-Taber S, Sherwood MJ, Roth C, Epstein AM. Hospital readmissions and quality of care. Med Care. 1999 May; 37(5):490-501.
    View in: PubMed
  88. Ayanian JZ, Weissman JS, Chasan-Taber S, Epstein AM. Quality of care for two common illnesses in teaching and nonteaching hospitals. Health Aff (Millwood). 1998 Nov-Dec; 17(6):194-205.
    View in: PubMed
  89. Epstein AM. Rolling down the runway: the challenges ahead for quality report cards. JAMA. 1998 Jun 3; 279(21):1691-6.
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  90. Schneider EC, Epstein AM. Use of public performance reports: a survey of patients undergoing cardiac surgery. JAMA. 1998 May 27; 279(20):1638-42.
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  91. Landon BE, Tobias C, Epstein AM. Quality management by state Medicaid agencies converting to managed care: plans and current practice. JAMA. 1998 Jan 21; 279(3):211-6.
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  92. Epstein AM. Medicaid managed care and high quality. Can we have both? JAMA. 1997 Nov 19; 278(19):1617-21.
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  93. Ayanian JZ, Epstein AM. Attitudes about treatment of coronary heart disease among women and men presenting for exercise testing. J Gen Intern Med. 1997 May; 12(5):311-4.
    View in: PubMed
  94. Seage GR, Gatsonis C, Weissman JS, Haas JS, Cleary PD, Fowler FJ, Massagli MP, Stone VE, Craven DE, Makadon H, Goldberg J, Coltin K, Levin KS, Epstein AM. The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument. Am J Public Health. 1997 Apr; 87(4):567-73.
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  95. Blumenthal D, Epstein AM. Quality of health care. Part 6: The role of physicians in the future of quality management. N Engl J Med. 1996 Oct 24; 335(17):1328-31.
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  96. Weissman JS, Cleary PD, Seage GR, Gatsonis C, Haas JS, Chasan-Taber S, Epstein AM. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Med Care. 1996 Oct; 34(10):1037-56.
    View in: PubMed
  97. Schneider EC, Epstein AM. Influence of cardiac-surgery performance reports on referral practices and access to care. A survey of cardiovascular specialists. N Engl J Med. 1996 Jul 25; 335(4):251-6.
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  98. Epstein AM. Use of diagnostic tests and therapeutic procedures in a changing health care environment. JAMA. 1996 Apr 17; 275(15):1197-8.
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  99. Oster G, Borok GM, Menzin J, Heyse JF, Epstein RS, Quinn V, Benson V, Dudl RJ, Epstein AM. Cholesterol-reduction intervention study (CRIS): a randomized trial to assess effectiveness and costs in clinical practice. Arch Intern Med. 1996 Apr 8; 156(7):731-9.
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  100. Epstein AM. The role of quality measurement in a competitive marketplace. Baxter Health Policy Rev. 1996; 2:207-34.
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  101. Ascherio A, Biellik R, Epstein A, Snetro G, Gloyd S, Ayotte B, Epstein PR. Deaths and injuries caused by land mines in Mozambique. Lancet. 1995 Sep 16; 346(8977):721-4.
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  102. Epstein A. Performance reports on quality--prototypes, problems, and prospects. N Engl J Med. 1995 Jul 6; 333(1):57-61.
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  103. Fowler FJ, Cleary PD, Massagli MP, Weissman J, Epstein A. The role of reluctance to give up life in the measurement of the values of health states. Med Decis Making. 1995 Jul-Sep; 15(3):195-200.
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  104. Gatsonis CA, Epstein AM, Newhouse JP, Normand SL, McNeil BJ. Variations in the utilization of coronary angiography for elderly patients with an acute myocardial infarction. An analysis using hierarchical logistic regression. Med Care. 1995 Jun; 33(6):625-42.
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  105. Epstein AM. US teaching hospitals in the evolving health care system. JAMA. 1995 Apr 19; 273(15):1203-7.
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  106. Normand SL, Morris CN, Fung KS, McNeil BJ, Epstein AM. Development and validation of a claims based index for adjusting for risk of mortality: the case of acute myocardial infarction. J Clin Epidemiol. 1995 Feb; 48(2):229-43.
    View in: PubMed
  107. Oster G, Borok GM, Menzin J, Heys JF, Epstein RS, Quinn V, Benson VV, Dudl RJ, Epstein A. A randomized trial to assess effectiveness and cost in clinical practice: rationale and design of the Cholesterol Reduction Intervention Study (CRIS). Control Clin Trials. 1995 Feb; 16(1):3-16.
    View in: PubMed
  108. Epstein AM. Evaluating the cost-effectiveness of pharmacologic therapy: where we've been and where we're going. J Acquir Immune Defic Syndr Hum Retrovirol. 1995; 10 Suppl 4:S1-5.
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  109. Epstein AM, Seage G, Weissman JS, Cleary PD, Fowler FJ, Gatsonis C, Massagli MP, Stone VE, Coltin K, Craven DE, et al. Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study. Inquiry. 1995; 32(2):211-21.
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  110. Massagli MP, Weissman JS, Seage GR, Epstein AM. Correlates of employment after AIDS diagnosis in the Boston Health Study. Am J Public Health. 1994 Dec; 84(12):1976-81.
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  111. Weissman JS, Makadon HJ, Seage GR, Massagli MP, Gatsonis CA, Craven DE, Stone VE, Bennett IA, Epstein AM. Changes in insurance status and access to care for persons with AIDS in the Boston Health Study. Am J Public Health. 1994 Dec; 84(12):1997-2000.
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  112. Haas JS, Brandenburg JA, Udvarhelyi IS, Epstein AM. Creating a comprehensive database to evaluate health coverage for pregnant women: the completeness and validity of a computerized linkage algorithm. Med Care. 1994 Oct; 32(10):1053-7.
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  113. Oster G, Huse DM, Lacey MJ, Epstein AM. Cost-effectiveness of ticlopidine in preventing stroke in high-risk patients. Stroke. 1994 Jun; 25(6):1149-56.
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  114. Mort EA, Weissman JS, Epstein AM. Physician discretion and racial variation in the use of surgical procedures. Arch Intern Med. 1994 Apr 11; 154(7):761-7.
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  115. Pashos CL, Normand SL, Garfinkle JB, Newhouse JP, Epstein AM, McNeil BJ. Trends in the use of drug therapies in patients with acute myocardial infarction: 1988 to 1992. J Am Coll Cardiol. 1994 Apr; 23(5):1023-30.
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  116. Haas JS, Cleary PD, Guadagnoli E, Fanta C, Epstein AM. The impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma. J Gen Intern Med. 1994 Mar; 9(3):121-6.
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  117. Weissman JS, Stern RS, Epstein AM. The impact of patient socioeconomic status and other social factors on readmission: a prospective study in four Massachusetts hospitals. Inquiry. 1994; 31(2):163-72.
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  118. Epstein AM. Changes in the delivery of care under comprehensive health care reform. N Engl J Med. 1993 Nov 25; 329(22):1672-6.
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  119. Ayanian JZ, Kohler BA, Abe T, Epstein AM. The relation between health insurance coverage and clinical outcomes among women with breast cancer. N Engl J Med. 1993 Jul 29; 329(5):326-31.
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  120. Haas JS, Udvarhelyi S, Epstein AM. The effect of health coverage for uninsured pregnant women on maternal health and the use of cesarean section. JAMA. 1993 Jul 7; 270(1):61-4.
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  121. Cleary PD, Fowler FJ, Weissman J, Massagli MP, Wilson I, Seage GR, Gatsonis C, Epstein A. Health-related quality of life in persons with acquired immune deficiency syndrome. Med Care. 1993 Jul; 31(7):569-80.
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  122. Seage GR, Hertz T, Stone VE, Epstein AM. The effects of intravenous drug use and gender on the cost of hospitalization for patients with AIDS. J Acquir Immune Defic Syndr. 1993 Jul; 6(7):831-9.
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  123. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM. Racial differences in the use of revascularization procedures after coronary angiography. JAMA. 1993 May 26; 269(20):2642-6.
    View in: PubMed
  124. Haas JS, Weissman JS, Cleary PD, Goldberg J, Gatsonis C, Seage GR, Fowler FJ, Massagli MP, Makadon HJ, Epstein AM. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. Arch Intern Med. 1993 May 24; 153(10):1241-8.
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  125. Blendon RJ, Donelan K, Leitman R, Epstein A, Cantor JC, Cohen AB, Morrison I, Moloney T, Koeck C, Levitt SW. Physicians' perspectives on caring for patients in the United States, Canada, and West Germany. N Engl J Med. 1993 Apr 8; 328(14):1011-6.
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  126. Hall JA, Epstein AM, DeCiantis ML, McNeil BJ. Physicians' liking for their patients: more evidence for the role of affect in medical care. Health Psychol. 1993 Mar; 12(2):140-6.
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  127. Haas JS, Udvarhelyi IS, Morris CN, Epstein AM. The effect of providing health coverage to poor uninsured pregnant women in Massachusetts. JAMA. 1993 Jan 6; 269(1):87-91.
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  128. Epstein AM, Blumenthal D. Physician payment reform: past and future. Milbank Q. 1993; 71(2):193-215.
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  129. Blendon RJ, Donelan K, Leitman R, Epstein A, Cantor JC, Cohen AB, Morrison I, Moloney T, Koeck C. Health reform lessons learned from physicians in three nations. Health Aff (Millwood). 1993; 12(3):194-203.
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  130. Weissman JS, Epstein AM. The insurance gap: does it make a difference? Annu Rev Public Health. 1993; 14:243-70.
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  131. Hall JA, Milburn MA, Epstein AM. A causal model of health status and satisfaction with medical care. Med Care. 1993 Jan; 31(1):84-94.
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  132. Stone VE, Seage GR, Hertz T, Epstein AM. The relation between hospital experience and mortality for patients with AIDS. JAMA. 1992 Nov 18; 268(19):2655-61.
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  133. Udvarhelyi IS, Gatsonis C, Epstein AM, Pashos CL, Newhouse JP, McNeil BJ. Acute myocardial infarction in the Medicare population. Process of care and clinical outcomes. JAMA. 1992 Nov 11; 268(18):2530-6.
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  134. Weissman JS, Gatsonis C, Epstein AM. Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland. JAMA. 1992 Nov 4; 268(17):2388-94.
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  135. Fowler FJ, Massagli MP, Weissman J, Seage GR, Cleary PD, Epstein A. Some methodological lessons for surveys of persons with AIDS. Med Care. 1992 Nov; 30(11):1059-66.
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  136. Blumenthal D, Epstein AM. Physician-payment reform--unfinished business. N Engl J Med. 1992 May 14; 326(20):1330-4.
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  137. Udvarhelyi IS, Colditz GA, Rai A, Epstein AM. Cost-effectiveness and cost-benefit analyses in the medical literature. Are the methods being used correctly? Ann Intern Med. 1992 Feb 1; 116(3):238-44.
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  138. Weissman JS, Van Deusen Lukas C, Epstein AM. Bad debt and free care in Massachusetts hospitals. Health Aff (Millwood). 1992; 11(2):148-61.
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  139. Epstein AM. Changing physician behavior. Increasing challenges for the 1990s. Arch Intern Med. 1991 Nov; 151(11):2147-9.
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  140. Cleary PD, Epstein AM, Oster G, Morrissey GS, Stason WB, Debussey S, Plachetka J, Zimmerman M. Health-related quality of life among patients undergoing percutaneous transluminal coronary angioplasty. Med Care. 1991 Oct; 29(10):939-50.
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  141. Stern RS, Weissman JS, Epstein AM. The emergency department as a pathway to admission for poor and high-cost patients. JAMA. 1991 Oct 23-30; 266(16):2238-43.
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  142. Udvarhelyi IS, Jennison K, Phillips RS, Epstein AM. Comparison of the quality of ambulatory care for fee-for-service and prepaid patients. Ann Intern Med. 1991 Sep 1; 115(5):394-400.
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  143. Ayanian JZ, Epstein AM. Differences in the use of procedures between women and men hospitalized for coronary heart disease. N Engl J Med. 1991 Jul 25; 325(4):221-5.
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  144. Weissman JS, Stern R, Fielding SL, Epstein AM. Delayed access to health care: risk factors, reasons, and consequences. Ann Intern Med. 1991 Feb 15; 114(4):325-31.
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  145. Epstein AM, Bogen J, Dreyer P, Thorpe KE. Trends in length of stay and rates of readmission in Massachusetts: implications for monitoring quality of care. Inquiry. 1991; 28(1):19-28.
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  146. Goldman L, Cook EF, Orav J, Epstein AM, Komaroff AL, Delbanco TL, Mulley AG, Hiatt HH. Research training in clinical effectiveness: replacing "in my experience ..." with rigorous clinical investigation. Clin Res. 1990 Dec; 38(4):686-93.
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  147. Wilson JM, Chowdhury NR, Grossman M, Wajsman R, Epstein A, Mulligan RC, Chowdhury JR. Temporary amelioration of hyperlipidemia in low density lipoprotein receptor-deficient rabbits transplanted with genetically modified hepatocytes. Proc Natl Acad Sci U S A. 1990 Nov; 87(21):8437-41.
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  148. Wenneker MB, Weissman JS, Epstein AM. The association of payer with utilization of cardiac procedures in Massachusetts. JAMA. 1990 Sep 12; 264(10):1255-60.
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  149. Udvarhelyi IS, Rosborough T, Lofgren RP, Lurie N, Epstein AM. Teaching status and resource use for patients with acute myocardial infarction: a new look at the indirect costs of graduate medical education. Am J Public Health. 1990 Sep; 80(9):1095-100.
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  150. Epstein AM. The outcomes movement--will it get us where we want to go? N Engl J Med. 1990 Jul 26; 323(4):266-70.
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  151. Seage GR, Landers S, Lamb GA, Epstein AM. Effect of changing patterns of care and duration of survival on the cost of treating the acquired immunodeficiency syndrome (AIDS). Am J Public Health. 1990 Jul; 80(7):835-9.
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  152. Epstein AM, Stern RS, Weissman JS. Do the poor cost more? A multihospital study of patients' socioeconomic status and use of hospital resources. N Engl J Med. 1990 Apr 19; 322(16):1122-8.
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  153. Hall JA, Feldstein M, Fretwell MD, Rowe JW, Epstein AM. Older patients' health status and satisfaction with medical care in an HMO population. Med Care. 1990 Mar; 28(3):261-70.
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  154. Epstein AM, Hall JA, Fretwell M, Feldstein M, DeCiantis ML, Tognetti J, Cutler C, Constantine M, Besdine R, Rowe J, et al. Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization. JAMA. 1990 Jan 26; 263(4):538-44.
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  155. Weissman J, Epstein AM. Case mix and resource utilization by uninsured hospital patients in the Boston metropolitan area. JAMA. 1989 Jun 23-30; 261(24):3572-6.
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  156. Stern RS, Juhn PI, Gertler PJ, Epstein AM. A comparison of length of stay and costs for health maintenance organization and fee-for-service patients. Arch Intern Med. 1989 May; 149(5):1185-8.
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  157. Buchwald D, Komaroff AL, Cook EF, Epstein AM. Indirect costs for medical education. Is there a July phenomenon? Arch Intern Med. 1989 Apr; 149(4):765-8.
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  158. Hall JA, Epstein AM, McNeil BJ. Multidimensionality of health status in an elderly population. Construct validity of a measurement battery. Med Care. 1989 Mar; 27(3 Suppl):S168-77.
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  159. Epstein AM, Hall JA, Tognetti J, Son LH, Conant L. Using proxies to evaluate quality of life. Can they provide valid information about patients' health status and satisfaction with medical care? Med Care. 1989 Mar; 27(3 Suppl):S91-8.
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  160. Wenneker MB, Epstein AM. Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts. JAMA. 1989 Jan 13; 261(2):253-7.
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  161. Seage GR, Landers S, Mayer KH, Barry MA, Lamb GA, Epstein AM. Medical costs of ambulatory patients with AIDS-related complex (ARC) and/or generalized lymphadenopathy syndrome (GLS) related to HIV infection, 1984-85. Am J Public Health. 1988 Aug; 78(8):969-70.
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  162. Epstein AM, Stern RS, Tognetti J, Begg CB, Hartley RM, Cumella E, Ayanian JZ. The association of patients' socioeconomic characteristics with the length of hospital stay and hospital charges within diagnosis-related groups. N Engl J Med. 1988 Jun 16; 318(24):1579-85.
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  163. Epstein AM, McNeil BJ. Changes in ambulatory testing for hypertensive patients 1971-1980. Med Care. 1988 Jan; 26(1):1-8.
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  164. Epstein AM, Cumella EJ. Capitation payment: using predictors for medical utilization to adjust rates. Health Care Financ Rev. 1988; 10(1):51-69.
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  165. Oster G, Epstein AM. Cost-effectiveness of antihyperlipemic therapy in the prevention of coronary heart disease. The case of cholestyramine. JAMA. 1987 Nov 6; 258(17):2381-7.
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  166. Epstein AM, Read JL, Hoefer M. The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. Am J Public Health. 1987 Aug; 77(8):993-7.
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  167. Epstein AM, McNeil BJ. Variations in ambulatory test use: what do they mean? Med Clin North Am. 1987 Jul; 71(4):705-17.
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  168. Epstein AM, Oster G. Cholesterol reduction and health policy: taking clinical science to patient care. Ann Intern Med. 1987 Apr; 106(4):621-3.
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  169. Hartley RM, Epstein AM, Harris CM, McNeil BJ. Differences in ambulatory test ordering in England and America. Role of doctors' beliefs and attitudes. Am J Med. 1987 Mar; 82(3):513-7.
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  170. Epstein AM, Hall JA, Besdine R, Cumella E, Feldstein M, McNeil BJ, Rowe JW. The emergence of geriatric assessment units. The "new technology of geriatrics". Ann Intern Med. 1987 Feb; 106(2):299-303.
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  171. Fretwell MD, Cutler C, Epstein AM. Outpatient geriatric assessment in a Health Maintenance Organization. Its structure, practice, and clinical implications. Clin Geriatr Med. 1987 Feb; 3(1):185-91.
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  172. Seage GR, Landers S, Barry A, Groopman J, Lamb GA, Epstein AM. Medical care costs of AIDS in Massachusetts. JAMA. 1986 Dec 12; 256(22):3107-9.
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  173. Oster G, Epstein AM. Primary prevention and coronary heart disease: the economic benefits of lowering serum cholesterol. Am J Public Health. 1986 Jun; 76(6):647-56.
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  174. Epstein AM, McNeil BJ. Relationship of beliefs and behavior in test ordering. Am J Med. 1986 May; 80(5):865-70.
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  175. Epstein AM, Begg CB, McNeil BJ. The use of ambulatory testing in prepaid and fee-for-service group practices. Relation to perceived profitability. N Engl J Med. 1986 Apr 24; 314(17):1089-94.
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  176. Stern RS, Epstein AM. Institutional responses to prospective payment based on diagnosis-related groups. Implications for cost, quality, and access. N Engl J Med. 1985 Mar 7; 312(10):621-7.
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  177. Epstein AM, Taylor WC, Seage GR. Effects of patients' socioeconomic status and physicians' training and practice on patient-doctor communication. Am J Med. 1985 Jan; 78(1):101-6.
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  178. Shiang EL, Epstein A, Goldman L. Who provides gynecologic care? Am J Prev Med. 1985 Jan-Feb; 1(1):15-21.
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  179. Epstein AM, McNeil BJ. The effects of patient characteristics on ambulatory test ordering. Soc Sci Med. 1985; 21(10):1071-5.
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  180. Epstein AM, McNeil BJ. Physician characteristics and organizational factors influencing use of ambulatory tests. Med Decis Making. 1985; 5(4):401-15.
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  181. Epstein AM, Begg CB, McNeil BJ. The effects of physicians' training and personality on test ordering for ambulatory patients. Am J Public Health. 1984 Nov; 74(11):1271-3.
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  182. Epstein AM, Hartley RM, Charlton JR, Harris CM, Jarman B, McNeil BJ. A comparison of ambulatory test ordering for hypertensive patients in the United States and England. JAMA. 1984 Oct 5; 252(13):1723-6.
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  183. Epstein AM, Read JL, Winickoff R. Physician beliefs, attitudes, and prescribing behavior for anti-inflammatory drugs. Am J Med. 1984 Aug; 77(2):313-8.
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  184. Epstein AM, Krock SJ, McNeil BJ. Office laboratory tests. Perceptions of profitability. Med Care. 1984 Feb; 22(2):160-6.
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  185. Epstein AM, Begg CB, McNeil BJ. The effects of group size on test ordering for hypertensive patients. N Engl J Med. 1983 Aug 25; 309(8):464-8.
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