Publications by authors named "D Lubarsky"

Problem: Academic medical centers struggle with the high cost of care, reduced reimbursement, intense competition, and low profit margins. Many factors, including a high proportion of publicly insured patients, a model rewarding procedural specialties, and research and educational support burden, led to faculty salary inequities, physician disengagement, and difficulty recruiting.

Approach: UC Davis Health implemented an aligned funds flow model in July 2021 to create a mission-aligned model in which all departments had financial margins to optimize recruitment, retention, research, and teaching.

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Article Synopsis
  • Post-acute sequelae of Coronavirus (PASC), also known as Long COVID, significantly affects endurance athletes, leading to a noticeable decline in their cardiopulmonary health.
  • In a study of 45 endurance athletes, those with PASC reported a 27% decrease in cardiopulmonary endurance, while a control group showed no decline; 31% of PASC patients couldn’t do any cardiovascular exercise after 3 months.
  • Symptoms like fatigue and shortness of breath were common among PASC subjects, who also exercised less and had worse health scores compared to asymptomatic controls.
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Medicaid supports 41% of all births in the US and nearly 347,580 admissions to neonatal intensive care units in 2022. Medicaid reimbursement is critical to child health inclusive of departments of Pediatrics and children's hospitals. Low Medicaid reimbursement is one of the causes for low pediatric subspecialist salaries and has led to workforce challenges.

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Objectives: Neighborhood socioeconomic status, as measured by area deprivation index (ADI) is associated with longer length of stay (LOS) after surgery for hypoplastic left heart syndrome. We tested the hypothesis that LOS is associated with ADI in a large cohort of congenital heart disease (CHD) surgical cases of varying severity and sought to determine which other components of the ADI accounted for any associations.

Design: Retrospective analysis of a curated dataset.

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