Ernest Shen, PhD

Articles

January 15th 2024

Telehealth Transitional Care and 30-Day Readmission During the COVID-19 Pandemic

Ernest Shen, PhD Cheng-Wei Huang, MD Dan N. Huynh, MD Janet S. Lee, MS Huong Q. Nguyen, PhD, RN

This study found that the dramatic shift from face-to-face posthospital transitional care to telehealth did not affect 30-day readmission or mortality during the COVID-19 pandemic.

June 8th 2018

Satisfaction With Care After Reducing Opioids for Chronic Pain

Adam L. Sharp, MD, MS Ernest Shen, PhD Yi-Lin Wu, MS Adeline Wong, MPH Michael Menchine, MD, MS Michael H. Kanter, MD Michael K. Gould, MD, MS

There is no significant association between unfavorable patient satisfaction and opioid reductions for chronic pain, but encounters with unestablished providers may slightly impair satisfaction when reducing opioids.

November 21st 2017

Improving Antibiotic Stewardship: A Stepped-Wedge Cluster Randomized Trial

Adam L. Sharp, MD, MS Yi R. Hu, MS Ernest Shen, PhD Richard Chen, MD Ryan P. Radecki, MD, MS Michael H. Kanter, MD Michael K. Gould, MD, MS

The authors assessed the effect of provider education and clinical decision support (CDS) on antibiotic prescribing for acute sinusitis. Education and CDS improved antibiotic stewardship and changed diagnosis patterns.

October 13th 2017

Low-Value Antibiotic Prescribing and Clinical Factors Influencing Patient Satisfaction

Adam L. Sharp, MD, MS Ernest Shen, PhD Michael H. Kanter, MD Laura J. Berman, MPH Michael K. Gould, MD, MS

Antibiotics are not required to achieve high patient satisfaction. Patient age, chronic conditions, and an established patient–provider relationship influence satisfaction with acute care.

July 15th 2015

Low-Value Care for Acute Sinusitis Encounters: Who's Choosing Wisely?

Adam L. Sharp, MD, MS Marc H. Klau, MD, MBA David Keschner, MD, JD Eric Macy, MD, MS Tania Tang, PhD, MPH Ernest Shen, PhD Corrine Munoz-Plaza, MPH Michael Kanter, MD Matthew A. Silver, MD Michael K. Gould, MD, MS

Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.