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Improved procurement could more than double availability of life-saving transplant organs

their surgeons. He is currently leading a study to examine how well publicly available data such as Medicare billing data and hospital discharge data can characterize the quality of care provided to women with breast cancer. As part of another project, he is studying the factors associated with prescription of and compliance with tamoxifen therapy in patients diagnosed with early-stage breast cancer. He is also a member of the Cancer Care Outcomes Research & Surveillance (CanCORS) Consortium, which is studying the quality of care provided to patients with lung or colorectal cancer treated across the United States.

Since arriving at Harvard, Dr Guadagnoli has been involved in several large-scale projects to study the quality of care for patients with cardiovascular disease. His work in this area focuses on understanding the factors related to variation in practice across geographic areas and on determining how variation in practice is associated with the quality of care provided to patients. He recently completed an evaluation of the quality of cardiac care services provided by the Veterans Health Administration. He is also involved in a project to develop quality indicators for the care of patients with acute myocardial infarction, congestive heart failure, or hypertension.

As part of his work in the areas of quality of care assessment and evaluation of health care interventions, Dr. Guadagnoli is leading an evaluation of the Health Disparities Collaboratives program, which is an effort of the Bureau of Primary Health Care to improve the quality of care in the nation's community health centers and to reduce health disparities. This evaluation will involve 60 community health centers from throughout the country and nearly 10,000 patients with diabetes, asthma, or hypertension.

A more recent interest involves evaluating the effect of managed care on the quality of health care. Dr Guadagnoli recently reported that the delivery of appropriate c
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Contact: John Lacey
public_affairs@hms.harvard.edu
617-432-0442
Harvard Medical School
25-Sep-2003


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