Publications by authors named "T Radomski"
Introduction: The proportion of physician-investigators involved in biomedical research is shrinking even as the need for high-quality, interdisciplinary research is growing. Building the physician-investigator workforce is thus a pressing concern. Flexible, "light-weight" training modalities can help busy physician-investigators prepare for key stages of the research life cycle and personalize their learning to their own needs.
View Article and Find Full Text PDFImportance: Choosing Wisely recommendations advocate against routine use of axillary staging in older women with early-stage, clinically node-negative (cN0), hormone receptor-positive (HR+), and HER2-negative breast cancer. However, rates of sentinel lymph node biopsy (SLNB) in this population remain persistently high.
Objective: To evaluate whether an electronic health record (EHR)-based nudge intervention targeting surgeons in their first outpatient visit with patients meeting Choosing Wisely criteria decreases rates of SLNB.
Background: Over half of veterans enrolled in the Veterans Health Administration (VA) are also enrolled in Medicare, potentially increasing their opportunity to receive low-value health services within and outside VA.
Objectives: To characterize the use and cost of low-value services delivered to dually enrolled veterans from VA and Medicare.
Design: Retrospective cross-sectional.
Article Synopsis
- The study investigates racial and ethnic disparities in Veterans' experiences with VA-funded community care from 2016 to 2021, revealing that Black and Hispanic Veterans generally rated their care lower than White and non-Hispanic Veterans in several areas.
- Using data from over 230,000 respondents, the research specifically looked at ratings across nine domains, finding significant gaps in areas such as provider communication, appointment scheduling, and billing.
- Interestingly, Black Veterans rated eligibility determination and care coordination higher than other groups, highlighting mixed experiences within the community care system.
Background: Veterans dually enrolled in the Veterans Health Administration (VA) and Medicare commonly experience downstream services as part of a care cascade after an initial low-value service. Our objective was to characterize the frequency and cost of low-value cervical cancer screening and subsequent care cascades among Veterans dually enrolled in VA and Medicare.
Methods: This retrospective cohort study used VA and Medicare administrative data from fiscal years 2015 to 2019.