Steven D. Culler

Learn More
OBJECTIVES The authors examine whether the odds of having a hospitalization associated with an ambulatory care sensitive condition can be explained by observed differences in a Medicare beneficiary's predisposing, enabling, and need characteristics. METHODS A multivariate cross-sectional analysis of Medicare's administrative inpatient claims data and the(More)
OBJECTIVES We aimed to quantify the frequency and nature of early complications after implantable cardioverter-defibrillator (ICD) implantation in general practice, and estimate the incremental costs of those complications to the health care system. BACKGROUND Cardioverter-defibrillator implantation rates are rising quickly. Little has been published(More)
This article assesses the relative cost of providing a specific procedure, knee replacement (KR) surgery, to rural residents in rural community-based hospitals rather than in urban hospitals. Costs are predicted using regression analysis with readily available data from Health Care Financing Administration's Medicare Provider Analysis and Review. The(More)
BACKGROUND The rate of admission for avoidable hospital conditions (AHCs) has been proposed as a measure of the ability of a population to access health care. The purpose of this study was to determine the relationship between the availability of primary care physicians and the rate of avoidable hospitalizations. METHODS Statewide hospital discharge data(More)
OBJECTIVE To assess health care resources consumed by melanoma in the population 65 years or older, a group with comparatively poor outcomes. DESIGN Database analysis. SETTING The Surveillance, Epidemiology, and End Results (SEER)-Medicare-linked population-based database for fiscal years 1991 through 1996. PARTICIPANTS A total of 1858 subjects with(More)
BACKGROUND Psychological responses have been reported for some patients after the insertion of an implantable cardioverter defibrillator (ICD). This study tested the effects of a psychoeducational intervention on anxiety, depressive symptoms, functional status, and health resource use during the first year after ICD implantation. METHODS ICD patients (n =(More)
Previous studies suggest that female physicians earn less on average from the practice of medicine than their male counterparts even after differences in personal characteristics are taken into account. In our study of sex differences in physician earnings, we estimate hourly earnings equations for 1982 using a specification that controls for differences in(More)
The incentives in the American Recovery and Reinvestment Act to expand the "meaningful use" of electronic health record systems have many health care professionals searching for information about the cost and staff resources that such systems require. We report the cost of implementing an electronic health record system in twenty-six primary care practices(More)
OBJECTIVE The long-run cost savings potential of private sector reform efforts, such as selective contracts with providers, depends in part on the relationship between procedure-specific volume and average hospital resources that are consumed in treating patients associated with that specific procedure. Study examines a model that estimates the relationship(More)
This study estimated Medicare reimbursement attributable to periprosthetic joint infection (PJI) across the continuum of covered services four years following hip or knee arthroplasty. Using 2001-2008 Medicare claims data, total and annual attributable reimbursements were assessed using generalized linear regression, adjusting for potential confounders.(More)