Yu-Chu Shen

Nov 13, 2024 | jamanetwork.com | Yu-Chu Shen |Anthony Kim |Renee Y. Hsia

Key PointsQuestion  Do rates of admission to certified stroke centers, receipt of thrombolytic therapy or mechanical thrombectomy, and mortality change for patients with stroke when a hospital near their community becomes stroke certified?

May 16, 2024 | onlinelibrary.wiley.com | Renee Y. Hsia |Rita F. Redberg |Yu-Chu Shen

INTRODUCTION American health care is not immune to the popular cultural concept that “more is better.” Studies have shown that some health care services have led to overdiagnosis and overtreatment, resulting in wasteful spending1-3 and potential harm.4-7 In cardiac care, for example, many notable advances have improved the overall expansion of services, but prior literature has found that these services tend to be unequally distributed across communities.8, 9 Herein we explored the impact of...

Dec 12, 2023 | jamanetwork.com | Renee Y. Hsia |Yu-Chu Shen

Introduction Patients of racial and ethnic minority groups are less likely to be admitted for specialized cardiac care and receive specialized cardiac services compared with White patients.1,2 It is possible that these disparities are due to the built environment of where such services exist. We investigated differential changes in patient outcomes after percutaneous coronary intervention–capable facility (PCI-CF) openings by patient race and community segregation.